Just Keep Swimming: The Case Of Chronic Calf Pain In A Collegiate Swimmer - Page #3
 

Other Studies:
CTA: negative for popliteal entrapment

Exertional MRI of bilateral tib/fib w/out contrast: no evidence of stress fractures of the tibia or fibula, 10% increase in signal intensity of gastrocnemius in post-exercise imaging as compared to pre-exercise imaging (equivocal for diagnosis of chronic exertional compartment syndrome of both legs). *Since compartment pressure testing can be invasive, MRI was done at this time to minimize in-season disruption to the athlete.

EMG/NCS: no evidence of significant neuropathy. Good reflexes, sensation and strength.


Other studies: Compartment pressure testing was repeated at time of surgery. Compartment pressure testing confirmed diagnosis with measurement of 20mmHg at rest in the posterior and lateral compartments.

Consultations:
1. Neurology
2. Pain Management

Click here to continue. Challenge yourself by writing down a revised, working 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.
 

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Phone: 913.327.1415


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