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DOI:10.2214/AJR.05.0245
AJR 2006; 187:W67-W76
© American Roentgen Ray Society

Pictorial Essay

Calcific Myonecrosis: Keys to Recognition and Management

Helena M. O'Dwyer1, Nizar A. Al-Nakshabandi1, Khamis Al-Muzahmi1, Anthony Ryan1, John X. O'Connell2 and Peter L. Munk1

1 Department of Radiology, Vancouver General Hospital, 855 West 12th Ave., Vancouver, BC, Canada, V5Z 1M9.
2 Department of Pathology, Surrey Memorial Hospital, Surrey, BC, Canada.

OBJECTIVE. Calcific myonecrosis masses can become quite large and worrisome for malignancy. The key to recognition is a combination of radiologic imaging features and remote clinical history of injury associated with compartment syndrome or vascular or neurologic compromise.

CONCLUSION. This article will highlight importance of correct diagnosis by indentifying the severe and devastating complications following inappropriate management.

Keywords: calcific myonecrosis • compartment syndrome • musculoskeletal imaging • soft-tissue neoplasms


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