Abstract
Calcific myonecrosis is a rare entity with only 57 cases reported in the English literature to date. It is a late complication of compartment syndrome of the limb and results in characteristic muscle necrosis with central liquefaction and peripheral calcification. This series presents a further two cases and consolidates the diagnostic features and treatment modalities described in the literature.
References
Gallie WE, Thomson S. Volkmann’s ischaemic contracture: two case reports with identical sequelae. Can J Surg. 1960;3(1):164–6.
O’Dwyer HM, Al-Nakshabandi NA, Al-Muzahmi K, Ryan A, O’Connell JX, Munk PL. Calcific myonecrosis: keys to recognition and management. Am J Roentgenol. 2006;187(7):W67–76.
O’Keefe RJ, O’Connell JX, Temple HT, Scully SP, Kattapuram SV, Springfield DS, et al. Calcific myonecrosis. Clin Orthopaed Relat Res. 1995;318:205–13.
Holobinko N, Damron T, Scerpella P, Hojnowski L. Calcific myonecrosis: keys to early recognition. Skelet Radiol. 2003;32(1):35–40.
Larson RC, Sierra RJ, Sundaram M, Inwards C, Scully SP. Calcific myonecrosis: a unique presentation in the upper extremity. Skelet Radiol. 2004;33(5):306–9.
Rynders SD, Boachie-Adjei YD, Gaskin CM, Chhabra AB. Calcific myonecrosis of the upper extremity: case report. J Hand Surg. 2012;37(1):130–3.
Papanna MC, Monga P, Wilkes RA. Post-traumatic calcific myonecrosis of flexor hallucis longus: a case report and literature review. Acta Orthop Belg. 2010;76:137–41.
Okada A, Hatori M, Hosaka M, Watanuki M, Itoi E. Calcific myonecrosis and the role of imaging in the diagnosis: A case report. Upsala J Med Sci. 2009;114(3):178–83.
Olsen KM, Chew FS. Tumoral calcinosis: pearls, polemics, and alternative possibilities. Radiographics. 2006;26(3):871–85.
Viau MR, Pedersen HE, Salciccioli GG, Manoli A. Ectopic calcification as a late sequela of compartment syndrome. Clin Orthopaed Relat Res. 1983;176:178–80.
Acknowledgments
The author would like to thank Dr. Amanda J. Ragg (FRANZCR), Consultant Radiologist at Tauranga Hospital Radiology Department, for advice and assistance in image interpretation. and Mr. Richard G. Keddell (FRACS), Consultant Orthopaedic Surgeon at Tauranga Hospital Orthopaedic Department, for assistance in the clinical assessment.
Conflict of interest
No funding was obtained to carry out this study. No benefits have been nor will be received in any form directly or indirectly by the author or the institution in relation to this study.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
De Carvalho, B.R. Calcific myonecrosis: a two-patient case series. Jpn J Radiol 30, 517–521 (2012). https://doi.org/10.1007/s11604-012-0077-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11604-012-0077-4