Calcific myonecrosis: diagnostic dilemma

Ann R Coll Surg Engl. 2018 Jul;100(6):e158-e160. doi: 10.1308/rcsann.2018.0077. Epub 2018 Apr 16.

Abstract

Calcific myonecrosis is a rare benign condition affecting mainly the muscles of a single leg compartment. It is thought to follow a history of trauma with a latent period of years. Patients present with a slowly growing mass. Differential diagnosis from a malignant tumour can be made from the history and the distinctive radiographical features of a fusiform lesion with predominantly peripheral calcifications. Magnetic resonance imaging may be necessary to confirm the diagnosis; treatment is largely symptomatic.

Keywords: Calcific myonecrosis; Soft-tissue sarcoma; Tibialis anterior.

Publication types

  • Case Reports

MeSH terms

  • Calcinosis / diagnostic imaging*
  • Diagnosis, Differential
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Muscle, Skeletal / diagnostic imaging
  • Muscle, Skeletal / pathology*
  • Muscular Diseases / diagnostic imaging*
  • Necrosis / diagnostic imaging
  • Radiography
  • Rare Diseases