Bilateral Thigh Pain In An Adolescent Athlete - Page #1

Author: Paul Krebs, MD
Co Author #1: Bryant J. Walrod, MD
Editor: Alyssa Mixon, DO
Senior Editor: Alyssa Mixon, DO
Editor: Margaret Gibson, MD, FAMSSM
Senior Editor: Margaret E Gibson, MD

Patient Presentation:
A 15 year old female field hockey player presented to the office with bilateral thigh pain of 1 week duration. She described the pain as a soreness that was worse with activity and would occasionally become a shooting pain down her thighs. The onset of the pain correlated with the start of 2 a day practices. The pain was worse with activity and was limiting her ability to complete practices. She was also starting to have night pain. She denied numbness, tingling, or weakness, but did describe heaviness in her legs. She denied recent trauma. She had participated in similar activities during previous seasons without issues. She reported normal menstrual periods. Treatments included decreasing activity in practice, ice baths, and exercises with her athletic trainer.

No known current medical conditions. History of remote radial fracture and a quad strain that healed without complication.

Physical Exam:
Right/Left Hip: Full range of motion, no tenderness to palpation, normal strength
Right/Left knee: Full range of motion, no tenderness to palpation, normal strength
Bilateral Upper Leg: patient points to pain in her bilateral quads, but there is no tenderness to palpation in this region, no palpable mass or defect, no bruising, no pain with active knee extension or hip flexion. Negative fulcrum and hop test.

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