Calcific myonecrosis.
Calcific myonecrosis is a rare and late sequela of compartment syndrome, which becomes symptomatic years after the initial trauma. We diagnosed this condition in a 64-year old man, 42 years after he sustained a shot-gun wound to the right lower leg. Total excision of a peripherally calcified, cystic mass, continuous with the anterior tibial muscle belly resulted in complete resolution of symptoms. Consideration of the diagnosis is warranted in patients with a history of major injury who develop a soft tissue mass in the traumatized compartment. The treatment of choice is marginal excision.
Tuncay
I C
IC
Department of Orthopaedics and Traumatology, Baskent University Hospital, Ankara, Turkey.
Demirörs
H
H
Isiklar
Z U
ZU
Agildere
M
M
Demirhan
B
B
Tandogan
R N
RN
D002114:Calcinosis / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D009336:Necrosis; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000150:complications