Schneider St, Duewell St, Graf H, Forster A
Klinik St. Katharinental, Diessenhofen und Rheumaklinik und Institut für Physikalische Medizin und Rehabilitation, Kantonsspital Aarau.
Praxis (Bern 1994). 2009 Dec 2;98(24):1457-61. doi: 10.1024/1661-8157.98.24.1457.
Calcific myonecrosis is a late complication of a previous trauma which presents as a calcified fusiforme mass on an x-ray film. It is affecting mostly the anterior compartment of the lower leg. 43 cases have been reported in the literature and are reviewed. The current authors report a case of calcific myonecrosis with calcific tenosynovitis of the tibialis anterior muscle. Precipitated hydroxyapatite crystals were found by ultrasound-guided aspiration, the lesion was then treated by injection of corticosteroids and an anesthetic.
钙化性肌坏死是既往创伤的晚期并发症，在X线片上表现为钙化的梭形肿块。它主要影响小腿前侧肌间隔。文献中已报道43例并进行了综述。本文作者报告1例伴有胫骨前肌钙化性腱鞘炎的钙化性肌坏死病例。通过超声引导下抽吸发现了沉淀的羟基磷灰石晶体，随后通过注射皮质类固醇和麻醉剂对病变进行治疗。
