Other Studies:
Radiographs were performed onsite at the initial visit. Aside from the left calf atrophy, the images were normal <a href="CaseStudyImages/CS1BasketballPlayerw-482.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a>
<br>
<br>The EMG was read as abnormal, most consistent with a chronic left tibial neuropathy
<br>
<br>MRI with and without contrast of the left lower extremity:
<br>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
<br>Measures ~ 3 cm in length
<br> <a href="CaseStudyImages/CS2CS1BasketballPlay-482.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <a href="CaseStudyImages/CS3CS2CS1BasketballP-482.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a>
<br>
<br>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.
<br>
<br>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.