Published in:
01-09-2008 | Orthopaedic • Radiology • Pathology Conference
Thigh Pain of 5 Years’ Duration in a 48-year-old Man
Authors:
Shafic A. Sraj, MD, Nabil J. Khoury, MD, Nadim E. Afeiche, MD, John Abdelnoor, MD, FRCS
Published in:
Clinical Orthopaedics and Related Research®
|
Issue 9/2008
Login to get access
Excerpt
A 48-year-old man presented to his primary physician with pain localized to the medial region of the left knee of 6 months’ duration. The physical examination was normal. His medical history was unremarkable. He was treated empirically with nonsteroidal antiinflammatory medications and physiotherapy without relief. After 3 months of continuing pain, he was referred to an orthopaedic surgeon who ordered an MRI scan which was interpreted as normal. The patient was maintained on symptomatic treatment for several more months with no substantial improvement. The patient continued to endure the pain and utilise symptomatic treatment for the following couple of years. Three years after initial presentation, he obtained a second orthopaedic opinion and had another MRI scan. The examination was again normal and the MRI interpreted as normal. The patient was maintained on symptomatic treatment with no improvement. Throughout he had no constitutional symptoms. …