A Rare Case of Hereditary Multiple Exostoses in a Woman.
Ranya Alawy Ghamri
PMID 38546687WHAT IT FOUND
A 28-year-old woman with long-standing bilateral knee pain had a bilateral knee x-ray showing multiple hereditary exostoses.
She reported improvement after reassurance and closed-chain exercises, but this was a single case with no formal outcome measures.
Key findings
01A 28-year-old woman with 10 years of knee pain had a bilateral knee x-ray showing multiple hereditary exostoses.
02The physiotherapist recorded gross muscle strength 4 out of 5, pain at 60 degrees during squats, and a 10-second single-leg stand.
03The plan included reassurance and closed-chain exercises 3 to 4 sessions weekly, and the patient reported improvement but did not return for further orthopaedic evaluation.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
This is a single case report, so it cannot show whether any treatment works. The patient reported improvement after a plan that included reassurance and closed-chain exercises, but no formal outcome measures or pre-post scores were reported. She did not return for further orthopaedic evaluation, so the longer-term result of the plan is not known. The varicose vein assessment was not completed in the report; only Doppler ultrasound was planned. The case report does not state that genetic testing confirmed hereditary multiple exostoses.
The easy way to misread this
Do not read the reported improvement as evidence that closed-chain exercises treat hereditary multiple exostoses. The plan also included reassurance, and the contribution of any single component cannot be separated. This was a single patient with no formal outcome measures.