Moon Young Jae, Jeong Seong-Yup, Lee Kwang-Bok
Department of Orthopedic Surgery, Research Institute of Clinical Medicine of Chonbuk National University, Biomedical Research Institute of Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea.
J Burn Care Res. 2018 Aug 17;39(5):835-837. doi: 10.1097/BCR.0000000000000616.
Soft-tissue calcifications after burn injury commonly develop in periarticular regions, especially in the elbow joint. They can be easily recognized in patients because calcification in the joint limits range of motion and brings about tingling sensation due to compression of ulnar nerve. However, the incidence of extra-articular soft-tissue calcification after burn injury has rarely been reported. We present a patient with massive soft-tissue calcification in extra-articular burn scar with nonhealing ulcer after a long latency period of 40 years. We recommended wide excision and skin grafting, for prevention of recalcification and recurrence of ulceration, which could transform into a malignant case, if left untreated. Furthermore, we propose that such patients with burn injury should undergo follow-up in outpatient clinic and x-ray evaluation.
烧伤后软组织钙化常见于关节周围区域，尤其是肘关节。在患者中很容易识别，因为关节内的钙化会限制活动范围，并由于尺神经受压而产生刺痛感。然而，烧伤后关节外软组织钙化的发生率鲜有报道。我们报告了一例患者，在长达40年的潜伏期后，关节外烧伤瘢痕出现大量软组织钙化并伴有不愈合溃疡。我们建议广泛切除并植皮，以预防再次钙化和溃疡复发，若不治疗，溃疡可能会恶变为恶性病例。此外，我们建议此类烧伤患者应在门诊接受随访及X线评估。
