Playing Baseball Without A Glove - Page #1

Author: Brandon Gray, MD
Co Author #1: Joseph Powers, MD, CAQSM, FAAP
Co Author #2: Daniel Gonzalez, MD
Co Author #3: Mark Sakr, DO, CAQSM, FAAFP
Senior Editor: Warren Bodine, DO, FAMSSM
Editor: James Robinson, MD

Patient Presentation:
A 13-year-old Male baseball player presents to sports medicine clinic with a 1 month history of anterior right thigh pain with swelling.

Patient is an active participant in summer baseball. He reports his thigh pain is intermittent, averages 2/10, and 6/10 when most severe. He denies a history of injury, joint swelling or systemic symptoms. His pain is worsened with running and relieved with rest. Patient had undergone prior evaluation by a physical therapist who documented right mid quadriceps tightening with a discrete area of swelling. There was no prior imaging or medication administration. Family history was unremarkable for musculoskeletal, rheumatologic or oncologic conditions.

Physical Exam:
Exam was focused on bilateral lower extremities.
INSPECTION: no ecchymosis or erythema; Swelling right mid-proximal anterior thigh measuring 4cm x 3cm
RANGE Of MOTION: Full bilaterally of hips and knees
STRENGTH: Symmetric, 5/5 bilaterally; Extensor mechanism intact
PALPATION: +Tenderness to palpation of right mid quadriceps muscle belly; No Tenderness to palpation of Anterior Superior Iliac Spine (ASIS) or proximal anterior hip
SPECIAL TEST: Normal single leg squat; Normal hop test

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, 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

Website created by the computer geek