Abstract
The patient was a 47-year-old woman who had been referred to a physical therapist following an anterior cruciate ligament reconstruction of the left knee, using a bone-patellar tendon-bone autograft. While temporary within-session knee extension range-of-motion gains were recorded following physical therapist interventions, there was a lack of sustained improvement. Magnetic resonance imaging revealed an intact anterior cruciate ligament graft and a moderate joint effusion, as well as an area of intra-articular arthrofibrosis anterior to the anterior cruciate ligament graft. The patient underwent arthroscopic surgery and, after debridement of the joint arthrofibrosis, was referred to the physical therapist. Following 2 months of treatment, the patient demonstrated full symmetrical knee range of motion, reported no pain, and had initiated a running program without difficulty. J Orthop Sports Phys Ther 2011;41(1):32. doi:10.2519/jospt.2011.0401
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