Pulling The Trigger With A Loaded Differential: Persistent Knee Pain In A Marathon Runner

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Pulling The Trigger With A Loaded Differential: Persistent Knee Pain In A Marathon Runner - Page #1

Author: Caitlin Waters, MD Co Author #1: Navid Mahooti, MD Patient Presentation: A 52 year old male marathon runner presents to the primary care sports clinic for routine annual exam with complaints of left medial knee pain. History: Nine months prior to presentation, the pain began and was aggravated by running greater than 2 miles with catching and mild swelling following runs. The pain was worsened by prolonged sitting, flexion and he was unable to attain full extension. NSAIDs only provided temporary relief. He was no better after home exercises and formal PT. An ultrasound guided corticosteroid injection into the left distal hamstring sheath provided enough relief to get through a half marathon, but pain persisted. MRI was performed and showed a medial meniscal tear. The patient was referred to orthopaedic surgery and underwent arthroscopic surgery. 6 months later, despite surgery, the patient's pain was no better. Physical Exam: Inspection, ROM, and special tests of the knee reveal a benign knee exam. There is 2+ tenderness with palpation of trigger points along the left adductors which reproduces his symptom of pain at the medial knee. Case Photo #2 [Photo 3} Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC