Painless swollen calf muscles of a 75-year-old patient caused by bilateral venous malformations
Identifieur interne : 002413 ( Pmc/Curation ); précédent : 002412; suivant : 002414Painless swollen calf muscles of a 75-year-old patient caused by bilateral venous malformations
Auteurs : Roderick S M. Piekaar ; Eline W. Zwitser ; Paul P A. Hedeman Joosten ; Joris A. JansenSource :
- World Journal of Orthopedics [ 2218-5836 ] ; 2017.
Abstract
A 75-year-old man presented with knee pain due to medial osteoarthritis of the knee in the orthopedic outpatient clinic. Conservative treatment was started with steroid infiltration. Besides his knee complaint reported a bilateral painless swollen calf muscle without traumatic cause, and also without any pain at night, fever or medical illness. On physical examination the soleus muscle had a swollen aspect in both calfs. The skin appeared normal without deformities and the arterial pulsations were intact. An X-ray did not show abnormalities in the tibia. Magnetic resonance imaging of the legs revealed bilateral multiple saccular intramuscular venous malformations involving the soleus muscle. Intramuscular venous malformations in skeletal muscles are rare, especially when the occurrence is bilateral. Bilateral venous malformations have the potential to be missed because of the intramuscular localization. Symptoms of intramuscular venous malformation can be often mild and overlap with non-exercise related compartment syndrome, claudication, lymphedema and post thrombotic syndrome or muscle strains.
Url:
DOI: 10.5312/wjo.v8.i7.602
PubMed: 28808631
PubMed Central: 5534409
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Piekaar</name></author><author><name sortKey="Zwitser, Eline W" sort="Zwitser, Eline W" uniqKey="Zwitser E" first="Eline W" last="Zwitser">Eline W. Zwitser</name></author><author><name sortKey="Hedeman Joosten, Paul P A" sort="Hedeman Joosten, Paul P A" uniqKey="Hedeman Joosten P" first="Paul P A" last="Hedeman Joosten">Paul P A. Hedeman Joosten</name></author><author><name sortKey="Jansen, Joris A" sort="Jansen, Joris A" uniqKey="Jansen J" first="Joris A" last="Jansen">Joris A. Jansen</name></author></analytic><series><title level="j">World Journal of Orthopedics</title><idno type="eISSN">2218-5836</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A 75-year-old man presented with knee pain due to medial osteoarthritis of the knee in the orthopedic outpatient clinic. Conservative treatment was started with steroid infiltration. Besides his knee complaint reported a bilateral painless swollen calf muscle without traumatic cause, and also without any pain at night, fever or medical illness. On physical examination the soleus muscle had a swollen aspect in both calfs. The skin appeared normal without deformities and the arterial pulsations were intact. An X-ray did not show abnormalities in the tibia. Magnetic resonance imaging of the legs revealed bilateral multiple saccular intramuscular venous malformations involving the soleus muscle. Intramuscular venous malformations in skeletal muscles are rare, especially when the occurrence is bilateral. Bilateral venous malformations have the potential to be missed because of the intramuscular localization. Symptoms of intramuscular venous malformation can be often mild and overlap with non-exercise related compartment syndrome, claudication, lymphedema and post thrombotic syndrome or muscle strains.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Mulliken, Jb" uniqKey="Mulliken J">JB Mulliken</name></author><author><name sortKey="Glowacki, J" uniqKey="Glowacki J">J Glowacki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Villavicencio, Jl" uniqKey="Villavicencio J">JL Villavicencio</name></author><author><name sortKey="Scultetus, A" uniqKey="Scultetus A">A Scultetus</name></author><author><name sortKey="Lee, Bb" uniqKey="Lee B">BB Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hein, Kd" uniqKey="Hein K">KD Hein</name></author><author><name sortKey="Mulliken, Jb" uniqKey="Mulliken J">JB Mulliken</name></author><author><name sortKey="Kozakewich, Hp" uniqKey="Kozakewich H">HP Kozakewich</name></author><author><name sortKey="Upton, J" uniqKey="Upton J">J Upton</name></author><author><name sortKey="Burrows, Pe" uniqKey="Burrows P">PE Burrows</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Domb, Bg" uniqKey="Domb B">BG Domb</name></author><author><name sortKey="Khanna, Aj" uniqKey="Khanna A">AJ Khanna</name></author><author><name sortKey="Mitchell, Se" uniqKey="Mitchell S">SE Mitchell</name></author><author><name sortKey="Frassica, Fj" uniqKey="Frassica F">FJ Frassica</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Babiker, Mo" uniqKey="Babiker M">MO Babiker</name></author><author><name sortKey="Yeo, Th" uniqKey="Yeo T">TH Yeo</name></author><author><name sortKey="Goodwin, S" uniqKey="Goodwin S">S Goodwin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Warren, Ag" uniqKey="Warren A">AG Warren</name></author><author><name sortKey="Brorson, H" uniqKey="Brorson H">H Brorson</name></author><author><name sortKey="Borud, Lj" uniqKey="Borud L">LJ Borud</name></author><author><name sortKey="Slavin, Sa" uniqKey="Slavin S">SA Slavin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Steiner, F" uniqKey="Steiner F">F Steiner</name></author><author><name sortKey="Fitzjohn, T" uniqKey="Fitzjohn T">T FitzJohn</name></author><author><name sortKey="Tan, St" uniqKey="Tan S">ST Tan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jung, Hc" uniqKey="Jung H">HC Jung</name></author><author><name sortKey="Kim, Dh" uniqKey="Kim D">DH Kim</name></author><author><name sortKey="Park, Bk" uniqKey="Park B">BK Park</name></author><author><name sortKey="Park, Mk" uniqKey="Park M">MK Park</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Orthop</journal-id><journal-id journal-id-type="publisher-id">WJO</journal-id><journal-title-group><journal-title>World Journal of Orthopedics</journal-title></journal-title-group><issn pub-type="epub">2218-5836</issn><publisher><publisher-name>Baishideng Publishing Group Inc</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28808631</article-id><article-id pub-id-type="pmc">5534409</article-id><article-id pub-id-type="other">jWJO.v8.i7.pg602</article-id><article-id pub-id-type="doi">10.5312/wjo.v8.i7.602</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Painless swollen calf muscles of a 75-year-old patient caused by bilateral venous malformations</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Piekaar</surname><given-names>Roderick S M</given-names></name></contrib><contrib contrib-type="author"><name><surname>Zwitser</surname><given-names>Eline W</given-names></name></contrib><contrib contrib-type="author"><name><surname>Hedeman Joosten</surname><given-names>Paul P A</given-names></name></contrib><contrib contrib-type="author"><name><surname>Jansen</surname><given-names>Joris A</given-names></name></contrib><aff>Roderick S M Piekaar, Eline W Zwitser, Joris A Jansen, Department of orthopaedic surgery, Alrijne Hospital, 2353 GA Leiderdorp, The Netherlands</aff><aff>Paul P A Hedeman Joosten, Department of vascular surgery, Alrijne Hospital, 2353 GA Leiderdorp, The Netherlands</aff></contrib-group><author-notes><fn><p>Author contributions: All authors contributed to the acquisition of the writing and revision of this manuscript.</p><p>Correspondence to: Roderick S M Piekaar, MD, Registrar Orthopedics, Department of orthopaedic surgery, Alrijne Hospital, Simon Smitweg 1, 2353 GA Leiderdorp, The Netherlands. <email>roderickpiekaar@gmail.com</email></p><p>Telephone: +31-6-20885398</p></fn></author-notes><pub-date pub-type="collection"><day>18</day><month>7</month><year>2017</year></pub-date><pub-date pub-type="epub"><day>18</day><month>7</month><year>2017</year></pub-date><volume>8</volume><issue>7</issue><fpage>602</fpage><lpage>605</lpage><history><date date-type="received"><day>23</day><month>10</month><year>2016</year></date><date date-type="rev-recd"><day>28</day><month>2</month><year>2017</year></date><date date-type="accepted"><day>18</day><month>4</month><year>2017</year></date></history><permissions><copyright-statement>©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.</copyright-statement><copyright-year>2016</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/"><license-p><pmc-comment>CREATIVE COMMONS</pmc-comment>Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link></license-p></license></permissions><abstract><p>A 75-year-old man presented with knee pain due to medial osteoarthritis of the knee in the orthopedic outpatient clinic. Conservative treatment was started with steroid infiltration. Besides his knee complaint reported a bilateral painless swollen calf muscle without traumatic cause, and also without any pain at night, fever or medical illness. On physical examination the soleus muscle had a swollen aspect in both calfs. The skin appeared normal without deformities and the arterial pulsations were intact. An X-ray did not show abnormalities in the tibia. Magnetic resonance imaging of the legs revealed bilateral multiple saccular intramuscular venous malformations involving the soleus muscle. Intramuscular venous malformations in skeletal muscles are rare, especially when the occurrence is bilateral. Bilateral venous malformations have the potential to be missed because of the intramuscular localization. Symptoms of intramuscular venous malformation can be often mild and overlap with non-exercise related compartment syndrome, claudication, lymphedema and post thrombotic syndrome or muscle strains.</p></abstract><kwd-group><kwd>Venous malformations</kwd><kwd>Bilateral intramuscular venous malformation</kwd><kwd>Swollen calf muscles</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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