Foot Pain In A Soccer Player - Page #1

Author: Kyle Kung, DO
Co Author #1: Kathy Vidlock, MD
Senior Editor: Christopher Miller, MD
Editor: Margaret Gibson, MD, FAMSSM

Patient Presentation:
A 14-year-old female high school soccer player presented to the office with constant right foot pain for the past eight months. Initially the patient injured her toe while playing with a soccer ball in her basement. The patient's right great toe was bent under her foot and she experienced immense sharp pain immediately after the incident. Over the course of the past eight months, she has experienced continued pain described as sharp, stabbing, and piercing, that is 5/10 severity at rest and 8/10 severity with activity. It has affected her climbing stairs, playing sports, standing, and walking. She states that there is associated popping and clicking.

Past medical history: none
Past surgical history: none
Family medical history: none
Social history: none
Allergies: none
Medications: none

Physical Exam:
Extremities: No edema or gross deformities
Right Foot Exam:
-Tenderness to palpation of the 1st MTP joint
-Alignment forefoot, midfoot, hindfoot normal
-Active bilateral ankle/foot range of motion: dorsiflexion active 20, plantarflexion 50, eversion 15, inversion 35, 1st MTP extension 70, 1st MTP flexion 45
-Neurovascularly intact

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