Diffuse Idiopathic Skeletal Hyperostosis in a Patient With Shoulder Pain.

A 74-year-old man was referred to physical therapy by his primary care physician for insidious onset of right shoulder pain. Following examination, spinal radiographs and the human leukocyte antigen (HLA-B27) test, which is used to identify common autoimmune disorders, were completed. The radiographs revealed multilevel changes consistent with diffuse idiopathic skeletal hyperostosis, and the HLA-B27 test was positive.

Fifth Metatarsal Avulsion Fracture in an Adolescent Tennis Player.

A 17-year-old male tennis player presented to physical therapy via direct access with complaints of intermittent left lateral foot pain. Due to positive fracture testing and application of the Ottawa foot/ankle rules, an orthopaedist was consulted and radiographic imaging was performed. Radiographs revealed a nondisplaced avulsion fracture of the fifth metatarsal.

Immediate Effects of Thoracic Spine Thrust Manipulation on Neurodynamic Mobility.

Objective: The purpose of this study was to investigate the immediate effects of thoracic spine thrust manipulation (TSM) on the upper limb provocation test (ULPT) and seated slump test (SST) in individuals with identified neurodynamic mobility impairments. A secondary aim was to determine if correlation existed between the perception of effect and improvements in neurodynamic mobility following a thrust manipulation compared with mobilization.

Methods: A pretest-posttest experimental design randomized 48 adults into 2 groups: TSM or mobilization.