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Anterolateral Leg Pain Following Posterior Leg Trauma In A Female Hockey Player - Page #3
 

Lab Studies:
N/A

Other Studies:
XRay of the right lower leg showed mild soft tissue swelling along the posterolateral aspect of the mid-to-distal calf without osseous abnormality or evidence of stress fracture.

Initial ultrasound demonstrated nonspecific soft tissue findings without a clear abnormality. However, the examination was primarily focused along the tibia, as the patient had difficulty localizing the pain, and the region of maximal symptoms was uncertain.

MRI Axial T2-weighted images of the right calf (A and B) showed deep partial avulsive-type tear of the peroneus brevis muscle at the fibular attachment site with associated fluid and muscle edema. No tear involving the peroneus brevis (red arrow) or longus (green arrow) tendons. Coronal T2-weighted image (C) shows the extent of tear, measuring up over 9 cm in length with yellow and white lines corresponding to proximal and distal tear sites, respectively.
Case Photo #1

Consultations:
Orthopedic Surgery was consulted and hypothesized that the direct impact to the posterior calf may have produced a rapid eccentric contraction of the lateral compartment musculature during dynamic stabilization while skating. This eccentric load, combined with rotational lower extremity forces, may have contributed to avulsion at the fibular origin of the peroneus brevis.

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