Diabetic muscle infarction (DMI) (also known as diabetic myonecrosis) is a rare complication of long-standing diabetes. It was first described in 1965, since then only a few cases have been reported in the literature. DMI has a characteristic clinical presentation and appearance on magnetic resonance imaging. Despite several hypotheses, the etiology of DMI has not been convincingly determined. We report on the case of a patient with diabetic myonecrosis. We remind clinicians of the importance of this often underdiagnosed/misdiagnosed condition and discuss the pathophysiology, diagnosis, management, and prognosis of this disabling condition. To our knowledge this is the second case of DMI concurrently involving peroneus longus and brevis muscle.
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