A Rare Cause of Anterior Thigh Pain

Kathrine Cady, Jenny Jones

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Anterior thigh pain is frequent in rugby players, and hematomas are common. Most occur due to trauma; however, if swelling occurs with no mechanism of injury, these should always be investigated. CASE PRESENTATION: A 17-year-old male presented with a 6-month history of left anterolateral thigh pain and swelling with no mechanism of injury. Examination revealed that the area was hot to touch, no wounds were visible, and the patient reported no night pain or fever. He was urgently referred where an x-ray showed no findings, and then subsequently discharged. On recommendation from the original referring clinician, an ultrasound scan was ordered, which showed a 4.5-cm foreign body causing an infection. OUTCOME AND FOLLOW-UP: Subsequent surgery removed a twig with thorns from the area. The pain was relieved, and he returned to rugby 3 weeks later with no further complications. DISCUSSION: This case is a unique presentation of anterolateral thigh pain and highlights the importance of referral and follow-up when things do not fit a clinical picture.
Original languageEnglish
Article number11904
Pages (from-to)245-248
Number of pages4
JournalJOSPT cases
Volume3
Issue number4
DOIs
Publication statusE-pub ahead of print - 10 Nov 2023

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