Basketball Player With A Limp - Page #3
 

Other Studies:
Radiographs were performed onsite at the initial visit. Aside from the left calf atrophy, the images were normal Case Photo #1

The EMG was read as abnormal, most consistent with a chronic left tibial neuropathy

MRI with and without contrast of the left lower extremity:
Fusiform dilatation with edema and enhancement of the tibial nerve just distal to the common peroneal nerve takeoff approximately 10 cm superior to the knee joint
Measures ~ 3 cm in length
Case Photo #2 Case Photo #3

A 1.8 cm questionable second lesion is found approximately 7 cm superior to the knee joint

Consultations:
Referral to a neurologist, who recommended a tumor biopsy for diagnostic confirmation and management planning.

An orthopedic surgeon who specializes in microvascular nerve procedures.

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