Leg Pain In A Recreational Athlete - Page #3
 

Lab Studies:
n/a

Other Studies:
She had an Xray of her lumbar spine which showed mild loss of disc space at L5-S1. She had an EMG-NCS which was normal and showed no left peroneal or tibial neuropathy or active lumbar radiculopathy. She underwent ABI testing pre and post exercise, which was normal Case Photo #1 . She underwent compartment pressure testing. After three minutes of running, her symptoms were evoked. At one minute post-exercise she had the following measurements: deep posterior compartment: 10 mmHg, superficial posterior compartment: 12 mmHg, lateral compartment: 120 mmHg, and anterior compartment: 32 mmHg Case Photo #2 .
She also underwent a left leg doppler study which showed no DVT but did show compression of the left iliac vein between the iliac artery and the vertebrae Case Photo #3

Consultations:
Upon establishing the dual diagnosis, vascular surgery was consulted for her left iliac vein compression.

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.
 

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