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[Intramuscular angioma in the hand. A case report]
S Altmann1, H Fansa, H-U Schildhaus
1Klinik für Plastische, Wiederherstellungs- und Handchirurgie, Medizinische Fakultät, Otto-von-Guericke-Universität, Magdeburg. silke.altmann@medizin.uni-magdeburg.de
Der Orthopade
|February 24, 2005
Summary
Intramuscular angiomas, rare muscle tumors, can mimic malignancy due to aggressive growth, potentially impairing hand function. Radical excision is recommended for these vascular tumors to prevent recurrence and functional loss.
Area of Science:
- Vascular Surgery
- Musculoskeletal Oncology
Background:
- Intramuscular angiomas are rare, locally aggressive vascular tumors.
- Their infiltrative growth can compromise muscle function and mimic malignancy.
Observation:
- A 32-year-old woman presented with a painless, fixed 2x3x5 cm thenar swelling.
- Reduced thumb flexion and opposition were noted, with intact perfusion and sensibility.
Findings:
- CAT imaging revealed a solid, contrast-enhancing thenar tumor.
- Histologic examination post-resection confirmed an intramuscular angioma.
Implications:
- Intramuscular angiomas require radical excision due to their potential for functional impairment, pain, deformity, and high recurrence rates.
- Early diagnosis and complete surgical removal are crucial for optimal hand function preservation.