54 Year Old Tennis Player With Crippling Right Thigh Pain

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now open for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

54 Year Old Tennis Player With Crippling Right Thigh Pain - Page #1

Author: Jacob Erickson, DO Co Author #1: Gregory Garrison, MD Patient Presentation: A 54 year-old tennis player admitted to the hospital service with the inability to walk due to crippling right thigh pain. Pain has been present for over six months. Pain started anteriorly near the right knee, now extending proximally towards the right hip. Rates pain 10/10 at presentation. Has been in a wheelchair for the past two months. She has been working with multiple specialists in the outpatient setting and working towards bilateral knee replacements. Review of symptoms is negative for fever, chills, upper extremity weakness or recent vision change. photo 1 History: MRSA cellulitis in 2010 involving right buttocks Depression Jones fracture Severe bilateral PFPS Physical Exam: General: Moderate distress, writhing around bed in pain Musculoskeletal: -Inspection: Gross atrophy of right thigh. Normal tone and bulk of upper extremities. Right knee held in partial flexion. -ROM: Unable to actively extend right knee from flexed position. Passive extension of knee to 150 degrees with significant pain. Flexion/Extension of right hip not assessed due to patient discomfort on initial exam. -Palpation: Moderate tenderness with deep palpation of right sided anterior and posterior thigh musculature. No low back tenderness. -Special testing: Gait not assessed. Contralateral straight leg raise negative. Unable to perform other tests given significant pain. -Neuro: Decreased right L4. Left L4 2/4. L5, S1 are are 2/4 bilaterally. Sensation grossly intact to light touch in L2-S1 dermatomes bilaterally. Babinski with up-going toes bilaterally. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC