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Calcific myonecrosis: case report and radiopathological correlation
Sarah Constantine1, Catriona Brennan, Ruben Sebben
1Department of Radiology, The Queen Elizabeth Hospital, Woodville South, SA, Australia. sconstantine@internode.on.net
Australasian Radiology
|November 2, 2007
Summary
A rare calcific myonecrosis mass developed 36 years after a tibia and fibula fracture, causing peroneal nerve palsy. This case highlights long-term complications of traumatic lower limb injuries.
Area of Science:
- Orthopedic Surgery
- Pathology
- Radiology
Background:
- Traumatic lower limb injuries, such as tibia and fibula fractures, can lead to long-term complications.
- Compartment syndrome is a potential complication of fractures, sometimes presenting subclinically.
- Calcific myonecrosis is a rare condition characterized by calcium deposits in muscle tissue.
Observation:
- A patient presented with an enlarging calf mass 36 years post-fracture.
- The patient had a history of peroneal nerve palsy following the initial trauma.
- Leg imaging revealed findings consistent with calcific myonecrosis.
Findings:
- Histological examination confirmed the diagnosis of calcific myonecrosis.
- The case illustrates a delayed presentation of this rare condition.
- Radiopathological correlation of calcific myonecrosis is discussed.
Implications:
- This case underscores the importance of long-term follow-up for patients with significant limb trauma.
- Understanding the radiopathological features of calcific myonecrosis is crucial for accurate diagnosis.
- The study contributes to the literature on rare sequelae of bone fractures.