RESUMO
A painful calf is frequent in the athlete and is dominated by tennis leg. After a short anatomical review, the principal causes of calf pain in a clinical acute and chronic context are emphasized. The contribution of the different imaging modalities will be discussed, with particular attention paid to muscular lesions. A few of the more unusual causes will be discussed.
Assuntos
Traumatismos em Atletas/diagnóstico , Traumatismos da Perna/diagnóstico , Músculo Esquelético/lesões , Adulto , Traumatismos em Atletas/diagnóstico por imagem , Humanos , Perna (Membro)/anatomia & histologia , Traumatismos da Perna/diagnóstico por imagem , Imageamento por Ressonância Magnética , Masculino , Músculo Esquelético/anatomia & histologia , Músculo Esquelético/diagnóstico por imagem , Dor/etiologia , Cisto Popliteal/diagnóstico , Somatotipos , Traumatismos dos Tendões/diagnóstico por imagem , Tênis/lesões , Ultrassonografia Doppler , Trombose Venosa/diagnóstico por imagemRESUMO
Infection of the épidural space was demonstrated on clinic (cauda equina compression) and radiology. Three investigations are considered and compared : Dimer X radiculography, lumbar phlebography, duroliopaque myelography. The transfemoral arcending lumbar catheterization of the epidural veins precise the compression by staphylococcic external pachymeningitis. No liquid is introduced in cerebro spinal fluid : there is not risk of infectious arachnoiditis. Myelography with positive contrast (duroliopaque: ethyl monoiodostearate) is much attractive but it is a procedure not easy to perform, even badly tolerated by the patient. For these reasons the lumbar phlebography, easily performed, can be realised in first intention.