Neurovascular Compression Caused by Popliteus Muscle Enlargement Without Discrete Trauma

Popliteal entrapment syndrome caused by isolated popliteus muscle enlargement is very rare, although its occurrence has been reported after discrete trauma. However, popliteal artery stenosis with combined peroneal and proximal tibial neuropathy caused by popliteus muscle enlargement without precedi...

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Main Authors:	Cho, Kyoung Jin, Kang, Sangkuk, Ko, Sanghyung, Baek, Junghyun, Kim, Yeongkyun, Park, Noh Kyoung
Format:	Online
Language:	English
Published:	Korean Academy of Rehabilitation Medicine 2016
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4951376/

id	pubmed-4951376
recordtype	oai_dc
spelling	pubmed-49513762016-07-21 Neurovascular Compression Caused by Popliteus Muscle Enlargement Without Discrete Trauma Cho, Kyoung Jin Kang, Sangkuk Ko, Sanghyung Baek, Junghyun Kim, Yeongkyun Park, Noh Kyoung Case Report Popliteal entrapment syndrome caused by isolated popliteus muscle enlargement is very rare, although its occurrence has been reported after discrete trauma. However, popliteal artery stenosis with combined peroneal and proximal tibial neuropathy caused by popliteus muscle enlargement without preceding trauma has not been reported. A 57-year-old man presented with a tingling sensation and pain in his left calf. He had no previous history of an injury. The symptoms were similar to those of lumbosacral radiculopathy. Calf pain became worse despite treatment, and the inability to flex his toes progressed. Computed tomography angiography and magnetic resonance imaging of the lower extremity showed popliteal artery stenosis caused by popliteus muscle enlargement and surrounding edema. An electrodiagnostic study confirmed combined peroneal and proximal tibial neuropathy at the popliteal fossa. Urgent surgical decompression was performed because of the progressive neurologic deficit and increasing neuropathic pain. The calf pain disappeared immediately after surgery, and he was discharged after the neurologic functions improved. Korean Academy of Rehabilitation Medicine 2016-06 2016-06-29 /pmc/articles/PMC4951376/ /pubmed/27446794 http://dx.doi.org/10.5535/arm.2016.40.3.545 Text en Copyright © 2016 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Cho, Kyoung Jin Kang, Sangkuk Ko, Sanghyung Baek, Junghyun Kim, Yeongkyun Park, Noh Kyoung
spellingShingle	Cho, Kyoung Jin Kang, Sangkuk Ko, Sanghyung Baek, Junghyun Kim, Yeongkyun Park, Noh Kyoung Neurovascular Compression Caused by Popliteus Muscle Enlargement Without Discrete Trauma
author_facet	Cho, Kyoung Jin Kang, Sangkuk Ko, Sanghyung Baek, Junghyun Kim, Yeongkyun Park, Noh Kyoung
author_sort	Cho, Kyoung Jin
title	Neurovascular Compression Caused by Popliteus Muscle Enlargement Without Discrete Trauma
title_short	Neurovascular Compression Caused by Popliteus Muscle Enlargement Without Discrete Trauma
title_full	Neurovascular Compression Caused by Popliteus Muscle Enlargement Without Discrete Trauma
title_fullStr	Neurovascular Compression Caused by Popliteus Muscle Enlargement Without Discrete Trauma
title_full_unstemmed	Neurovascular Compression Caused by Popliteus Muscle Enlargement Without Discrete Trauma
title_sort	neurovascular compression caused by popliteus muscle enlargement without discrete trauma
description	Popliteal entrapment syndrome caused by isolated popliteus muscle enlargement is very rare, although its occurrence has been reported after discrete trauma. However, popliteal artery stenosis with combined peroneal and proximal tibial neuropathy caused by popliteus muscle enlargement without preceding trauma has not been reported. A 57-year-old man presented with a tingling sensation and pain in his left calf. He had no previous history of an injury. The symptoms were similar to those of lumbosacral radiculopathy. Calf pain became worse despite treatment, and the inability to flex his toes progressed. Computed tomography angiography and magnetic resonance imaging of the lower extremity showed popliteal artery stenosis caused by popliteus muscle enlargement and surrounding edema. An electrodiagnostic study confirmed combined peroneal and proximal tibial neuropathy at the popliteal fossa. Urgent surgical decompression was performed because of the progressive neurologic deficit and increasing neuropathic pain. The calf pain disappeared immediately after surgery, and he was discharged after the neurologic functions improved.
publisher	Korean Academy of Rehabilitation Medicine
publishDate	2016
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4951376/
_version_	1613612053482700800

Neurovascular Compression Caused by Popliteus Muscle Enlargement Without Discrete Trauma

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