A Common Complication Of Quadriceps Contusion With A Rare Presentation - Page #1

Author: Mayank Patel, MD
Co Author #1: Nathan Holmes, MD

Patient Presentation:
A 12 year old boy presented with right thigh pain.

A 12 year old boy with no significant past medical history, presented with complains of right thigh pain that was ongoing for 2 weeks following a soccer injury. He was head butted in the thigh while playing soccer. Since that time, he noted pain in his thigh with any weight bearing. He was seen by his primary care doctor who obtained x-rays which were available for review during the initial visit.

Physical Exam:
On physical examination, his vitals were stable. Evaluation of the spine and lower extremities revealed intact skin without lesions or rashes. Dorsalis pedis pulses were +2 and symmetric. There was no lymphadenopathy. He had full range of motion around his right hip joint without pain, tenderness, crepitus, or instability, except there is tenderness over the mid femur of the right thigh, mild tenderness over the right rectus femoris. There was no evidence of palpable hematoma, erythema, or ecchymosis.

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