Challenge of the Week / Sports / 05.24.19

A 17-year-old male patient presents with leg pain that occurs whenever he attempts physical activity. The pain increases during the activity, and subsides once he stops. He reports that when running he has pain and numbness that radiates into his foot. On examination, he has no pain on palpation. Radiographs are within normal limits. Which of the following is the most likely diagnosis?

  • Gastrocnemius muscle tear
  • Tibial stress syndrome
  • Tibial stress fracture
  • Exertional compartment syndrome