Exertional Leg Pain - 14/12/15

Doi : 10.1016/j.pmr.2015.08.012

Sathish Rajasekaran, MD ^a,^b,^⁎ , Jonathan T. Finnoff, DO ^c,^d,^e
^a Department of Orthopaedics and Rehabilitation, University of Iowa Sports Medicine, 2701 Prairie Meadow Drive, Iowa City, IA 52242, USA
^b Division of Physical Medicine and Rehabilitation, University of Alberta, 10230 111 Avenue Northwest, Edmonton, AB T5G 0B7, Canada
^c Department of Physical Medicine and Rehabilitation, Mayo Clinic School of Medicine, 200 1st St SW, Rochester, MN 55905, USA
^d Department of Physical Medicine and Rehabilitation, University of California Davis School of Medicine, 4860 Y Street, Sacramento, CA 95817, USA
^e Mayo Clinic Sports Medicine Center, Mayo Clinic Square, 600 Hennepin Avenue, Suite 310, Minneapolis, MN 55403, USA

^∗Corresponding author. University of Iowa Sports Medicine, 2701 Prairie Meadow Drive, Iowa City, IA 52242.

Résumé

Exertional leg pain is a common condition seen in runners and the general population. Given the broad differential diagnosis of this complaint, this article focuses on the incidence, anatomy, pathophysiology, clinical presentation, diagnostic evaluation, and management of common causes that include medial tibial stress syndrome, tibial bone stress injury, chronic exertional compartment syndrome, arterial endofibrosis, popliteal artery entrapment syndrome, and entrapment of the common peroneal, superficial peroneal, and saphenous nerves. Successful diagnosis of these conditions hinges on performing a thorough history and physical examination followed by proper diagnostic testing and appropriate management.

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Keywords : Medial tibial stress syndrome, Stress fractures, Compartment syndromes, Popliteal artery, Iliac artery, Nerve compression syndromes, Leg injuries, Athletic injuries