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糖尿病足中的骨化性肌炎:文献综述及病例系列展示

Myositis ossificans in the diabetic foot: a review of the literature with an illustrative case series.

作者信息

Sharma Vivek, Sharma Dhiraj, Dinar Heather, Dhatariya Ketan K

机构信息

University College London Medical School, London WC1E 6BT, UK.

North Manchester General Hospital, Pennine Acute Hospitals NHS Trust, Manchester M8 5RB, UK.

出版信息

JRSM Open. 2019 Dec 9;10(12):2054270419885231. doi: 10.1177/2054270419885231. eCollection 2019 Dec.

Abstract

OBJECTIVE

Myositis ossificans is a rare non-neoplastic form of heterotopic ossification most commonly described after trauma or surgery, in the diabetic foot.

DESIGN

We provide a review of the literature including three illustrative cases.

PARTICIPANTS

Individuals presenting to the foot clinic.

SETTING

Single centre, tertiary multidisciplinary specialist diabetes foot clinic.

RESULTS

We review the literature surrounding Myositis ossificans, and describe three cases of Myositis ossificans following foot surgery in people with diabetes. All of the imaging was consistent with the descriptions of Myositis ossificans reported elsewhere in large muscle groups. These are the first reports of Myositis ossificans occurring in the feet of people with diabetes.

CONCLUSIONS

Myositis ossificans has only very rarely been described in the foot and, as far as we are aware, never in people with diabetes. Given that the prevalence of diabetes is increasing, and the foot problems requiring surgery are also rising, we suggest that clinicians should be more aware of this condition because it may occur more frequently.

摘要

目的

骨化性肌炎是一种罕见的非肿瘤性异位骨化形式,最常见于创伤或手术后,在糖尿病足中也有描述。

设计

我们对文献进行了综述,包括三个典型病例。

参与者

到足部诊所就诊的个体。

地点

单中心、三级多学科专科糖尿病足诊所。

结果

我们回顾了有关骨化性肌炎的文献,并描述了三例糖尿病患者足部手术后发生骨化性肌炎的病例。所有影像学表现均与其他地方报道的大肌肉群中骨化性肌炎的描述一致。这些是糖尿病患者足部发生骨化性肌炎的首例报道。

结论

骨化性肌炎在足部仅有非常罕见的描述,据我们所知,在糖尿病患者中从未有过报道。鉴于糖尿病的患病率在增加,需要手术治疗的足部问题也在上升,我们建议临床医生应更加了解这种情况,因为它可能更频繁地发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4b3/6902400/f1cddbb8aa6a/10.1177_2054270419885231-fig2.jpg

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