A Seldom Cause of Exercise-Related Leg Pain in a Young Soldier-Athlete: A Case Report

Chronic leg pain is a common problem for young soldier-athletes. Differential diagnosis of this issue is extensive and includes more common entities such as medial tibial stress syndrome and tibial stress fracture and other scarce causes. Therefore, making a correct diagnosis proves to be vital for appropriate care. This topic discusses the case of a 36-year-old soldier who was diagnosed with a schwannoma of the left tibial nerve as a rare cause of leg pain. Its literature is scarce and intends to add further data about recommendations for investigation and management for this kind of lesion.

Download Full-text

Medial tibial stress syndrome: Case report

Medicinski pregled ◽

10.2298/mpns1408247j ◽

2014 ◽

Vol 67 (7-8) ◽

pp. 247-251

Author(s):

Milica Jovicic ◽

Vladimir Jovicic ◽

Marija Hrkovic ◽

Milica Lazovic

Keyword(s):

Case Report ◽

Clinical Diagnosis ◽

Leg Pain ◽

Manual Muscle Testing ◽

Medial Tibial Stress Syndrome ◽

Benign Condition ◽

Muscle Testing ◽

Stress Syndrome ◽

Sport Activities ◽

Manual Testing

Introduction. Although it can be difficult to differentiate pain in lower legs, it is important for clinicians to differentiate medial tibial stress syndrome, which is a rather benign condition, from acute compartment syndrome, which is an emergency, as well as from different types of stress fractures described in this region. The aim of this case report was to present medial tibial stress syndrome as a clinical diagnosis, possible dilemmas in differential diagnosis and the efficacy of rehabilitation treatment. Case report. A 25-year old male patient sought medical help complaining of the pain along the distal third of tibia. The pain was present on palpation of the distal two-thirds of the lateral and medial tibial border over the length of 9 cm and on muscle manual testing of foot flexors. The patient underwent physical and exercise treatment for three weeks. The recovery was monitored by visual analogue scale, which measured the lower leg pain, pain on palpation and manual muscle testing. In addition, the patient himself assessed his ability to resume sport activities on the 5-point Likert scale. The final evaluation and measurements showed his complete functional recovery. Conclusion. The results obtained in this case show the importance of accurate clinical diagnosis and rehabilitation for medial tibial stress syndrome.

Download Full-text

Incidence and risk factors for medial tibial stress syndrome and tibial stress fracture in high school runners

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-012-2160-x ◽

2012 ◽

Vol 21 (3) ◽

pp. 556-563 ◽

Cited By ~ 45

Author(s):

Shigenori Yagi ◽

Takeshi Muneta ◽

Ichiro Sekiya

Keyword(s):

Risk Factors ◽

High School ◽

Stress Fracture ◽

Medial Tibial Stress Syndrome ◽

Tibial Stress Fracture ◽

Stress Syndrome

Download Full-text

Perianal Lymphangioma Circumscriptum Mistaken for Genital Warts

PEDIATRICS ◽

10.1542/peds.98.3.461 ◽

1996 ◽

Vol 98 (3) ◽

pp. 461-463

Author(s):

Gary L. Darmstadt

Keyword(s):

Sexual Abuse ◽

Differential Diagnosis ◽

Case Report ◽

Correct Diagnosis ◽

Genital Warts ◽

Diagnosis And Treatment ◽

Perianal Region ◽

Anogenital Region ◽

Left Buttock ◽

Lymphangioma Circumscriptum

Genital warts are common relative to other verrucous lesions of the anogenital region. Consideration of the differential diagnosis of verrucous anogenital lesions is necessary, however, to make a correct diagnosis consistently and to avoid futile, painful, and possibly traumatic attempts at treatment. In this report, I describe a child with a history suspicious for sexual abuse who was treated with inappropriate measures because of misdiagnosis of perianal lymphangioma circumscriptum as genital warts. The pathogenesis, differential diagnosis, and treatment of lymphangioma is presented. CASE REPORT A 5-year-old Hispanic boy was referred by his pediatrician to the Dermatology Service with an eruption of red papules on the left buttock and perianal region.

Download Full-text

Rectovaginal extragastrointestinal stromal tumour (EGIST): an additional entity to be considered in the differential diagnosis of tumours of the rectovaginal septum

BMJ Case Reports ◽

10.1136/bcr-2020-237669 ◽

2021 ◽

Vol 14 (3) ◽

pp. e237669

Author(s):

Susan Addley ◽

Moiad Alazzam ◽

Catherine Johnson ◽

Hooman Soleymani majd

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

High Risk ◽

Kinase Inhibitor ◽

Correct Diagnosis ◽

Rectovaginal Septum ◽

Gastrointestinal Stromal Tumours ◽

Diagnostic Challenge ◽

High Quality ◽

Primary Surgery

Gastrointestinal stromal tumours (GISTs) are rare - and rectovaginal extragastrointestinal stromal tumours (RV-EGISTs) even rarer. We share a case of RV-EGIST, complemented by high-quality radiological and surgical images. A review of current literature pertaining to RV-EGIST is also included. Our case report highlights the diagnostic challenge presented by extragastrointestinal stromal tumours. Differentiated from overlapping pathologies only by targeted application of immunohistopathology and cytogenetics, the inclusion of RV-EGIST in the differential diagnosis of a rectovaginal tumour is essential to making this correct diagnosis. Primary surgery is the treatment of choice for RV-EGIST if complete cytoreduction can be achieved, combined with adjuvant tyrosine kinase inhibitor (TKI) therapy for those with high-risk features to further reduce rates of future recurrence.

Download Full-text

Angioleiomyoma as a rare cause of a painful subcutaneous nodule in the leg: a case report

Reumatismo ◽

10.4081/reumatismo.2019.1168 ◽

2019 ◽

Vol 71 (2) ◽

pp. 113-117

Author(s):

A.A. Younis ◽

R.A. Hamed ◽

I.H. Abdulkareem

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Smooth Muscles ◽

Subcutaneous Nodule ◽

Leg Pain ◽

Benign Tumors ◽

Vascular Smooth Muscles ◽

Histopathological Features ◽

Rare Diagnosis

Angioleiomyomas are benign tumors originating in the vascular smooth muscles. The tumor typically presents as a painful, solitary, small subcutaneous nodule. Herein, we have described a case report of chronic leg pain due to angioleiomyoma. We outline the clinical, radiological and histopathological features of this rare diagnosis for a painful nodule of extremity. Although rare, angioleiomyoma should be included in the differential diagnosis of chronic leg pain.

Download Full-text

Differential Diagnosis of Leg Pain in the Athlete

Journal of the American Podiatric Medical Association ◽

10.7547/87507315-93-4-321 ◽

2003 ◽

Vol 93 (4) ◽

pp. 321-324 ◽

Cited By ~ 20

Author(s):

Michael Fredericson ◽

Cindy Wun

Keyword(s):

Differential Diagnosis ◽

Venous Insufficiency ◽

Sport Participation ◽

Return To Sport ◽

Tendon Injury ◽

Leg Pain ◽

Medial Tibial Stress Syndrome ◽

Common Causes ◽

Popliteal Artery Entrapment ◽

Exertional Compartment Syndrome

Leg pain in the athlete is common and has many different etiologies. The most common causes include muscle or tendon injury, medial tibial stress syndrome, stress fracture, and exertional compartment syndrome. Less common causes of leg pain include lumbosacral radiculopathy, lumbosacral spinal stenosis, focal nerve entrapment, vascular claudication from atherosclerosis, popliteal artery entrapment syndrome, and venous insufficiency. This article reviews the essential history and physical examination findings and the various causes of leg pain to help the clinician pinpoint the diagnosis and facilitate the athlete’s return to sport participation. (J Am Podiatr Med Assoc 93(4): 321-324, 2003)

Download Full-text