Calcific Myonecrosis of the Leg: A Rare Entity.
Medicina (Kaunas)
; 55(9)2019 Aug 28.
Article
em En
| MEDLINE
| ID: mdl-31466356
ABSTRACT
Calcific myonecrosis is a rare disease that has been shown to be a late sequela of trauma. This article presents a 68-year-old man with calcific myonecrosis of the leg 40 years after a tibial fracture complicated with peroneal nerve palsy. The soft tissue mass increased in size after another injury to the leg that occurred two years before his presentation. Physical examination at presentation showed a palpable extra-osseous mass at the anterior aspect of the left leg; the mass was not adherent to adjacent soft-tissues and bone, and it was painless but tender to palpation. Radiographs of the left leg showed extensive calcification at the soft-tissue of the anterior and posterior leg. An ultrasonography-guided trocar biopsy was done; histological findings were indicative of calcific myonecrosis. Given the benign entity of the lesion and known high rate of complications, he was recommended for no further treatment except for clinical and imaging observation. Located at the site of the biopsy, he experienced infection with drainage that eventually healed after six months with antibiotics and wound dressing changes. During the last follow-up examination, two years after diagnosis, the patient was asymptomatic without progression of the mass.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Calcinose
/
Músculo Esquelético
/
Doenças Musculares
Tipo de estudo:
Etiology_studies
Limite:
Aged
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Humans
/
Male
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article