The patient was a 27-year-old man currently serving in the military who was evaluated by a physical therapist in a direct-access mode of care for a chief complaint of worsening left distal medial thigh pain. Given the traumatic mechanism of injury, worsening symptoms, and the presence of a painful, firm mass in the left distal medial thigh region, the physical therapist ordered radiographs of the left femur, which demonstrated a fracture at the base of an 8.5-cm osteochondroma located at the distal medial femur.
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