Edema óseo e incipiente osteonecrosis en cóndilo femoral externo tratados con láser y ultrasonido. A propósito de un caso

Abstract

A case report is presented of a 67-year old female patient with femoral and intercondylar area edema together with avascular osteonecrosis emerging changes in lateral femoral condyle (Ext) of the left knee, with sudden onset of pain without trauma as a result of a prolonged effort. She had persistent pain, day and night, with severe intensity. It did not respond to medical treatment with non-steroidal anti-inflammatory drugs. The patient, diagnosed with moderate and severe osteopenia, had received treatment with estrogens for 10 years. Physiotherapy treatment was applied, mainly using combined biostimulant electrotherapy, laser and ultrasound. After treatment, the nuclear magnetic resonance showed complete disappearance of edema in femoral condyle Ext, and also fading of the initial osteonecrotic signs with subsequent joint functional recovery.