Skip to main content

Advertisement

SpringerLink
Log in

Calcific Myonecrosis: Solving the Diagnostic Dilemma

  • Case Report
  • Published:
Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

We report the clinico radiological presentation of an unusual case of an ossified soft tissue mass in the leg in a 74-year-old man. Calcific myonecrosis is a rare soft tissue condition characterized by calcified mass within a compartment. Differential diagnosis of myonecrosis include myositis ossificans and sarcomas with propensity for extra-osseous calcification like extra-skeletal osteosarcoma, Ewing’s sarcoma and epithelioid sarcoma. This entity is a late complication to trauma and prolonged high pressure state within the leg compartments. With imaging alone, the differential of soft tissue sarcoma could be ruled out but typical natural history of disease and radiopathological features aided in the diagnosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Gallie, W. E., & Thomson, S. (1960). Volkmann’s ischaemic contracture: Two case reports with identical late sequelae. Canadian Journal of Surgery, 3, 164–166. PMID: 13826150.

    CAS  Google Scholar 

  2. Rynders, S. D., Boachie-Adjei, Y. D., Gaskin, C. M., & Chhabra, A. B. (2012). Calcific myonecrosis of the upper extremity: case report. Journal of Hand Surgery America, 37(1), 130–133.

    Article  Google Scholar 

  3. Larson, R. C., Sierra, R. J., Sundaram, M., Inwards, C., & Scully, S. P. (2004). Calcific myonecrosis: a unique presentation in the upper extremity. Skeletal Radiology, 33(5), 306–309.

    Article  CAS  Google Scholar 

  4. Ukon, Y., Tanaka, T., Nagata, S., Hagizawa, H., Imura, Y., Tamiya, H., et al. (2018). Calcific myonecrosis mimicking soft tissue sarcoma: a case report. Oncology Letters, 15(5), 7909–7913.

    PubMed  PubMed Central  Google Scholar 

  5. Okada, A., Hatori, M., Hosaka, M., Watanuki, M., & Itoi, E. (2009). Calcific myonecrosis and the role of imaging in the diagnosis: a case report. Upsala Journal of Medical Sciences, 114(3), 178–183. /pmc/articles/PMC2852764/.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Musculoskeletal Oncology, Max Institute of Cancer Care, Delhi, India

    Aakriti Jain & Akshay Tiwari

  2. Department of Radiology, Max Institute of Cancer Care, Delhi, India

    Amit K. Sahu

  3. Department of Pathology, Max Institute of Cancer Care, Delhi, India

    Sudhir B. Kulkarni

Authors
  1. Aakriti Jain
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Amit K. Sahu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sudhir B. Kulkarni
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Akshay Tiwari
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Aakriti Jain.

Ethics declarations

Disclosures

No disclosures.

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Consent

Written informed consent from the patient for publication of the report was obtained.

Human and animal rights

No ethical issues.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jain, A., Sahu, A.K., Kulkarni, S.B. et al. Calcific Myonecrosis: Solving the Diagnostic Dilemma. JOIO 56, 1474–1477 (2022). https://doi.org/10.1007/s43465-022-00674-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s43465-022-00674-9

Keywords

Search

Navigation