When Walking Funny Is Not Funny

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

When Walking Funny Is Not Funny - Page #1

Author: Frank Woo, MD Co Author #1: Nathaniel Jones, MD Senior Editor: Justin Mark Young, MD Editor: Neil Sparks, DO, MS, FAAFP Patient Presentation: A previously healthy 11-year-old boy presented to the sports medicine clinic with 1 month of right leg and foot pain. History: The patient presented initially to his pediatrician who thought the pain was due to a hamstring strain or growing pains, but symptoms were followed by 2 weeks of right foot and ankle pain with weakness. The pain was so severe that it woke him up at night despite taking tylenol and motrin every 3 hours. He endorsed at least 2 episodes of tripping and falling due to his "foot giving out." According to his parents, he had been "walking funny." As a result, he was evaluated at an outside hospital emergency room a week ago with normal x-rays of the hip, foot and ankle. He was discharged and referred to sports medicine. Denied injury, trauma, fever, recent illness, diarrhea, vomiting, urinary or fecal incontinence. There was no recent travel except for a road trip to South Dakota and Wyoming a few months ago, where he went hiking, kayaking, and paddleboarding. He denied any bug bites or ticks. He reported decreased oral intake for the past week but no weight loss. Physical Exam: General: no acute distress. Back: no tenderness to palpation, negative straight leg test. Right lower extremity: no effusion, muscular atrophy or tenderness noted; strength deficits include 0/5 tibialis anterior, 0/5 extensor hallucis longus, and 0/5 dorsiflexion of right foot; when foot brought into dorsiflexion, patient cannot hold foot up and has pain. Left lower extremity: normal left lower extremity exam. Neuro: decreased sensation to light touch, pinprick and temperature in the dorsal surface of the right foot extending to the lateral mid-calf. Gait: when standing, noted to have a right foot eversion and appears unstable; appears to drag right foot when ambulating 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