Calcific Myonecrosis: Solving the Diagnostic Dilemma

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 ossifi...

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Bibliographic Details
Published in:Indian journal of orthopaedics 2022-08, Vol.56 (8), p.1474-1477
Main Authors: Jain, Aakriti, Sahu, Amit K., Kulkarni, Sudhir B., Tiwari, Akshay
Format: Article
Language:English
Subjects:
Case Report
Conservative Orthopedics
Medicine
Medicine & Public Health
Orthopedics
Surgical Orthopedics
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Summary: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.
ISSN:0019-5413
1998-3727
DOI:10.1007/s43465-022-00674-9