From Friday Night Lights To The Or: A Case Of Severe Thigh Pain - Page #3
 

Lab Studies:
Creatine phosphokinase (CPK): 539 U/L
Lactate: 3.6-3.9 mmol/L
Mild hyperbilirubinemia (total bilirubin 1.2 mg/dL)
Complete blood count and other metabolic studies were unremarkable

Other Studies:
Left femur radiographs demonstrated no fracture or dislocation.
MRI of the left femur Case Photo #1 Case Photo #2 revealed a large intramuscular hematoma within the vastus intermedius with extensive surrounding edema and hemorrhage, intact quadriceps tendon, and no vascular compression.
Stryker compartment pressure measurements of the anterior thigh compartment ranged from 50-70 mmHg.

Consultations:
Orthopedic surgery

Click here to continue. Challenge yourself by writing down a revised, working 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


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