Muscle Rupture (minor) - presentation?
Pain on resisted movement
Haematoma appears quickly, then moves down limb with gravity.
On palpation, a small ‘step’ or indentation is present usually.
Precipitating factors?
Some degree of muscle atrophy, this patient was found to have muscle atrophy on US secondary to long term steroid use
Side effects of long term steroids?
Central weight gain - striae Moon face Insulin resistance Psychological (depression, psychosis) Cataracts Osteoperosis Buffalo Hump Easy bruising Proximal myopathy
pneumonic: CUSHINGOID…