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A practical approach for the differential diagnosis of chronic leg pain in the athlete.
Am J Sports Med. 2005 Aug; 33(8):1241-9.AJ

Abstract

Chronic lower leg pain results from various conditions, most commonly, medial tibial stress syndrome, stress fracture, chronic exertional compartment syndrome, nerve entrapment, and popliteal artery entrapment syndrome. Symptoms associated with these conditions often overlap, making a definitive diagnosis difficult. As a result, an algorithmic approach was created to aid in the evaluation of patients with complaints of lower leg pain and to assist in defining a diagnosis by providing recommended diagnostic studies for each condition. A comprehensive physical examination is imperative to confirm a diagnosis and should begin with an inquiry regarding the location and onset of the patient's pain and tenderness. Confirmation of the diagnosis requires performing the appropriate diagnostic studies, including radiographs, bone scans, magnetic resonance imaging, magnetic resonance angiography, compartmental pressure measurements, and arteriograms. Although most conditions causing lower leg pain are treated successfully with nonsurgical management, some syndromes, such as popliteal artery entrapment syndrome, may require surgical intervention. Regardless of the form of treatment, return to activity must be gradual and individualized for each patient to prevent future athletic injury.

Authors+Show Affiliations

Ohio Orthopedic Center of Excellence, 4605 Sawmill Road, Upper Arlington, OH 43220, USA. www.pedward3@columbus.rr.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16061959

Citation

Edwards, Peter H., et al. "A Practical Approach for the Differential Diagnosis of Chronic Leg Pain in the Athlete." The American Journal of Sports Medicine, vol. 33, no. 8, 2005, pp. 1241-9.
Edwards PH, Wright ML, Hartman JF. A practical approach for the differential diagnosis of chronic leg pain in the athlete. Am J Sports Med. 2005;33(8):1241-9.
Edwards, P. H., Wright, M. L., & Hartman, J. F. (2005). A practical approach for the differential diagnosis of chronic leg pain in the athlete. The American Journal of Sports Medicine, 33(8), 1241-9.
Edwards PH, Wright ML, Hartman JF. A Practical Approach for the Differential Diagnosis of Chronic Leg Pain in the Athlete. Am J Sports Med. 2005;33(8):1241-9. PubMed PMID: 16061959.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A practical approach for the differential diagnosis of chronic leg pain in the athlete. AU - Edwards,Peter H,Jr AU - Wright,Michelle L, AU - Hartman,Jodi F, PY - 2005/8/3/pubmed PY - 2005/9/2/medline PY - 2005/8/3/entrez SP - 1241 EP - 9 JF - The American journal of sports medicine JO - Am J Sports Med VL - 33 IS - 8 N2 - Chronic lower leg pain results from various conditions, most commonly, medial tibial stress syndrome, stress fracture, chronic exertional compartment syndrome, nerve entrapment, and popliteal artery entrapment syndrome. Symptoms associated with these conditions often overlap, making a definitive diagnosis difficult. As a result, an algorithmic approach was created to aid in the evaluation of patients with complaints of lower leg pain and to assist in defining a diagnosis by providing recommended diagnostic studies for each condition. A comprehensive physical examination is imperative to confirm a diagnosis and should begin with an inquiry regarding the location and onset of the patient's pain and tenderness. Confirmation of the diagnosis requires performing the appropriate diagnostic studies, including radiographs, bone scans, magnetic resonance imaging, magnetic resonance angiography, compartmental pressure measurements, and arteriograms. Although most conditions causing lower leg pain are treated successfully with nonsurgical management, some syndromes, such as popliteal artery entrapment syndrome, may require surgical intervention. Regardless of the form of treatment, return to activity must be gradual and individualized for each patient to prevent future athletic injury. SN - 0363-5465 UR - https://www.unboundmedicine.com/medline/citation/16061959/A_practical_approach_for_the_differential_diagnosis_of_chronic_leg_pain_in_the_athlete_ L2 - http://journals.sagepub.com/doi/full/10.1177/0363546505278305?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -