What is it about?

Osteochondroma is quite common. What was unusual about the case was the shape of it which led to a fracture at the base of the osteochondroma. Mode of injury (knee to inner thigh during hand-to-hand combat training) was also interesting. The patient was able to access care immediately through a direct access physical therapy clinic.

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Why is it important?

This case shows the ability of a doctor of physical therapy to evaluate, treat, order imaging, refer, and manage a complex musculoskeletal condition as a direct access provider.

Perspectives

I evaluated this patient shortly after graduating DPT school. My first differential was myositis ossificans because of the firm mass following a significant contusion, but that didn't make sense once I understood the injury was only a few days old and the patient stated he "had always had a firm lump there". Given the unusual nature of the injury an x-ray was warranted. Turned out to be a very interesting case!

Nathan Henry

Read the Original

This page is a summary of: Osteochondroma Fracture at the Distal Medial Femur, Journal of Orthopaedic and Sports Physical Therapy, June 2014, Journal of Orthopaedic & Sports Physical Therapy (JOSPT),
DOI: 10.2519/jospt.2014.0407.
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