Neurovascular Compression Caused by Popliteus Muscle Enlargement Without Discrete Trauma
| Autor: | Kyoung Jin Cho, Junghyun Baek, Yeongkyun Kim, Sangkuk Kang, Sanghyung Ko, Noh Kyoung Park |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Popliteal fossa Case Report Popliteus muscle 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine.artery Edema medicine Computed tomography angiography 030222 orthopedics medicine.diagnostic_test business.industry Rehabilitation Magnetic resonance imaging medicine.disease Tibial neuropathy Popliteal artery Surgery Stenosis medicine.anatomical_structure Anesthesia Neuropathic pain medicine.symptom business |
| Zdroj: | Annals of Rehabilitation Medicine |
| ISSN: | 2234-0653 2234-0645 |
| DOI: | 10.5535/arm.2016.40.3.545 |
| Popis: | Popliteal entrapment syndrome caused by isolated popliteus muscle enlargement is very rare, although its occurrence has been reported after discrete trauma. However, popliteal artery stenosis with combined peroneal and proximal tibial neuropathy caused by popliteus muscle enlargement without preceding trauma has not been reported. A 57-year-old man presented with a tingling sensation and pain in his left calf. He had no previous history of an injury. The symptoms were similar to those of lumbosacral radiculopathy. Calf pain became worse despite treatment, and the inability to flex his toes progressed. Computed tomography angiography and magnetic resonance imaging of the lower extremity showed popliteal artery stenosis caused by popliteus muscle enlargement and surrounding edema. An electrodiagnostic study confirmed combined peroneal and proximal tibial neuropathy at the popliteal fossa. Urgent surgical decompression was performed because of the progressive neurologic deficit and increasing neuropathic pain. The calf pain disappeared immediately after surgery, and he was discharged after the neurologic functions improved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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