Foot Pain In A Soccer Player

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Foot Pain In A Soccer Player - Page #1

Author: Kyle Kung, DO Co Author #1: Kathy Vidlock, MD Senior Editor: Christopher Miller, MD Editor: Margaret Gibson, MD, FAMSSM Patient Presentation: A 14-year-old female high school soccer player presented to the office with constant right foot pain for the past eight months. Initially the patient injured her toe while playing with a soccer ball in her basement. The patient's right great toe was bent under her foot and she experienced immense sharp pain immediately after the incident. Over the course of the past eight months, she has experienced continued pain described as sharp, stabbing, and piercing, that is 5/10 severity at rest and 8/10 severity with activity. It has affected her climbing stairs, playing sports, standing, and walking. She states that there is associated popping and clicking. History: Past medical history: none Past surgical history: none Family medical history: none Social history: none Allergies: none Medications: none Physical Exam: Extremities: No edema or gross deformities Right Foot Exam: -Tenderness to palpation of the 1st MTP joint -Alignment forefoot, midfoot, hindfoot normal -Active bilateral ankle/foot range of motion: dorsiflexion active 20, plantarflexion 50, eversion 15, inversion 35, 1st MTP extension 70, 1st MTP flexion 45 -Neurovascularly intact Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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