title: [Calcific myonecrosis of the leg].
abstract: Calcific myonecrosis is a rare post-traumatic sequela almost exclusively located in the lower extremity, which can be mistaken for an aggressive primary neoplasm. This lesion, initially described by Gallei and Thompson in 1960, is characterized by the formation of a calcified mass that appears decades after trauma. The pathophysiologic mechanism is not fully understood, although the lesion most likely results from post-traumatic ischemia and it may be associated with a common peroneal nerve injury. The typical radiographic image is a fusiform soft tissue mass with linear calcifications. The treatment of choice is conservative in asymptomatic patients because the surgical treatment has a high complication rate. We report four cases of calcific myonecrosis treated surgically in our hospital. Three of the cases had an infection as a complication that required subsequent debridement and special therapies to achieve the resolution of the cases.
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, España. fedeportabella@gmail.com
authors.forename: F
authors.initials: F
authors.lastname: Portabella
authors.forename: J A
authors.initials: JA
authors.lastname: Nárvaez
authors.forename: R
authors.initials: R
authors.lastname: Llatjos
authors.forename: J
authors.initials: J
authors.lastname: Cabo
authors.forename: M
authors.initials: M
authors.lastname: Maireles
authors.forename: C
authors.initials: C
authors.lastname: Serrano
authors.forename: S
authors.initials: S
authors.lastname: Pedrero
authors.forename: E
authors.initials: E
authors.lastname: Romero
authors.forename: O
authors.initials: O
authors.lastname: Pablos
authors.forename: A
authors.initials: A
authors.lastname: Saborido
mesh_terms: D002114:Calcinosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005264:Femoral Fractures / Q000150:complications; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D009336:Necrosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011859:Radiography; D013978:Tibial Fractures / Q000150:complications