[Painful swollen leg 52 years after bimalleolar fracture].
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.
Schneider
St
S
Klinik St. Katharinental, Diessenhofen und Rheumaklinik und Institut für Physikalische Medizin und Rehabilitation, Kantonsspital Aarau. stefan.schneider@ksa.ch
Duewell
St
S
Graf
H
H
Forster
A
A
D000368:Aged; D016512:Ankle Injuries / Q000150:complications* / Q000628:therapy; D000843:Ankle Joint / Q000473:pathology*; D000868:Anterior Compartment Syndrome / Q000150:complications; D001265:Athletic Injuries / Q000150:complications* / Q000628:therapy; D002114:Calcinosis / Q000175:diagnosis*; D002370:Casts, Surgical / Q000009:adverse effects; D003937:Diagnosis, Differential; D004487:Edema / Q000175:diagnosis / Q000209:etiology*; D005360:Fibula / Q000293:injuries* / Q000473:pathology; D006173:Gymnastics / Q000293:injuries*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000473:pathology*; D009336:Necrosis; D010003:Osteoarthritis / Q000175:diagnosis*; D054850:Osteophyte / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis; D053682:Tendon Entrapment / Q000175:diagnosis; D013977:Tibia / Q000473:pathology*; D013978:Tibial Fractures / Q000150:complications* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography