Natali J
Phlebologie. 1987 Apr-Jun;40(2):315-24.
Eight cases of injury of the muscle triceps surae after a sclerosing injection in the territory of the external saphenous vein, are reported. In one case, it concerned an extremely severe evolution with necessary amputation of the leg; in the seven other cases, the consequences were less severe but the rate of partial permanent disability increased from 10 to 30 p. cent. The etiology and the mechanism of these accidents are discussed. It seems that the possibility of an accidental injection of the arterial system causing the obstruction of intramuscular arterioli should be remembered. The treatment of sequelae will essentially be of an orthopedic nature with lengthening of the Achilles tendon in case of a severe retraction of the triceps surae.
本文报告了8例在大隐静脉区域进行硬化剂注射后发生的小腿三头肌损伤病例。其中1例病情极其严重，不得不进行截肢；其他7例后果较轻，但部分永久性残疾率从10%上升到了30%。文中讨论了这些事故的病因和机制。似乎应该记住，意外注射到动脉系统导致肌内小动脉阻塞是有可能的。后遗症的治疗基本上将采用矫形手段，在小腿三头肌严重挛缩的情况下进行跟腱延长术。
