A Complicated Acl Recovery In A Professional Soccer Athlete

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A Complicated Acl Recovery In A Professional Soccer Athlete - Page #1

Author: Kristin Terry, MD Co Author #1: Aerial Tirado EdD ATC Co Author #2: Charles Nofsinger MD Co Author #3: Dawn Muci DPT Senior Editor: Kristine Karlson, MD, FAMSSM Editor: Jeffrey Ham, DO Patient Presentation: A 28-year-old female professional soccer athlete presented approximately 6 months after right anterior cruciate ligament (ACL) reconstruction with bone-patellar tendon-bone (BTB) patellar tendon autograft, internal brace augmentation, and lateral meniscus repair. She reported two concurrent concerns: new-onset anterior knee pain and a recent enlargement of a long-standing pigmented lesion on the ipsilateral thigh. History: The patient initially had an uncomplicated postoperative course following ACL reconstruction. Approximately 6 months postoperatively, she developed atraumatic, insidious onset of sharp pain localized to the proximal patella during rehabilitation. Symptoms were exacerbated by resisted knee extension. Concurrently, she reported recent enlargement of a long-standing mole on her right anterior thigh, raising concern after her teammates commented on it. She denied systemic symptoms or family history of skin malignancy. Physical Exam: Right knee exam Full Range of Motion and strength. Pain with resisted knee extension. Surgical scar well-healed. Point tenderness at the inferior pole of the patella/proximal patellar tendon at the Bone tendon Bone harvest site. Right thigh skin exam 1.5 cm hyperpigmented, slightly raised lesion with irregular color variegation and irregular, asymmetric borders. Case Photo #1 No palpable regional lymphadenopathy. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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