A Double Whammy In A Healthy Runner

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A Double Whammy In A Healthy Runner - Page #1

Author: Cecilia Cordova Vallejos, MD Co Author #1: Daniela Mehech, MD Co Author #2: Andrew Bloomfield, MD Co Author #3: Julio Vazquez-Galliano, MD Senior Editor: Carolyn Landsberg, MD Editor: Allison Schroeder, MD Patient Presentation: A 56-year-old male firefighter with no past medical history presented with sudden onset posterior knee pain. History: The injury occurred while he was actively training for a marathon. During a sprint interval, he felt a sudden pain in the posterior knee that felt like a ball hit the back of his leg. He presented to the emergency department with pain and swelling. He was discharged to follow up with Sports Medicine. Physical Exam: On inspection, he had 1+ edema in the right leg (foot to mid calf). There was induration to palpation of the right medial calf. Passive and active range of motion of the right knee and ankle were normal, although there was pain with ankle range of motion. Right lower extremity strength was 5/5, except for the right gastrocnemius-soleus complex, which was 4+/5. Light touch sensation was intact and pulses were palpable in the right lower extremity. Gait was normal. There was a slight imbalance on the right with heel and toe walking. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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