Document Detail


Differential diagnosis of intractable lateral knee pain with progressive symptoms: a case problem.
MedLine Citation:
PMID:  16218199     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This case study of an active 22 year old female who sustained a traumatic incident to the right knee focuses on the differential diagnostic process. Although early subjective complaints, clinical presentation, and diagnostic testing results were commensurate with internal derangement of the knee, appropriate medical and surgical management failed to halt the progression of pain and subsequent onset of neurological symptoms. Electrodiagnostic testing conducted 10 months post initial injury produced a definitive diagnosis of an irritative lesion of the right peroneal nerve in the region of the fibular neck. A fibular tunnel release and peroneal nerve decompression was subsequently performed after which complete symptom resolution was achieved, allowing return to full functional activities.
Authors:
M Epler; D Keenan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Electromyography and clinical neurophysiology     Volume:  45     ISSN:  0301-150X     ISO Abbreviation:  Electromyogr Clin Neurophysiol     Publication Date:    2005 Jul-Aug
Date Detail:
Created Date:  2005-10-12     Completed Date:  2005-12-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0327533     Medline TA:  Electromyogr Clin Neurophysiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  305-12     Citation Subset:  IM    
Affiliation:
Department of Physical Therapy, Heilman Center, Lebanon Valley College, Annville, PA 17003, USA. epler@lvc.edu
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MeSH Terms
Descriptor/Qualifier:
Action Potentials / physiology
Adult
Arthralgia / etiology*,  physiopathology
Diagnosis, Differential
Electromyography
Female
Humans
Knee Injuries / complications*,  physiopathology
Knee Joint*
Muscle, Skeletal / physiopathology
Neural Conduction / physiology
Pain, Intractable / etiology*,  physiopathology
Peroneal Nerve / physiopathology*
Peroneal Neuropathies / diagnosis*,  physiopathology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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