Persistent Ankle Pain In A Swimmer

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Persistent Ankle Pain In A Swimmer - Page #1

Author: Geoffrey Dreher, DO Co Author #1: David Webner, MD Co Author #2: Kevin DuPrey, DO Senior Editor: Mandeep Ghuman, MD, FAMSSM Editor: Allison Schafer, DO Patient Presentation: 15-year-old female high school swimmer with right ankle pain. History: A 15-year-old female swimmer presented to the office with 2-weeks of acute onset right posterior ankle pain, localized to the posterior medial malleolus and Achilles tendon, described as sharp and throbbing, 7/10, worse with running, stairs and flip turns. Physical Exam: Normal vital signs. Right ankle: no edema or ecchymosis, full range of motion with pain in active dorsiflexion, plantarflexion and inversion. No pain with resisted great toe flexion or extension. Strength 5/5, gross sensation intact and 2+ dorsalis pedis and posterior tibial pulses. Tenderness to palpation along the posterior medial malleolus and medial border of Achilles tendon. No ankle laxity. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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