Semimembranosus Tendinosis Case Studies

DOI: 03/04/2014. This is a 61-year-old male liquid plant laborer who sustained an injury after he twisted his low back when a co-worker kicked the tool box he was installing. Patient is diagnosed with bilateral foraminal stenosis at L2 to L3, L3 to L4, L4 to L5, and L5 to S1 with radiculopathy, mild compression fracture at L1, right knee medial meniscus tear, right knee mild to moderate osteoarthropathy, left lateral epicondylitis, left shoulder calcific tendinitis, and left shoulder adhesive capsulitis.
MRI of the right knee obtained on 05/23/14 revealed a complex tear of the posterior horn at the medial meniscus, cleavage tear of the anterior horn and myxoid change of the body. On the lateral meniscus, cleavage tears of the anterior and posterior horns and myxoid change of the body are noted. Semimembranosus tendinosis is seen. There is Pes anserine “bursis.”Grade 1 chondromalacia patella is demonstrated, primarily at the medial facet. There are medial femorofibial osteoarthritis and enthesophyte, superior aspect of the patella.

Based on the progress report dated 02/24/16, the patient complains of 8/10 left shoulder pain with decline in range of motion, refractory to treatment including physical therapy 24 sessions, injection, home exercise, activity modification, nonsteroidal anti-inflammatory medications (NSAIDS), ice and heat. He desires to avoid surgery. He also reports of 6/10 low back pain with right greater than left lower extremity symptoms, 7/10 left lateral elbow pain, 5/10 right knee pain and 3/10 bilateral wrist/hand