AMSSM Home
AMSSM On FaceBook AMSSM On Twitter AMSSM On Linkedin
 

Caught On The Wrong Foot: An Unexpected Cause Of Foot Pain In A Football Player - Page #1
 

Author: Tammy Ng, MD
Co Author #1: Marcia Faustin, MD
Senior Editor: Drew Duerson, MD
Editor: Danielle De Freitas, MD

Patient Presentation:
A 19-year-old male division I collegiate football defensive back presented to clinic for acute-on-chronic right mid-foot pain for 4 days. The pain, which started several months ago, was exacerbated by weight bearing activity and relieved by rest. Four days prior to presentation, patient had an intense workout, after which he started having severe right mid-foot pain and difficulty ambulating. The pain was described as dull, aching, and throbbing. No changes in strength or sensation, and he was able to perform activities of daily living without difficulty. NSAIDs were not helpful, but prior physical therapy was moderately helpful.

History:
He reported a history of a stress fracture to his right foot during his youth, though he could not recall which bone was involved or when this occurred.

Physical Exam:
Right foot/ankle:
Inspection: Bilateral pes planus. Soft tissue swelling over midfoot with pink discoloration.
Palpation: Tenderness over mid-foot lateral tarsals, cuboid, lateral cuneiform, navicular and base of the fifth metatarsal. No tenderness of fibularis tendons, malleoli, or talar dome.
Range of motion: 20 degrees at the ankle with dorsiflexion and 35 degrees with plantarflexion. Denied pain with range of motion, but single leg heel raise elicited pain to the lateral tarsals. Had 5/5 muscle strength of his right lower extremity.
Evaluation of his left lower extremity otherwise showed no deformities and normal range of motion, stability, and strength.

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

UPCOMING EVENTS


_________________________________
FEBRUARY 2024
1/25-2/20/2024 (noon EST)
2024 Fellows In Training Exam

_________________________________
APRIL 2024
4/1-4/15/2024
2023-2024 Ultrasound ITE Post-Test for Current Fellows

4/12-4/17/2024
2024 AMSSM Annual Meeting

_________________________________
JULY 2024
7/18-7/21/2024
2024 Fellows Research & Leadership Conference

FIND A SPORTS DOC

Please enter a search term relevant to the search type. For US States - use only letter abbreviations.

Choose Search Type

Zip Code: 

 Choose Search Radius: 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek