Ten Years of Lower Leg Pain

Henderson, Jeffrey; Wierzbicki, Joseph M; Clugston, James R.; Patel, Nina H.

doi:10.1249/01.mss.0000384287.55996.de

Cited by 1 publication

(3 citation statements)

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“…The 31-year-old man with a left proximal calf mass described in Case 1. 12 (a) The lateral radiograph shows bony hyperostosis of the posterior cortex of the left proximal tibia (arrows) and an incidental enchondroma in the fibular shaft. (b) Axial T1 image shows a juxtacortical hemangioma of the left proximal calf.…”

Section: Investigationmentioning

confidence: 99%

“…A 22-year-old active man presented with persistent proximal “pressure-like” pain in the posterior calf while cycling and running. 12 The pain worsened with vigorous dorsiflexion and plantar flexion. There was minimal tenderness over the left posterior lateral aspect of the proximal calf, but no swelling or mass was appreciated.…”

Section: Casementioning

confidence: 99%

“…9,10 Conservative management is the first line of treatment for nearly all isolated intramuscular hemangiomas. 3,[12][13][14] Monitoring alone with regular follow-up is appropriate for minimally bothersome lesions. Of these minimally bothersome intramuscular hemangiomas, approximately 75% and 60% had not elected to undergo surgery when followed up at 2 and 10 years, respectively.…”

Section: Angiography and Computed Tomography Angiography Bmentioning

confidence: 99%

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Intramuscular Hemangiomas

Wierzbicki

Henderson

Scarborough

et al. 2012

Sports Health: A Multidisciplinary Approach

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Context:Intramuscular hemangiomas are common in the general population and often present at medical and surgical clinics. Unfortunately, unfamiliarity with these lesions has led to a high percentage of misdiagnoses, inappropriate workup, and unnecessary referrals.Evidence Acquisition:A literature search was performed using Medline, Embase, PubMed, and Cochrane. The relevant articles and referenced sources were reviewed for additional articles that discussed the epidemiology, pathophysiology, investigation, and management of intramuscular hemangiomas. Clinical experience from experts in orthopaedics, musculoskeletal pathology, and musculoskeletal radiology was compared. The selected case studies are shared cases of the authors.Results and Conclusion:The pathophysiology of these lesions is not completely understood, but much can be implied from their underlying vascular nature. Isolated lesions are benign tumors that never metastasize but tend to enlarge and then involute over time. Magnetic resonance imaging is the imaging modality of choice. If a systemic disorder or malignancy is not suspected or has been ruled out, conservative management is the treatment of choice for most intramuscular hemangiomas.

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Section: Investigationmentioning

confidence: 99%

Section: Casementioning

confidence: 99%