IMAGES IN EMERGENCY MEDICINE
Pain in the leg after jogging
Department of Surgery, Saint Lucas Andreas Hospital, Amsterdam, The Netherlands
Correspondence to:
Correspondence to Dr S M M de Castro, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands; stevedecastro@gmail.com
Accepted 9 September 2008
| The first 150 words of the full text of this article appear below. |
A 59-year-old woman complained of pain in her left knee. She told us that she had been suffering from osteoarthrosis of the left knee and underwent a medial meniscectomy 8 years ago. She also mentioned that she started exercising 8 weeks ago by jogging. The pain started immediately after one jogging session. We performed an x ray and a magnetic resonance imaging scan of her left knee (fig 1), which showed ostoearthrosis of the medial knee compartment and a translucent patchy spot in proximal tibia. The patient was diagnosed as having a stress fracture of her tibia caused by the sudden commencement of jogging. The patient was managed conservatively with an above-the-knee circular polymer resin cast for 6 weeks. The first 2 weeks were non-weight bearing and the remaining 4 weeks were weight bearing. After 6 weeks the patient was symptom free.
Figure 1 (A) Anterior-posterior x ray of the | |||||||||
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