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Isolated knee pain: a case report highlighting regional interdependence.
1Grand Valley State University, Grand Rapids, MI 49503, USA. vaughnd@gvsu.edu
The Journal of Orthopaedic and Sports Physical Therapy
|October 2, 2008
Summary
This case report highlights that sacroiliac joint dysfunction can present as localized knee pain in runners. A single physical therapy session successfully resolved the knee pain, emphasizing regional interdependence in diagnosis.
Area of Science:
- Orthopedics
- Sports Medicine
- Physical Therapy
Background:
- Sacroiliac joint dysfunction often presents with varied pain referral patterns.
- Knee pain as a primary symptom of sacroiliac dysfunction is infrequently reported.
Observation:
- A runner presented with medial knee pain unresponsive to initial examination, impacting training.
- Physical examination revealed pelvic asymmetry but no direct sacroiliac joint provocation.
- Manual therapy targeted the sacroiliac joint and pubic symphysis ipsilateral to the knee pain.
Findings:
- The patient experienced complete resolution of knee pain after one manual therapy session.
- The runner resumed training without recurrence of knee pain.
Implications:
- This case underscores the principle of regional interdependence in clinical assessments.
- It suggests sacroiliac joint dysfunction should be considered in cases of unexplained knee pain, particularly in athletes.
- Highlights a novel presentation of knee pain linked to sacroiliac dysfunction.
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