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.
Breugem
C C
CC
Department of Plastic, Reconstructive and Hand Surgery, Academic Medical Centre, University of Amsterdam, The Netherlands.
Maas
M
M
Breugem
S J M
SJ
Schaap
G R
GR
van der Horst
C M A M
CM
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