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A Painful And Bulging Volar Forearm - Page #3
 

Lab Studies:
None

Other Studies:
Right Forearm EMG: No evidence of muscle denervation associated with right forearm bulge. <br> <br>Right Forearm Radiograph: Unremarkable radiographic appearance of the right forearm. <br> <br>Right Forearm MRI: Initially read as normal. After 2nd review with MSK Radiologist and Hand Surgeon: <br>There is an accessory muscle on the volar aspect of the forearm most consistent with a reverse palmaris longus. This inverted configuration with the muscle belly located distally, results in pronounced musculature near the wrist. It has a digastric configuration. There is no abnormal fluid signal or STIR signal within the muscle to suggest compartment syndrome or soft tissue mass. <br> <a href="CaseStudyImages/CS1Apainfulandbulgin-750.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> , <a href="CaseStudyImages/CS2CS1Apainfulandbul-750.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> , <a href="CaseStudyImages/CS3CS2CS1Apainfuland-750.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> , <a href="CaseStudyImages/CS4CS3CS2CS1Apainful-750.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a>

Consultations:
Neurology and Orthopedic Hand Surgeon

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


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