FRACS Orthopaedic Exams

iSAWEs

A florty-two-year-o1d male truck driver had persistent discomfort in the right popliteal fossa for four months.

Previously. he had been healthy and he had no history of trduma. He reported the gradual onset of severe pain and tenderness and had noticed swelling in the right popliteal fossa and calf with paresthesias and decreased sensation in jthe right leg.

Physical examination disclosed a hard, bone-like mass in the right popliteal fossa with a positive Tinel sign in the distribution of the tibial nerve. Manual mliscle testing showed slight weakness of plantar flexion of the ankle.

  1. What is this man's diagnosis?
  2. What treatment w'ill you offer him?
  3. What risks will you warn him about?

Webpage Last Modified: 17 July, 2011
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