Playing Baseball Without A Glove

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Playing Baseball Without A Glove - Page #1

Author: Brandon Gray, MD Co Author #1: Joseph Powers, MD, CAQSM, FAAP Co Author #2: Daniel Gonzalez, MD Co Author #3: Mark Sakr, DO, CAQSM, FAAFP Senior Editor: Warren Bodine, DO, FAMSSM Editor: James Robinson, MD Patient Presentation: A 13-year-old Male baseball player presents to sports medicine clinic with a 1 month history of anterior right thigh pain with swelling. History: Patient is an active participant in summer baseball. He reports his thigh pain is intermittent, averages 2/10, and 6/10 when most severe. He denies a history of injury, joint swelling or systemic symptoms. His pain is worsened with running and relieved with rest. Patient had undergone prior evaluation by a physical therapist who documented right mid quadriceps tightening with a discrete area of swelling. There was no prior imaging or medication administration. Family history was unremarkable for musculoskeletal, rheumatologic or oncologic conditions. Physical Exam: Exam was focused on bilateral lower extremities. INSPECTION: no ecchymosis or erythema; Swelling right mid-proximal anterior thigh measuring 4cm x 3cm RANGE Of MOTION: Full bilaterally of hips and knees STRENGTH: Symmetric, 5/5 bilaterally; Extensor mechanism intact PALPATION: +Tenderness to palpation of right mid quadriceps muscle belly; No Tenderness to palpation of Anterior Superior Iliac Spine (ASIS) or proximal anterior hip SPECIAL TEST: Normal single leg squat; Normal hop test Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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