1/145. Calcific myonecrosis.Calcific myonecrosis is a rare and late sequela of compartment syndrome, which becomes symptomatic years after the initial trauma. We diagnosed this condition in a 64-year old man, 42 years after he sustained a shot-gun wound to the right lower leg. Total excision of a peripherally calcified, cystic mass, continuous with the anterior tibial muscle belly resulted in complete resolution of symptoms. Consideration of the diagnosis is warranted in patients with a history of major injury who develop a soft tissue mass in the traumatized compartment. The treatment of choice is marginal excision.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
2/145. Talonavicular arthrodesis for correction of posterior tibial tendon dysfunction.The awareness of PTTD has increased because of the efforts of McGlamry and Mueller. The treatment for PTTD depends on the patient's age and weight, systemic factors, length of time of the disease course, and the extent of foot collapse. The period of time from injury to diagnosis often is delayed because of the gradual progression of the condition. The patient that presents with an acute injury often responds well to a soft-tissue procedure. The delay in treatment usually necessitates the performance of an osseous procedure to correct the deformity and align the foot. The talonavicular arthrodesis is indicated in the flexible flatfoot deformity when degenerative changes of the subtalar joint are not present. The talonavicular arthrodesis is effective for correcting the flexible flatfoot deformity because it reduces the forefoot abduction, increases the height of the arch, stabilizes the medial column, and prevents excessive subtalar joint pronation. The primary complications associated with the talonavicular arthrodesis are nonunions and development of arthritis in adjacent joints. The incidence of nonunion can be directly attributed to poor surgical technique and early weight bearing during the postoperative period. The degenerative changes that occur in adjacent joints are often present preoperatively because of the long-standing valgus deformity. The procedure effectively maintains the correction of the flatfoot over a long period of time, and allows the patient to return to a pain-free lifestyle. The talonavicular arthrodesis is the procedure of choice in the flexible flatfoot deformity because the procedure corrects the malalignment of the subtalar and midtarsal joints and prevents excessive subtalar joint pronation.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
3/145. Extraarticular villonodular synovitis of the tendoachilles: a case report.Extraarticular form of pigmented villonodular synovitis is rare and usually presents as an extension of a primary intraarticular process. Purely extraarticular lesions are even less common. Pigmented villonodular synovitis involving the synovium around the tendoachilles has not been reported. We report a unique case in a healthy 22-year-old male who presented with a swelling around the tendoachilles for a year. It became painful following a traumatic event 4 weeks prior to consultation. magnetic resonance imaging (MRI) revealed an extraarticular soft tissue mass moulded to the posterior surface of the calcaneum. It was excised and histology revealed pigmented villonodular synovitis.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
4/145. Soleus rupture: a differential diagnosis of calf thrombosis.Soleus rupture may present with clinical features similar to those of calf thrombosis. It is postulated that the signs are the result of compression of the posterior tibial vein as it passes through the narrow space adjacent to the fibrous origin of soleus. A distinctive venographic sign of compression of the posterior tibial vein by a soft tissue mass at the level of the origin of the soleus is described.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
5/145. Hydatid cyst presenting as a soft-tissue thigh mass in a child.We report a rare case of intramuscular hydatid cyst in a boy who presented clinically as having a soft-tissue thigh mass. A high level of awareness concerning the occurrence of these cysts is important, especially in regions where echinococcus is endemic. Surgical treatment follows the principles of malignant tumour, namely, wide surgical resection.- - - - - - - - - - ranking = 5keywords = soft (Clic here for more details about this article) |
6/145. erdheim-chester disease with intramuscular lipogranuloma.We report on a rare manifestation of erdheim-chester disease with intramuscular lipogranuloma. The patient was a 66-year-old man who noted a soft tissue mass in the right quadriceps femoris muscle. Radiographs revealed symmetrical osteosclerosis in the diametaphysis of both femora and tibiae. An open biopsy revealed a proliferation of lipid-laden histiocytes in the femoral bone marrow and the quadriceps femoris muscle. To our knowledge, this is the second case of erdheim-chester disease involving muscle.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
7/145. MRI of destructive achilles tendon rupture associated with skin ulceration.We present a case series of the MR findings of destructive tears of the Achilles tendon secondary to overlying soft tissue ulcerations.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
8/145. cysticercosis of the triceps--an unusual pseudotumor: case report and review.cysticercosis is a disease caused by encysted larvae of the tapeworm taenia solium. Most muscular disease presents with central nervous system involvement or multiple cysts or both. The authors report a 25-year-old woman with a rare single muscle cyst presenting as a tender hard triceps mass. Results of clinical examination and magnetic resonance imaging were indicative of a soft tissue tumor. Excision of the mass revealed purulence, and the histologic diagnosis was cysticercosis. In the differential diagnosis of isolated muscular masses, a rare isolated cysticercus presenting as a pseudotumor should be considered.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
9/145. Primary intramuscular hydatidosis of supraspinatus muscle.Hydatid disease of the muscle is very rare and represents approximately 3% of all patients with hydatidosis. Since the infection closely resembles a soft-tissue tumor on clinical examination, the preoperative radiologic diagnosis is very important to avoid biopsy. We report an unusual case of primary intramuscular hydatidosis with its magnetic resonance imaging appearance, clinical and pathological findings.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
10/145. dementia with oropharyngeal dysphagia and myopathy.A 72-year-old man was referred for geriatric evaluation with a view toward placement in institutional care. He presented originally to an internal medicine team with a six-month history of weight loss, constipation, generalized weakness, and apathy; investigations to rule out an underlying neoplasm were negative. Interdisciplinary assessment revealed coexisting dementia, myopathy, and oropharyngeal dysphagia. These findings prompted further diagnostic evaluation and a diagnosis of inflammatory myopathy with associated oropharyngeal dysphagia and dementia was made. The dementia, myopathy, and oropharyngeal dysphagia responded to steroids and rehabilitation and the patient regained his independence.- - - - - - - - - - ranking = 0.33984604185914keywords = neoplasm (Clic here for more details about this article) |
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