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Anterolateral Leg Pain Following Posterior Leg Trauma In A Female Hockey Player - Page #1
 

Author: Kimberly Larson-Jerome, BS
Co Author #1: Julie Pohlad, PT DPT, Megan Leftwich, PT DPT, David Melville, MD, Karan Patel, MD
Co Author #2: Steven Poon, MD
Co Author #3: Callie Davies, MD
Senior Editor: Kristine Karlson, MD, FAMSSM
Editor: Timothy Huang, MD

Patient Presentation:
A 33-year-old female ice hockey player presented to the clinic with right anterolateral leg pain after sustaining blunt trauma to the posterior leg from a hockey puck.

History:
At the time of injury, she experienced a brief, sharp jolt of pain but was able to continue skating despite mild lower leg discomfort. Over the next 72 hours, while continuing to participate in sport, the pain became more localized and progressively worsened in the anterolateral leg, with intermittent sharp exacerbations causing significant discomfort and limiting ambulation. At presentation, she ambulated with a guarded gait and reported focal anterolateral leg pain with mild posterior soreness at the site of impact.
The patient was formerly healthy and had no history of prior injuries or surgeries to the lower extremities.

Physical Exam:
Exam of the right leg demonstrated diffuse tenderness lateral to the anterior tibia, pain with active dorsiflexion and inversion against resistance. Strength assessment was limited due to discomfort which was most notable with dorsiflexion and end range inversion. There was also a burning sensation in the anterolateral leg with dorsiflexion. Passive plantarflexion and inversion reproduced similar anterolateral leg pain. No significant pain or weakness with eversion against resistance. No bony tibial or fibula tenderness with palpation. Posterior calf ecchymosis was present and tender without palpable deformity. There was no anterior ecchymosis at main area of pain.

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