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Herniated Triggerpoint of Posterolateral Rib Cage as Identified by Ultrasound: A Case Study

Journal: The AAO Journal Date: 2024/06, 34(2):Pages: 23-24. doi: Subito , type of study: case report

Full text    (https://meridian.allenpress.com/aaoj/article/34/2/16/500954/LBORC-NUFA-Poster-Abstracts-2024-Students)

Keywords:

case report [705]
diagnosis [388]
fascial distortion model [27]
FDM [12]
male [763]
rib [66]
ultrasound [46]

Abstract:

Introduction: The Fascial Distortion Model (FDM) has relied on hand signals or gestures as diagnostic indicators of the specific pathologies occurring in the soft tissues and fascia of the body. Up to this point, these hand gestures have not been confirmed with any kind of imaging to be true indicators of dysfunction in the fascia and soft tissues. Ultrasound presents a non-invasive and inexpensive option for assessing construct validity of the FDM hand gestures. Case: This case study presents an active 22-year-old male with recent onset localized posterior trunk pain after a rugby match who gave hand signals consistent with a herniated triggerpoint (HTP) according to the Fascial Distortion Model and this diagnosis was confirmed with ultrasound imaging. After ultrasound confirmation of the HTP, the area was treated with FDM and HTP reduction was confirmed with ultrasound. Results: After treatment with FDM, the patient reported resolution of his symptoms, and repeat ultrasound demonstrated resolution of the HTP findings that were noted on pretreatment imaging. Discussion: This case presents that HTPs can be visualized on ultrasound imaging and that their resolution can be objectively confirmed after treatment. To further characterize the plausibility of its use diagnostically, future studies can begin with ultrasound assessment of a larger group of patients presenting with HTPs. Further studies should also investigate whether the other fascial distortions can similarly be visualized with ultrasonography.


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