RESUMO
We discuss a case of a female runner who presented with burning left groin and thigh pain and positional swelling after a long run. The workup revealed May-Thurner syndrome. May-Thurner syndrome anatomy is a common anatomical variant present in approximately 20% of the population. Compression of the iliac vein may result in venous stasis in the lower limb with a predisposition to deep venous thrombosis. We identify 4 reported cases of May-Thurner syndrome in female runners and review the importance of diagnosis and appropriate treatment of this condition. LEVEL OF EVIDENCE: V.
Assuntos
Edema/etiologia , Veia Ilíaca/anormalidades , Síndrome de May-Thurner/complicações , Dor/etiologia , Corrida , Coxa da Perna/irrigação sanguínea , Adulto , Edema/diagnóstico , Feminino , Humanos , Veia Ilíaca/diagnóstico por imagem , Síndrome de May-Thurner/diagnóstico , Dor/diagnóstico , Radiografia , Ultrassonografia DopplerRESUMO
This article discusses the diagnostic criteria, clinical course, and complications of complex regional pain syndrome. Multidisciplinary treatment including physical and occupational therapy, psychological evaluation and treatment, pharmacologic management, and more aggressive options including sympathetic blocks, sympathectomy, and spinal cord stimulation are also reviewed.