Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 20649
  Title Knee pain in a 14-year-old male: Steps in making a correct diagnosis [case report]
Journal J Clin Chiropr Pediatr. 2009 Jun;10(1):593-598
Peer Review Yes
Publication Type Case Report

Objective: To discuss the case of an adolescent patient who presented to the clinic with a history of right knee pain for two years. Using evidenced-based concepts enables clinicians to ask the right questions and use the proper diagnostic tools to make an accurate diagnosis.

Clinical features: A 14-year-old male athlete presented to the clinic with right knee pain. The adolescent had been seen by his family physician and doctor of chiropractic during a two year time period. Neither practitioner had performed diagnostic procedures of the knee.

Outcome: Radiographic studies revealed a large defect of the femur’s lateral condyle consistent with advanced osteochondrosis dissecans. The patient was referred to an orthopedist who recommended surgical intervention.

Conclusion: Doctors are frequently reluctant to order X-ray or other diagnostic studies on children and adolescents, but when a pediatric patient presents with a persistent complaint and significant examination findings further diagnostic studies are warranted.

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text.

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