Vascular malformations of the lower limb with osseous involvement.
Vascular malformations are rare congenital lesions which often have associated skeletal changes. Over a period of ten years, 90 patients at our clinic had a vascular anomaly of the lower limb, examined by either CT or MRI. Of these, 18 (20%) had bony involvement. A questionnaire was sent to these patients (8 men, 10 women) to evaluate their age of presentation, initial symptoms and current complaints. Radiological imaging revealed 15 low- and three high-flow lesions. The mean age at presentation to a physician was six years of age. Pain was the most common complaint. Disparity in leg length of 2 cm or more was observed in ten patients. Of the 16 patients with muscle infiltration, 13 had four or more muscles involved. Treatment by resection alone would require radical surgery.
Department of Plastic, Reconstructive and Hand Surgery, Academic Medical Centre, University of Amsterdam, The Netherlands.
C C
CC
Breugem
M
M
Maas
S J M
SJ
Breugem
G R
GR
Schaap
C M A M
CM
van der Horst
D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D001165:Arteriovenous Malformations / Q000175:diagnosis*; D001847:Bone Diseases / Q000175:diagnosis* / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015576:Hyperostosis / Q000175:diagnosis / Q000209:etiology; D007223:Infant; D007231:Infant, Newborn; D007866:Leg / Q000098:blood supply*; D007870:Leg Length Inequality; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010146:Pain / Q000209:etiology; D014057:Tomography, X-Ray Computed / Q000379:methods