Cargando…

Denervation pseudo hypertrophy of the calf: An important cause of lower limb swelling

Denervation pseudohypertrophy is an uncommon cause of limb swelling, which may be overlooked. It is an important diagnosis to arrive at, as it instructs the search for an underlying cause which may itself require intervention. We present the case of a 32-year-old male rugby player with a 2-year hist...

Descripción completa

Detalles Bibliográficos
Autores principales: Hynes, John P., Glynn, David, Eustace, Stephen J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8956883/
https://www.ncbi.nlm.nih.gov/pubmed/35345565
http://dx.doi.org/10.1016/j.radcr.2022.02.066
_version_ 1784676650681630720
author Hynes, John P.
Glynn, David
Eustace, Stephen J.
author_facet Hynes, John P.
Glynn, David
Eustace, Stephen J.
author_sort Hynes, John P.
collection PubMed
description Denervation pseudohypertrophy is an uncommon cause of limb swelling, which may be overlooked. It is an important diagnosis to arrive at, as it instructs the search for an underlying cause which may itself require intervention. We present the case of a 32-year-old male rugby player with a 2-year history of left calf swelling and intermittent pain and tightness. He described a previous history of 2 left sided lumbar micro-discectomy surgeries. There was no tenderness or sensory deficit on examination. MRI of the left calf revealed muscular enlargement, with fat interspersed between the muscle fibers, in keeping with pseudohypertrophy. This has a number of causes, in this cause attributed to lumbar radiculopathy. This case highlights a rare but important cause of limb swelling which should be considered in the workup of a unilateral swollen limb.
format Online
Article
Text
id pubmed-8956883
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-89568832022-03-27 Denervation pseudo hypertrophy of the calf: An important cause of lower limb swelling Hynes, John P. Glynn, David Eustace, Stephen J. Radiol Case Rep Case Report Denervation pseudohypertrophy is an uncommon cause of limb swelling, which may be overlooked. It is an important diagnosis to arrive at, as it instructs the search for an underlying cause which may itself require intervention. We present the case of a 32-year-old male rugby player with a 2-year history of left calf swelling and intermittent pain and tightness. He described a previous history of 2 left sided lumbar micro-discectomy surgeries. There was no tenderness or sensory deficit on examination. MRI of the left calf revealed muscular enlargement, with fat interspersed between the muscle fibers, in keeping with pseudohypertrophy. This has a number of causes, in this cause attributed to lumbar radiculopathy. This case highlights a rare but important cause of limb swelling which should be considered in the workup of a unilateral swollen limb. Elsevier 2022-03-22 /pmc/articles/PMC8956883/ /pubmed/35345565 http://dx.doi.org/10.1016/j.radcr.2022.02.066 Text en © 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Hynes, John P.
Glynn, David
Eustace, Stephen J.
Denervation pseudo hypertrophy of the calf: An important cause of lower limb swelling
title Denervation pseudo hypertrophy of the calf: An important cause of lower limb swelling
title_full Denervation pseudo hypertrophy of the calf: An important cause of lower limb swelling
title_fullStr Denervation pseudo hypertrophy of the calf: An important cause of lower limb swelling
title_full_unstemmed Denervation pseudo hypertrophy of the calf: An important cause of lower limb swelling
title_short Denervation pseudo hypertrophy of the calf: An important cause of lower limb swelling
title_sort denervation pseudo hypertrophy of the calf: an important cause of lower limb swelling
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8956883/
https://www.ncbi.nlm.nih.gov/pubmed/35345565
http://dx.doi.org/10.1016/j.radcr.2022.02.066
work_keys_str_mv AT hynesjohnp denervationpseudohypertrophyofthecalfanimportantcauseoflowerlimbswelling
AT glynndavid denervationpseudohypertrophyofthecalfanimportantcauseoflowerlimbswelling
AT eustacestephenj denervationpseudohypertrophyofthecalfanimportantcauseoflowerlimbswelling