Enchondroma in a running athlete with persistent mid-thigh pain

The patient was a 22-year-old male who developed right mid-thigh pain after increasing his running mileage in a short period. Anterior-posterior and lateral radiographs of the femur were completed and interpreted as normal, and the patient was diagnosed with a muscle strain. Three months later the p...

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Published inThe journal of orthopaedic and sports physical therapy Vol. 40; no. 2; p. 121
Main Authors Pappas, Evangelos, Zazulak, Bohdanna T, Katz, Lee D
Format Journal Article
LanguageEnglish
Published United States 01.02.2010
Subjects
Athletic Injuries - etiology
Chondroma - complications
Chondroma - diagnosis
Chondroma - surgery
Femoral Fractures - diagnosis
Femoral Fractures - etiology
Fractures, Stress - diagnosis
Fractures, Stress - etiology
Humans
Magnetic Resonance Imaging
Male
Pain - etiology
Running - injuries
Young Adult
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Summary:The patient was a 22-year-old male who developed right mid-thigh pain after increasing his running mileage in a short period. Anterior-posterior and lateral radiographs of the femur were completed and interpreted as normal, and the patient was diagnosed with a muscle strain. Three months later the patient was seen by a sports medicine physician because of persistent right mid-thigh pain with running. Repeat radiographs revealed periosteal thickening of the medial cortex of the right femur consisten with a stress reaction and subtle irregular calcifications in the central diaphysis of the femur. The patient was diagnosed with a femoral shaft stress fracture and referred for magnetic resonance imaging, which revealed a lobular lesion occupying the marrow space of the femoral diaphysis that measure approximately 6.5 cm in the craniocaudal dimension. The patient was diagnosed with an echondroma of the distal femoral shaft. After pursuing a non-surgical course of care, the patient opted for surgical intervention based on continued pain and a desire to return to athletic activities. J Orthop Sports Phys Ther 2010;40(2):121. doi:10.2519/jospt.2010.0403
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0190-6011
1938-1344
DOI:10.2519/jospt.2010.0403