ArticleCureus2026
Physiotherapy Protocol for Postoperative Intraosseous Rosai-Dorfman Disease of the Distal Femur: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Rosai-Dorfman disease (RDD) is a rare, benign, non-neoplastic histiocytic proliferative disorder. Involvement of the distal femur with intra-articular extension is uncommon and can pose diagnostic challenges. Physiotherapy plays a critical role in postoperative recovery; however, structured rehabilitation guidelines for such cases remain limited in the literature. This case report describes a rare presentation of intraosseous RDD and highlights the clinical outcomes of a phased, impairment-based physiotherapy protocol following surgical excision and bone grafting. The patient presented with gradually progressive left-sided knee pain that worsened over several months. Radiographic evaluation demonstrated a mixed lytic-sclerotic lesion in the distal femur with intra-articular extension. The patient underwent intra-articular curettage with allograft bone grafting; biopsy confirmed intraosseous RDD. She was referred for physiotherapy five weeks after immobilization. Postoperatively, she presented with restricted knee flexion range of motion (ROM) to 70°, extensor lag, fear of falling, swelling in the patellar region, a healed surgical scar, quadriceps and calf muscle atrophy, altered gait, pelvic drop during stance, reduced quadriceps, hamstring, and hip abductor strength (manual muscle testing (MMT) 3-), and impaired proprioception of the knee joint. A structured, phase-wise physiotherapy program was initiated with the goals of protecting the graft, gradually restoring knee mobility, improving muscle strength, facilitating gait re-education, and enhancing proprioception. The patient demonstrated progressive improvement in knee range of motion, muscle strength, gait symmetry, and functional independence without complications. This case underscores the importance of early, goal-oriented, phase-based physiotherapy following surgical management of intraosseous RDD of the distal femur. A structured rehabilitation protocol complemented surgical treatment, facilitating the recovery of mobility and function and helping to prevent long-term disability. This report contributes clinically relevant guidance to the limited literature on postoperative physiotherapy management in rare cases of RDD.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.