[Painful swollen leg 52 years after bimalleolar fracture]

Praxis (Bern 1994). 2009 Dec 2;98(24):1457-61. doi: 10.1024/1661-8157.98.24.1457.
[Article in German]

Abstract

Calcific myonecrosis is a late complication of a previous trauma which presents as a calcified fusiforme mass on an x-ray film. It is affecting mostly the anterior compartment of the lower leg. 43 cases have been reported in the literature and are reviewed. The current authors report a case of calcific myonecrosis with calcific tenosynovitis of the tibialis anterior muscle. Precipitated hydroxyapatite crystals were found by ultrasound-guided aspiration, the lesion was then treated by injection of corticosteroids and an anesthetic.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Ankle Injuries / complications*
  • Ankle Injuries / therapy
  • Ankle Joint / pathology*
  • Anterior Compartment Syndrome / complications
  • Athletic Injuries / complications*
  • Athletic Injuries / therapy
  • Calcinosis / diagnosis*
  • Casts, Surgical / adverse effects
  • Diagnosis, Differential
  • Edema / diagnosis
  • Edema / etiology*
  • Fibula / injuries*
  • Fibula / pathology
  • Gymnastics / injuries*
  • Humans
  • Male
  • Muscle, Skeletal / pathology*
  • Necrosis
  • Osteoarthritis / diagnosis*
  • Osteophyte / surgery
  • Postoperative Complications / diagnosis
  • Tendon Entrapment / diagnosis
  • Tibia / pathology*
  • Tibial Fractures / complications*
  • Tibial Fractures / therapy
  • Tomography, X-Ray Computed
  • Ultrasonography