Foot Injury In A Collegiate Soccer Player: To Play Or Not To Play? - Page #1

Author: Minh-Ha Hoang, DO

Patient Presentation:
An 18-year-old NCAA Division-I male freshman soccer player presented to the training room with left lateral foot pain after being cleated by another player during a game 2 days prior; he was able to play through the injury, however, now the pain has worsened and he is unable to walk to class without pain. He denied pain at rest.

He reported that a similar incident happened in another game 2 weeks prior, but with less severe pain. He was able to continue playing through the first injury as well, and the pain resolved after a week. No other history of prior injury to or pain in his left foot.

Physical Exam:
In the training room, he was limping and had significant pain with weight bearing. There was mild swelling of the mid-lateral left foot, but without ecchymosis. There was tenderness to palpation of the base of the fifth metatarsal. He had full range of active and passive motion. Resisted muscle testing showed weakness and pain with eversion, but full strength otherwise. Neurovascular exam was intact.

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