Intermittent claudication caused by compression of tibial vessels as a result of calf muscle hypertrophy: case report

Hoffman syndrome is characterized by pseudohypertrophy of muscles, muscles weakness & stiffness complicating hypothyroidism. We describe the disorder in a 45 years old female admitted with complaints of myalgia, proximal muscle weakness & calf muscle hypertrophy since 11 months. Thyroid function tests, marked elevation of muscle enzyme, electromyogram & muscle biopsy established the diagnosis of thyroid myopathy with Hoffmans syndrome. Therapy with levothyroxine resulted in marked clinical & biochemical improvements.J MEDICINE July 2015; 16 (2) : 112-114

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Amyloidotic muscle pseudohypertrophy: case report

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2001000400018 ◽

2001 ◽

Vol 59 (3A) ◽

pp. 582-586 ◽

Cited By ~ 4

Author(s):

Rosana Herminia Scola ◽

Lineu Cesar Werneck ◽

Cássio Slompo Ramos ◽

Ricardo Pasquini ◽

Hans Graf ◽

...

Keyword(s):

Bone Marrow ◽

Case Report ◽

Bone Marrow Transplantation ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Muscle Hypertrophy ◽

Type I ◽

Subjective Improvement ◽

Tunnel Syndrome ◽

Bilateral Carpal Tunnel Syndrome

The authors report one case of amyloidosis associated with muscular pseudohypertrophy in a 46-year-old woman, who developed weakness, macroglossia and muscle hypertrophy associated with primary systemic amyloidosis. Electromyography showed a myopathic pattern and bilateral carpal tunnel syndrome. The muscle biopsy presented with a type I and II fiber hypertrophy and infiltration of amyloid material in the interstitious space and artery walls. She underwent bone marrow transplantation with stabilization and subjective improvement of the clinical picture.

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Flexor carpi ulnaris herniation after cubital tunnel release: A case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x18823355 ◽

2019 ◽

Vol 7 ◽

pp. 2050313X1882335

Author(s):

Dante Palumbo ◽

Aden Miller ◽

Elliott Smock ◽

Scott Farner

Keyword(s):

Case Report ◽

Grip Strength ◽

Upper Extremity ◽

Conservative Management ◽

Muscle Hypertrophy ◽

Cubital Tunnel ◽

Initial Surgery ◽

Flexor Carpi Ulnaris ◽

Compartmental Pressure

Muscle herniation in the upper extremity is a rare but recognized phenomenon with a paucity of reports in the current literature. In the majority of cases, the herniation is secondary to trauma, with some of the cases due to muscle hypertrophy and increased intra-compartmental pressure from the forced exertion. Treatment for this condition ranges from nonsurgical, repair, or reconstruction to fasciotomy of the flexor carpi ulnaris fascia. Here, we present a case of flexor carpi ulnaris herniation after an open in situ cubital tunnel release in a 57-year-old male 6 years after initial surgery. The patient’s symptoms did not improve with conservative management, and the patient subsequently underwent endoscopic fasciotomy with resolution of his symptoms and maintenance of his wrist and grip strength. The rationale for the treatment chosen is discussed.

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