Bilateral Thigh Pain In A Soccer Player

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Bilateral Thigh Pain In A Soccer Player - Page #3

Lab Studies: Creatine kinase (CK), thyroid-stimulating hormone (TSH), folate, vitamin B12, vitamin D, ferritin, comprehensive metabolic panel (CMP), and complete blood count (CBC) were all within normal limits. Other Studies: Bilateral femur radiographs: Skeletally immature patient without evidence of acute fracture or other osseous abnormality. MRI Right Femur: No stress fracture or soft tissue mass. Partial tearing of the proximal-to-mid rectus femoris with scarring and an intramuscular hematoma measuring 1.0 x 0.6 x 9.4 cm, consistent with a healing intramuscular degloving injury. MRI Left Femur: No stress fracture or soft tissue mass. Tearing of the proximal myotendinous junction of the indirect head of the rectus femoris with an intramuscular hematoma measuring 5.8 x 2.1 x 10.5 cm, consistent with an intramuscular degloving injury. Case Photo #1 T2 Coronal view of left thigh showing tearing of the proximal myotendinous junction of the indirect head of the rectus femoris with hematoma Case Photo #2 T2 Axial view of the left thigh showing tearing of the proximal myotendinous junction of the indirect head of the rectus femoris with hematoma Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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