![]() There was an area of hypaesthesia in the distribution of the lateral cutaneous nerve of the thigh. Peripheral pulses were normal and all motor units were intact. Passive flexion of his knee was limited by subjective pain. Active quadriceps function, as evidenced by his capacity to straight leg raise, was restricted and painful. His quadriceps muscle was tense and exquisitely tender. The circumference of the right thigh at a level 10 cm proximal to the insertion of the quadriceps tendon measured 52 cm compared with 46 cm on the left side. On examination his right thigh was swollen with a small area of ecchymosis on the anterolateral aspect of the distal thigh. ![]() He was non-weight bearing on the affected leg. He was unable to sleep properly, and, after consulting his primary care doctor, presented to the emergency department. He consumed about 8 units of alcohol that evening. He received no immediate medical/paramedical attention and did not apply any remedial measures. He received no attention and continued to play for a further 10 minutes without further incident before limping off the pitch. He denied direct trauma from either the ball or the competing player. He recalled jumping vertically upwards from standing to compete for a header when he experienced acute pain in his right thigh. A 21 year old man was referred to the emergency department 17 hours after taking part in a club game of soccer, complaining of severe constant pain in his right thigh. ![]()
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