Chronic Bilateral Exertional Lower Leg Pain And Fatigue In A 16-year-old Soccer Player - Page #1

Author: Adam Lyons, MD
Co Author #1: Adam Lyons
Co Author #2: Rahul Kapur
Co Author #3: Brian Sennett

Patient Presentation:
Chronic bilateral exertional lower leg pain

A 16-year-old elite soccer player was referred by her pediatrician to the orthopedic office for consultation of chronic bilateral exertional lower leg pain. The pain was non-bony, diffuse, described as tightness around the calves. Her pain was worse with exertion and completely resolved with rest. Her review of systems was positive for excessive fatigue with exercise and feeling abnormal cold.

Physical Exam:
Inspection: no obvious deformity, atrophy, swelling, or fascial herniation noted in bilateral legs
Palpation: no bony or muscle tenderness to palpation in the bilateral legs
Range of Motion: full range of motion of her knees and ankles
Motor: 5/5 strength in all motions
Maneuvers: No foot drop with normal reflexes bilaterally

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.

© 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