Intermittent claudication caused by compression of tibial vessels as a result of calf muscle hypertrophy: case report Angela Mailis, MD, MSc, FRCPC,

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Presentation transcript:

Intermittent claudication caused by compression of tibial vessels as a result of calf muscle hypertrophy: case report Angela Mailis, MD, MSc, FRCPC, Alan Lossing, BSc, MD, FRCSC, Peter Ashby, MB, MD, MRCP(Lond), FRCP(Ed), FRCPC, Jacob Abarbanel, MD Journal of Vascular Surgery Volume 16, Issue 1, Pages 116-120 (July 1992) DOI: 10.1016/0741-5214(92)90428-B Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Posterior view of both calves. Scar in right calf is a result of large muscle biopsy site after which the patient thought his hypertrophy progressed further. Journal of Vascular Surgery 1992 16, 116-120DOI: (10.1016/0741-5214(92)90428-B) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Angiography: Right calf with ankle and knee joints in neutral position. Journal of Vascular Surgery 1992 16, 116-120DOI: (10.1016/0741-5214(92)90428-B) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Angiography: Anteroposterior view of right knee with dorsiflexed ankle. Journal of Vascular Surgery 1992 16, 116-120DOI: (10.1016/0741-5214(92)90428-B) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Angiography: Lateral view of right knee with dorsiflexed ankle. Journal of Vascular Surgery 1992 16, 116-120DOI: (10.1016/0741-5214(92)90428-B) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Angiography: Anteroposterior view of right calf with dorsiflexed ankle. Severe narrowing of tibial and peroneal vessels (arrow). Journal of Vascular Surgery 1992 16, 116-120DOI: (10.1016/0741-5214(92)90428-B) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Angiography: Anteroposterior view of left calf with dorsiflexed ankle. Tibial and peroneal vessels are normal in caliper. Journal of Vascular Surgery 1992 16, 116-120DOI: (10.1016/0741-5214(92)90428-B) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions