Lethal Leg Pain - Page #1
 

Author: Elizabeth Hill, DO
Co Author #1: Carly Day, MD
Editor: Shaun Spielman, MD

Patient Presentation:
A 23 year old male presented to the sports medicine clinic for left leg pain of one month's duration.

History:
The pain started in his left lateral hip and gradually spread to his left lateral knee, with no back involvement. It was constant and crampy in nature. The intensity increased at night and ultimately brought him in for an evaluation. He denied trauma, prior injury or constitutional symptoms. He participated in recreational basketball but was unable to play 1 week prior due to pain. He was sober after years of polysubstance abuse, including intravenous drugs, with continued tobacco abuse. Family history was noncontributory.

Physical Exam:
He was well appearing, afebrile and vital signs were within normal limits. Lower extremity inspection was negative for ecchymosis or swelling. He was markedly tender to palpation along the left tensor fascia latae, iliotibial band, lateral femoral condyle and fibular head. Range of motion was normal at the hip, knee and spine. He was neurovascularly intact with normal muscle strength, reflexes and gait. FADIR was positive for mild lateral hip pain. Ober and FABER tests were negative.

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, 11639 Earnshaw, Overland Park, KS 66210, (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