Wang J W, Chen W J
Department of Orthopaedic Surgery, Chang Gung Memorial Hospital at Kaohsiung, Taiwan, Republic of China.
Clin Orthop Relat Res. 2001 Aug(389):185-90.
Calcific myonecrosis is a rare complication of the leg after trauma. It usually develops as a late sequelae of compartment syndrome. Only approximately 21 cases have been reported in the English literature. The reported cases mostly have involved the anterior compartment of the leg. The current authors report the case of a 49-year-old man with a huge mass that involved the anterior and posterior compartments of the leg 30 years after initial trauma. Soft tissue sarcoma was suspected initially. A secondary infection developed after open incisional biopsy. After extensive debridement and closure of the wound over antibiotic-impregnated cement beads and a suction drain followed by compressive dressings, there has been no recurrence of the lesion or infection.
钙化性肌坏死是创伤后腿部罕见的并发症。它通常作为骨筋膜室综合征的晚期后遗症出现。英文文献中仅报道了约21例。报道的病例大多累及小腿前侧骨筋膜室。本文作者报告了一例49岁男性病例，在初次创伤30年后，其腿部前后侧骨筋膜室出现巨大肿块。最初怀疑为软组织肉瘤。切开活检术后发生了继发感染。在广泛清创后，伤口用含抗生素的骨水泥珠和负压引流管封闭，随后进行加压包扎，此后病变或感染均未复发。
