Poor Perfusion Or Elevated Pressures? An Exertional Lower Limb Pain Conundrum

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Poor Perfusion Or Elevated Pressures? An Exertional Lower Limb Pain Conundrum - Page #3

Lab Studies: None Other Studies: Right lower leg compartment pressure testing: <br>Anterior Pre-exercise: 21mmHg <br>Lateral Pre-Exercise: 25mmHg <br>Anterior 1-min post-exercise: 33mmHg <br>Lateral 1-min post-exercise: 35mmHg <br> <br> <br>MRI: <br>Congenital lateralized take-off of gastrocnemius medial head with unusual popliteal vessel course and mass effect. <br> <br>CT Angiogram: <br>Right popliteal artery opacified and visible above the knee <a href="CaseStudyImages/CS1PoorPerfusionOrEl-1292.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> . <br>Right popliteal artery completely vanishes in the popliteal fossa distal to the genicular branching arteries <a href="CaseStudyImages/CS2CS1PoorPerfusionO-1292.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> . <br>The artery is reconstituted just proximal to the artery's trifurcation (Anterior Tibial, Posterior Tibial, Peroneal Arteries) <a href="CaseStudyImages/CS3CS2CS1PoorPerfusi-1292.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> . <br> <br>Arterial Duplex Ultrasound: <br>Mid and distal popliteal artery possibly occluded at rest, flow changes with dorsiflexion and plantarflexion Consultations: Vascular Surgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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