Calcific myonecrosis: A late complication of trauma-A rare case report

Abstract

Introduction: Calcific myonecrosis is a rare post-traumatic complication which is characterized by replacement of the muscles of one or more compartments with central liquefaction necrosis along with a peripheral remote calcification. Case History: We report a case of calcific myonecrosis in a 70 year old male patient manifesting 20 years after trauma. The patient presented with slow growing, painless mass along the lateral aspect of left leg. Radiological examination and excisional biopsy confirmed the diagnosis. Discussion: Calcific myonecrosis is a rare and late complication of compartment syndrome or neurovascular injury and it affects predominantly the anterior compartment of leg. It typically manifests as a fusiform area of peripheral calcification and central liquefaction necrosis. Conclusion: Calcific myonecrosis is a rare post-traumatic complication. Accurate diagnosis is necessary to rule out malignant conditions which mimic similar clinical findings.