Abnormal Involuntary Foot Positioning With Prolonged Biking - Page #3
 

Lab Studies:
PTH 34.7 normal
TSH 5.88
Free T4 0.77 low
Normal thyroid peroxidase antibody.

Other Studies:
Right ankle x-ray in 6/2022 read as status post ORIF of a bimalleolar fracture right ankle which appears well-healed without hardware complication. Mild early degenerative changes of the tibiotalar joint. (photo 1)

MRI brain 9/2022 read as unremarkable brain MRI. Specifically, no structural abnormalities to account for history of parkinsonism.

DAT scan 3/2023 read as evidence of striatal dopaminergic neurodegeneration compatible with Parkinson disease or other parkinsonian syndromes in the appropriate clinical setting. (photo 2 and 3)

Dynamic biking video 7/2022 showing evidence of involuntary plantarflexion of the foot and inversion of the ankle with prolonged stationary biking.

Consultations:
Physical Medicine and Rehab Sports Medicine
Physical Medicine and Rehab Neuromuscular Movement Disorder Specialist

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


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek