AI Summary & Key Takeaways
AI InsightMarginal excision is the treatment of choice and should be carried out when technically possible.
📌 3 Key Takeaways
Abstract
CALCIFIC MYONECROSIS: A CASE REPORT Calcific myonecrosis is a rare and late sequela of compartment syndrome. It becomes symptomatic years after the initial trauma. A 64-year-old man with calcific myonecrosis, 42 years after a shot-gun wound to the right cruris is described. He was initially treated conservatively, and although the patient vaguely recalled symptoms of a compartment syndrome, no surgery was performed. Forty two years later he presented with a leg soft tissue mass in the anterior compartment. A peripherally calcified, cystic soft tissue mass, continuous with the anterior tibial muscle belly was totally excised and resulted in complete resolution of symptoms. The diagnosis should be kept in mind in patients with a history of major trauma and a soft tissue mass in the same compartment. Marginal excision is the treatment of choice and should be carried out when technically possible.
Özet
Klasifik miyonekroz, kompartman sendromunun nadir ve geç görülen bir şeklidir. İlk travmadan yıllar sonra bulgu verirler. Bu yazıda, sağ kruristen ateşli silah ile yaralanan, konservatif yöntemlerle tedavi edilip, uzun yıllar yakınması olmayan ve 42 yıl sonra kalsifık miyonekroz gelişen, 64 yaşındaki erkek hasta sunulmaktadır. Cerrahi sırasında, anterior tibial kasının lifleriyle devam eden, çevresi kalsifiye, kistik yumuşak doku kitlesi saptandı. Total eksizyon sonrası bulgular tamamen ortadan kalktı. Majör travma hikayesi olan ve aynı kompartmanda yumuşak doku kitlesi olan hastaların ayırıcı tanısında kalsifik miyonekrosis düşünülmelidir. Teknik olarak mümkünse, tedavi total eksizyondur.