Massive ectopic calcification of muscles in the lower leg following femoral artery injury—a case report

Poon, Kein Boon; Chien, Song-Hsiung; Tsai, Kun‐Bow; Lin, Gau-Tyan

doi:10.1080/17453670510041844

Cited by 3 publications

(2 citation statements)

References 8 publications

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“… Traditionally, surgery was not advocated given the associated complications, such as chronic sinus, infection, bleeding and amputation in extreme cases. In those who had undergone surgical intervention, simple debridement and direct closure or staged closure using skin grafts with NPWT application appears to be the most frequently used surgical technique. Less frequently, skin graft application and the use of muscle to fill defects have also been described, although these procedures are much less common.…”

Section: Discussionmentioning

confidence: 99%

A challenging case of calcific myonecrosis of tibialis anterior and hallucis longus muscles with a chronic discharging wound

Tan

Loh²,

Nizamoglu³

et al. 2017

International Wound Journal

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Tan AMY, Loh CYY, Nizamoglu M, Tare M. A challenging case of calcific myonecrosis of tibialis anterior and hallucis longus muscles with a chronic discharging wound. Int Wound J 2018; 15:170-173 AbstractThe occurrence of calcific myonecrosis of the anterior compartment of the leg is rare. Common risk factors include a history of trauma, although little is known about the exact pathophysiology, latency period or triggering factors resulting in disease progression. Macroscopically, it begins with a single muscle being replaced by a fusiform calcified mass, which progresses peripherally. We present a rare case of a 7-year history of chronic discharging sinus overlying the site with protruding calcified muscle and discuss the senior author's wound management strategy and surgical considerations. The initial approach used dressing applications to reduce wound exudate while obtaining repeated imaging for disease progression comparison. Repeated CT scans showed significant disease progression from a single solitary amorphous soft tissue calcification to disseminated scattered calcified myonecrosis. In planning such surgeries, extensive debridement and temporary wound coverage is the first stage. Subsequent definitive coverage includes skin grafting of the remaining defect.

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Section: Discussionmentioning

confidence: 99%

A challenging case of calcific myonecrosis of tibialis anterior and hallucis longus muscles with a chronic discharging wound

Tan

Loh²,

Nizamoglu³

et al. 2017

International Wound Journal

View full text Add to dashboard Cite

show abstract

“…Many authors researched HO in different conditions. Massive ectopic calcification of muscles is possible after the injury of femoral artery 29 . Incidence of HO in some neurological diseases, such as Guillain-Barre Syndrome (41.6%), was higher than the incidence of HO after SCI toward the statements of some authors 5,30 .…”

Section: Discussionmentioning

confidence: 99%