Denervation pseudo hypertrophy of the calf: An important cause of lower limb swelling

• DOI: 10.1016/j.radcr.2022.02.066
• Publication Date: 2022-03-22T22:15:46Z
• Authors: John P. Hynes; David Glynn; Stephen J. Eustace
• Keywords: Calf swelling; Medical physics. Medical radiology. Nuclear medicine; 03 medical and health sciences; 0302 clinical medicine; R895-920; Case Report; Weightlifting; Denervation pseudohypertrophy; Sports imaging

Denervation pseudohypertrophy is an uncommon cause of limb swelling, which may be overlooked. It important diagnosis to arrive at, as it instructs the search for underlying itself require intervention. We present case a 32-year-old male rugby player with 2-year history left calf swelling and intermittent pain tightness. He described previous 2 sided lumbar micro-discectomy surgeries. There was no tenderness or sensory deficit on examination. MRI revealed muscular enlargement, fat interspersed between muscle fibers, in keeping pseudohypertrophy. This has number causes, this attributed radiculopathy. highlights rare but should considered workup unilateral swollen limb.