Author: Saagar Patel, OMS
Co Author #1: John Neidecker, DO, ATC, FAOASM
Senior Editor: Yaowen (Eliot) Hu, MD, MBA
Editor: Robert Baker, MD, PhD, ATC
Patient Presentation:
A 14-year-old female patient presented to the orthopedic clinic with complaints of left midfoot pain after an injury she sustained during a high school volleyball match.
History:
A 14-year-old female patient presented to the orthopedic clinic with complaints of left midfoot pain after an injury she sustained during a high school volleyball match. She was unsure of her mechanism of injury but it was speculated that the injury occurred with repetitive jumping and landing. She does not recall a snap or a pop. She experienced significant pain when bearing weight on her L foot and was worried about not being able to finish the volleyball season and participate in the upcoming basketball season due to the injury. After initial exam and treatment goals were assessed, the patient agreed to attempt conservative measures of treatment including bracing, refraining from exercise, and NSAIDs for her injury. At the follow-up visit, the patient still showed signs of discomfort when bearing weight and found the conservative measures to not be helpful.
Physical Exam:
Physical exam of the left foot showed mild edema over the midfoot region and pain was elicited upon palpation over the mid foot. There was pain with piano key testing of the midfoot. There was no redness and no skin breakdown. She was otherwise neurovascularly intact.
Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.