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Popliteus muscle hemorrhage as a rare cause of a proximal tibial neuropathy.

Research paper by Elliot L EL Dimberg, Devon I DI Rubin, Cedric J CJ Ortiguera, Kathleen D KD Kennelly

Indexed on: 15 Oct '13Published on: 15 Oct '13Published in: Journal of Clinical Neuroscience



Abstract

Proximal tibial neuropathy is an uncommon focal mononeuropathy that is most often caused by trauma, ischemia, or neoplastic infiltration or compression of the tibial nerve. We report a patient who presented with a tibial neuropathy following a leg injury, which initially mimicked a lumbosacral radiculopathy but which was the result of a proximal tibial neuropathy. Electrophysiologic studies confirmed a proximal tibial neuropathy and MRI revealed a popliteus muscle hemorrhage with mass effect on the tibial nerve. Following conservative management the patient had little recovery of function after 15 months.