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- W2016757218 abstract "HISTORY A 33 year-old male with 14 year history of competitive distance running (average 40 miles/week) reported pain near the lateral portion of the fibular head and pain radiating down the lateral portion of the lower leg upon exertion. Seven years previously an MRI of the right knee noted Grade 1 degeneration of the lateral horn of the medial meniscus. The subject is a regular participant in research studies that require low resolution MRI scans of the right lower leg. The most recent scan revealed a 2 × 4-cm mass originating near the lateral portion of fibular head. The mass ran adjacent to the common peroneal nerve proximally and extended distally anterior to the soleus and posterior to the posterior tibialis muscle. PHYSICAL EXAMINATION Examination of the leg revealed tenderness near the lateral portion of the fibular head and of the proximal gastrocnemius, but no apparent swelling, and no joint instability. DIFFERENTIAL DIAGNOSIS Baker's cyst Muscle Strain Piriformis syndrome TEST AND RESULTS High resolution MRI showed a loculated cyst with high-intensity on T2- and dark on T1-weighted scans. The largest cavity was a 2-cm diameter sphere, adjacent to 3–4 smaller cavities. Retrospective examination of the low resolution research MRI's acquired from the subject 1 year and 7 months previously revealed 3–4 small cavities in the same location. A 2D phosphorus spectroscopy scan showed no detectable ATP within the large cavity, and normal ATP and phosphocreatine in the surrounding muscles. FINAL WORKING DIAGNOSIS Loculated Baker's cyst. TREATMENT AND OUTCOMES Subject was prescribed anti-inflammatory medication and instructed to reduce training intensity and volume. Subject will be referred for surgical evaluation if the cyst does not recede and or if the pain persists." @default.
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- W2016757218 date "2005-05-01" @default.
- W2016757218 modified "2023-10-14" @default.
- W2016757218 title "Evolution Of Loculated Baker??s Cyst In A Competitive Distance Runner" @default.
- W2016757218 doi "https://doi.org/10.1097/00005768-200505001-01443" @default.
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