AMSSM Home
AMSSM On FaceBook AMSSM On Twitter AMSSM On Linkedin
 

Hoops There It Is: Exertional Calf Pain In A Basketball Player - Page #1
 

Author: Abiye Ibiebele, MD
Co Author #1: Christopher Hogrefe, MD, FACEP
Senior Editor: Kristine Karlson, MD, FAMSSM
Editor: Heather Rainey, MD

Patient Presentation:
37 year old male who presents with left sided calf and tibia pain which began while playing a game of basketball.

History:
A 37 year old male presented to the Sports Medicine Clinic for evaluation of his left calf pain. He had been assessed by another provider three months prior for pain that began during a basketball game. His pain was located along the medial and lateral left calf, with lesser discomfort in the shin. It was sharp, burning, non-radiating, and 5/10 in severity. He had not experienced similar pain in the past. He denied back pain or right lower extremity pain. He denied numbness, but did endorse that his foot intermittently fell asleep, though this mostly happened when he was sitting. An MRI after his initial visit revealed a possible fibula stress reaction and a grade I hallucis longus muscle strain. He had been prescribed a walking boot and eight weeks of physical therapy. Upon reassessment, he reported persistent symptoms. He noted the pain was exacerbated by walking and relieved by rest. He had not returned to baseline with physical therapy, and pain did not improve with NSAIDs.

Physical Exam:
Visual inspection of the back and left lower extremity was unremarkable. Palpation of the left lower extremity revealed tenderness to palpation at the mid-popliteal fossa and over the medial and lateral gastrocnemius. Back flexion, extension, and rotation were full and painless. Left knee flexion and extension were full and painless. Left ankle plantar flexion, dorsiflexion, inversion, and eversion were full and painless. Resisted range of motion of the left knee and ankle were painless. Seated slump test and straight leg raise were negative. Provocative testing of the knee was unremarkable. Deep knee flexion, duck walking, and hop testing were unremarkable. Neurovascular exam was unremarkable.

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.
 

UPCOMING EVENTS

DECEMBER 2024
12/10-12/12/2024
2024 Advanced Team Physician Course

_________________________________
JANUARY 2025
1/10-1/12/2025
2025 AMSSM/South Bend Sports US

_________________________________
FEBRUARY 2025
2/01-2/18/2025
2025 Fellows In Training Exam
Registration Opens 2/15/2025

_________________________________
APRIL 2025
4/22-4/25/2025
2025 AMSSM Annual Meeting
Registration opens in late January 2025

FIND A SPORTS DOC

Please enter a search term relevant to the search type. For US States - use only letter abbreviations.

Choose Search Type

Zip Code: 

 Choose Search Radius: 

© 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