SYMPTOM LOCATOR Sally S
From Care of the Young Athlete, Second Edition Steven J. Anderson, MD, FAAP SYMPTOM LOCATOR Sally S. Harris, MP, MPH, FAAP Colored shapes represent areas of pain. A possible diagnosis is suggested for each area of pain.
Elbow and Forearm Shoulder
Referred pain from cervical spine: Medial view Cervical disk protrusion Cervical facet sprain Cervical radiculopathy Ulnar neuritis
Acromioclavicular injuries Clavicle fracture Lateral Posterior shoulder instability Acromioclavicular Medial Triceps injuries epicondylitis tendonitis Biceps tendonitis Glenoid labrum tear Medial
Triceps strain Olecranon bursitis Posterior view Ulnar neuritis
Posterior view Thoracic outlet syndrome
Osteochondritis dissecans Impingement syndrome Osteochondritis Fracture or epiphysitis dissecans of proximal humeral epiphysis Anterior shoulder instability Anterior view
Triceps tendonitis
Impingement syndrome Olecranon Shoulder instability bursitis C5 radiculopathy
Anterior view Lateral view Lateral view
Hand and Wrist General Hip, Thigh, and Lower Leg
Dorsal Iliac crest Lateral view impingement apophysitis
Medial view DeQuervain Apophysitis/ Cervical facet sprain tenosynovitis avulsion of ASIS Cervical disk protrusion Left-sided cervical Apophysitis/ disk herniation with Trochanteric avulsion of AIIS C6 radiculopathy bursitis
Mallet Dorsal view Scheuermann’s kyphosis Medial tibial finger Apophysitis/ stress syndrome Exertional avulsion (MTSS) compartment of ischium syndrome Sprained Quadriceps collateral Spondylolysis/ strain Fibular stress ligament Left-sided lumbar Hamstring pars stress fracture fracture disk protrusion strain Ulnar collateral ligament tear Tibial stress fracture
Jersey finger (FDP avulsion)
Anterior leg Right-sided lumbar Apophysitis/avulsion Apophysitis/ Fracture of disk protrusion with of ischium avulsion of ASIS the metacarpals S1 radiculopathy Sports Apophysitis/ Fracture of hernia avulsion of AIIS the scaphoid Hamstring strain Trochanteric Osteiitis DeQuervain bursitis pubis tenosynovitis Radial Triangular fibrocartilage epiphysitis Hip fracture complex tear Slipped capital femoral epiphysis Triangular fibrocartilage Quadriceps Inflammatory arthritis complex tear strain Osteoarthritis of the hip Psoas strain Acetabular labrum tear Palmar view Anterior view
Foot and Ankle Knee and Lower Leg Patellar tendonitis Sesamoiditis Plantar view Posterior view Peroneal Patellar subluxation/ Sinding-Larsen- tenosynovitis/ Anterior view patellar dislocation Johansson disease Peroneal tendon subluxation Quadriceps Interdigital Achilles tendonitis (Morton) neuroma tendonitis Iliotibial band Bipartate syndrome patella Posterior talar Retrocalcaneal impingement bursitis Metatarsalgia Os trigonum Medial Patellofemoral Meniscal stress syndrome tear (lateral) (PFSS) Achilles tendonitis Medial plica syndrome Calcaneal apophysitis (Sever’s disease) Lateral Calcaneal Patellar tendonitis apophysitis Posterior tibial Sinding-Larsen- (Sever’s disease) tendonitis Johansson disease Calcaneal Accessory Osgood- Osgood-Schlatter apophysitis navicular Schlatter (Sever’s disease) disease Lateral view Third metatarsal disease stress fracture Medial view
Quadriceps MCL sprain Turf toe tendonitis PCL sprain Bunion Iselin apophysitis/ Jones fracture (base Syndesmosis of fifth metatarsal) sprain Bursitis (prepatellar) Inversion Peroneal tendonitis/ sprain peroneal tendon sprain Distal fibular Interdigital Navicular epiphyseal fracture ACL (Morton) stress fracture sprain neuroma Inversion Lis Franc’s Jones fracture sprain sprain Popliteal Iselin apophysitis cyst Lateral Turf toe Third metatarsal (sprain of stress fracture Meniscal 1st MTP joint) tear (medial) Medial
Stress fracture of the (second) Calcaneal apophysitis Medial view Posterior view metatarsal Dorsal view Lateral view (Sever’s disease)
Copyright© 2010 American Academy of Pediatrics MA0448 The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of care. Variations, taking into account individual circumstances, may be appropriate.