A Painful And Bulging Volar Forearm - Page #3
 

Lab Studies:
None

Other Studies:
Right Forearm EMG: No evidence of muscle denervation associated with right forearm bulge.

Right Forearm Radiograph: Unremarkable radiographic appearance of the right forearm.

Right Forearm MRI: Initially read as normal. After 2nd review with MSK Radiologist and Hand Surgeon:
There is an accessory muscle on the volar aspect of the forearm most consistent with a reverse palmaris longus. This inverted configuration with the muscle belly located distally, results in pronounced musculature near the wrist. It has a digastric configuration. There is no abnormal fluid signal or STIR signal within the muscle to suggest compartment syndrome or soft tissue mass.
Case Photo #1 , Case Photo #2 , Case Photo #3 , Case Photo #4

Consultations:
Neurology and Orthopedic Hand Surgeon

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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