Knee And Calf Pain After Marathon - Page #4

Working Diagnosis:
Right lower extremity hematoma from soleus/gastrocnemius tear and right medial meniscus tear.

Patient was sent for hematoma evacuation of right lower extremity by vascular surgeon. Cultures were obtained and found to involve methicillin sensitive staph aureus. Patient was placed on antibiotics for three weeks, and brought back for elective arthroscopy.

Patient went through physical therapy and began light jogging eight weeks after his arthroscopic procedure. He has recovered and doing

Author's Comments:
It is always important to consider deep venous thrombosis and compartment syndrome in the initial evaluation of lower extremity swelling.

1.) Cho S, et al. Peripheral edema. American Journal of Medicine. 2002;113:580

2.) Magee DJ. Knee. In: Orthopedic physical assessment. 4th ed. Philadelphia: Saunders, 2002:661–763.

3.) McMahon PJ, Kaplan LD (2006). Meniscus section of Injuries section of Sports medicine. In HB Skinner, ed., Current Diagnosis and Treatment in Orthopedics, 4th ed., pp. 170-174. New York: McGraw-Hill.

4.) Snow V, Qaseem A, Barry P, et al. Management of venous
thromboembolism: a clinical practice guideline from the American College of Physicians and the American Academy of Family Physicians. Ann Intern Med. 2007;146(3):204-210.

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