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Volume: 38
Number: 4
Index: December 2010
Clinical Focus:Respiratory Care
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December 2010
Clinical Focus: Respiratory Medicine
  • Asthma and the athlete
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    • Relationship between COPD and nutrition intake
  • Treatment options for steroid-induced osteoporosis in men
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  • Respiratory infections in winter sports athletes
  • Asthma in elite athletes
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  • Airflow function and the metabolic syndrome
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doi: 10.3810/psm.2021.02.717
The Physician and Sportsmedicine: Volume 28: No.2
Progressive Knee Pain in a Young Football Player
Nonspecific symptoms in this 11-year-old athlete misled the patient and his physicians.
Scott A. Paluska, MD; Douglas B. Mckeag, MD, MS
Abstract: An 11-year-old male football player had a 3-month history of persistent right thigh pain. He had continued to play regularly despite intermittent pain and cramping, but symptoms had worsened significantly and he had lately had occasional flulike symptoms and mild fever. X-rays and an ultrasound vascular study were normal, but an MRI revealed a possible femoral sarcoma. A biopsy demonstrated osteomyelitis of the right femur with an adjacent abscess. After a course of parenteral antibiotics, he recovered fully and returned to competitive football. Osteomyelitis in adolescents can lead to a variety of nonspecific symptoms, and heightened awareness is important for accurate diagnosis and treatment.

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