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Not Your Classic Antalgic Gait In A Youth Multi-sport Male Athlete - Page #1
 

Author: Philip Henson, MD
Co Author #1: Stephanie DeLuca, MD, MS
Senior Editor: Christian Fulmer, DO, FAMSSM
Editor: Robert Oh, MD, MPH

Patient Presentation:
Two weeks of an antalgic gait

History:
A 7-year-old male with a past medical history of asthma presented with two weeks of an antalgic gait without any trauma or injury. He is a multi-sport athlete and did not have any specific change in activity level. He did not complain of any hip, thigh, knee pain. His parents noticed he was limping during basketball camp. He was otherwise in his normal state of health. He denied any history of fevers, chills, nighttime pain, rash, swelling, locking, clicking, catching, instability. His birth history is significant for full term emergency ceserean section due to low heart rate, with no history of hip dysplasia. He endorsed a well-balanced diet with multivitamin supplementation. He is not on any chronic medications. He has had no delays in developmental milestones. He has been growing steadily on his growth curve for height and weight. Family history is non-contributory.

Physical Exam:
General: Well-appearing, no acute distress
Lumbar spine: unremarkable
Hip: no leg length discrepancy, no tenderness to palpation, full range of motion, mildly positive Stinchfield
Knee: left knee with atrophy and mild tenderness to palpation over quadriceps tendon, full range of motion without pain, no pain with deep squat, provocative maneuvers negative. Single leg squat with dominance of hip adduction and internal rotation with contralateral pelvic tilt bilaterally. No pain with single leg hop bilaterally
Gait: antalgic while running only
Height: 121.3 cm (3 feet, 11 ¾ inches); Weight 28 kg (61.7 lbs)

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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Phone: 913.327.1415


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