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- Title
THE USE OF RUSI (REHABILITATIVE ULTRASOUND IMAGING) TECHNIQUE IN A PHYSICAL THERAPY'S DIFFERENTIAL DIAGNOSIS IN RECREATIONAL RUNNER WITH PAIN IN FIFTH TOE: A CASE REPORT.
- Authors
Cecearelli, Claudio; Brindisino, Fabrizio; Salomon, Mattia; Arias Burfa, Jose Luis; Maselli, Filippo
- Abstract
Background: Running often leads to several injuries. Mostly, injured joints in runners involve lower limbs: the foot district frequently is affected. However, Physical Therapists (PT) in a direct access setting may encounter patients with extra-expertise clinical conditions, such as fracture of the fifth metatarsal base mimicking ankle sprain. Case Description: A 55-year-old recreational runner presented to an outpatient physical therapist after a right ankle injury, happened during sport competition with physician's diagnosis of lateral ankle sprain following negative Ottawa Ankle Rules (OARs). The PT suspected the presence of fracture of the 5th metatarsal, despite OARs performed had been negative. Indeed, the PT decided to use RUSI (Rehabilitative UltraSound Imaging) to further verify diagnostic suspect of metatarsal fracture. The ultrasound examination revealed an alteration of the fifth metatarsal bone cortex. Therefore, the patient was referred to the orthopedic surgeon, who prescribed a foot X-ray. The exam revealed an acute "Jones" fracture. Conclusion: This clinical case shows how a thorough clinical examination performed by the PT using RUSI can contribute to the correct diagnostic-therapeutic pathway of a patient with a severe ongoing pathology. Level of Evidence: Differential diagnosis, level 5
- Subjects
ANKLE injuries; ATHLETES; DIFFERENTIAL diagnosis; METATARSUS; TOES; X-rays; TOE injuries; JONES fracture; TREATMENT effectiveness
- Publication
Scienza Riabilitativa, 2020, Vol 22, Issue 4, p17
- ISSN
1828-3942
- Publication type
Article