Rheumatology case

[K06100]

A 26-year-old woman presents to her primary
care physician complaining of left lower leg
pain when she exercises. She states that when
she is not jogging she is pain free, but when
she jogs >3 miles she begins to note pain and
tightness in her left lower leg. She states that
she often has concurrent numbness and tingling
in the top of her foot during these episodes
of pain. When she ceases strenuous activity,
all symptoms slowly subside over the course
of half an hour. Physical examination is unremarkable
and demonstrates a neurovascularly
intact left lower extremity with supple compartments,
and no focal areas of tenderness. Plain
fi lms of the left knee, tibia, and fi bula are similarly
unremarkable. Which of the following is
the most likely diagnosis?

(A) Acute compartment syndrome
(B) Exertional compartment syndrome
(C) Left knee osteoarthritis
(D) Left sided patellofemoral pain syndrome
(E) Left tibial stress fracture

[step_enhancer]

Answer B .............

[Anders]

Originally Posted by K06100

A 26-year-old woman presents to her primary
care physician complaining of left lower leg
pain when she exercises. She states that when
she is not jogging she is pain free, but when
she jogs >3 miles she begins to note pain and
tightness in her left lower leg. She states that
she often has concurrent numbness and tingling
in the top of her foot during these episodes
of pain. When she ceases strenuous activity,
all symptoms slowly subside over the course
of half an hour. Physical examination is unremarkable
and demonstrates a neurovascularly
intact left lower extremity with supple compartments,
and no focal areas of tenderness. Plain
fi lms of the left knee, tibia, and fi bula are similarly
unremarkable. Which of the following is
the most likely diagnosis?

(A) Acute compartment syndrome
(B) Exertional compartment syndrome
(C) Left knee osteoarthritis
(D) Left sided patellofemoral pain syndrome
(E) Left tibial stress fracture

Would go with B.
A need acute compression like swelling from trauma, cast & won't get a relieve unless fasciotomy is done.
C,D,E associated with anterior knee pain with no numbness and tingling.

[XpaezX]

Eventho i have never heard of it I would go with B

Tibial stress fractures are more common in marathon runners or the military, not in a weakling 3 mile runner HAHA