Diabetic Muscle Infarction of the Tibialis Anterior and Extensor Hallucis Longus Muscles Mimicking the Malignant Soft-Tissue Tumor
One of the most common causes of skeletal muscle infarction is diabetic muscle infarction (DMI), a rare complication associated with poorly controlled diabetes. We report an atypical case of DMI localized in the tibialis anterior (TA) and extensor hallucis longus (EHL) muscles of an elderly individu...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/656307 |
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| author | Yoshikuni Mimata Kotaro Sato Karen Tokunaga Itsuko Tsukimura Hiroshi Tada Minoru Doita |
| author_facet | Yoshikuni Mimata Kotaro Sato Karen Tokunaga Itsuko Tsukimura Hiroshi Tada Minoru Doita |
| author_sort | Yoshikuni Mimata |
| collection | DOAJ |
| description | One of the most common causes of skeletal muscle infarction is diabetic muscle infarction (DMI), a rare complication associated with poorly controlled diabetes. We report an atypical case of DMI localized in the tibialis anterior (TA) and extensor hallucis longus (EHL) muscles of an elderly individual. A 64-year-old man with type 2 diabetes mellitus presented with a 6-month history of a palpable mass in his lower left leg. Magnetic resonance imaging (MRI) revealed that the mass exhibited heterogeneous signals on T1- and T2-weighted images and slight heterogeneous enhancement within the muscles on fat suppressed T1-weighted images. Because histopathological analysis revealed mostly necrotic muscle tissues but no neoplastic cells, we resected the affected muscles. A typical symptom of DMI is severe abrupt-onset pain in the region of the affected muscles, but the patient did not complain of pain. Therefore, the diagnosis and treatment for DMI were delayed, and widespread irreversible muscle necrosis developed. MRI findings of DMI can be similar to that of a malignant soft-tissue tumor. So, it is necessary to consider the malignant soft-tissue tumor as one of the differential diagnoses of DMI. |
| format | Article |
| id | doaj-art-8bf1aea9dc194da68be8c1afa8533011 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-8bf1aea9dc194da68be8c1afa85330112025-02-03T07:25:11ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/656307656307Diabetic Muscle Infarction of the Tibialis Anterior and Extensor Hallucis Longus Muscles Mimicking the Malignant Soft-Tissue TumorYoshikuni Mimata0Kotaro Sato1Karen Tokunaga2Itsuko Tsukimura3Hiroshi Tada4Minoru Doita5Department of Orthopedic Surgery, School of Medicine, Iwate Medical University, Morioka 020-8505, JapanDepartment of Orthopedic Surgery, School of Medicine, Iwate Medical University, Morioka 020-8505, JapanDepartment of Orthopedic Surgery, School of Medicine, Iwate Medical University, Morioka 020-8505, JapanDepartment of Orthopedic Surgery, School of Medicine, Iwate Medical University, Morioka 020-8505, JapanDepartment of Orthopedic Surgery, School of Medicine, Iwate Medical University, Morioka 020-8505, JapanDepartment of Orthopedic Surgery, School of Medicine, Iwate Medical University, Morioka 020-8505, JapanOne of the most common causes of skeletal muscle infarction is diabetic muscle infarction (DMI), a rare complication associated with poorly controlled diabetes. We report an atypical case of DMI localized in the tibialis anterior (TA) and extensor hallucis longus (EHL) muscles of an elderly individual. A 64-year-old man with type 2 diabetes mellitus presented with a 6-month history of a palpable mass in his lower left leg. Magnetic resonance imaging (MRI) revealed that the mass exhibited heterogeneous signals on T1- and T2-weighted images and slight heterogeneous enhancement within the muscles on fat suppressed T1-weighted images. Because histopathological analysis revealed mostly necrotic muscle tissues but no neoplastic cells, we resected the affected muscles. A typical symptom of DMI is severe abrupt-onset pain in the region of the affected muscles, but the patient did not complain of pain. Therefore, the diagnosis and treatment for DMI were delayed, and widespread irreversible muscle necrosis developed. MRI findings of DMI can be similar to that of a malignant soft-tissue tumor. So, it is necessary to consider the malignant soft-tissue tumor as one of the differential diagnoses of DMI.http://dx.doi.org/10.1155/2015/656307 |
| spellingShingle | Yoshikuni Mimata Kotaro Sato Karen Tokunaga Itsuko Tsukimura Hiroshi Tada Minoru Doita Diabetic Muscle Infarction of the Tibialis Anterior and Extensor Hallucis Longus Muscles Mimicking the Malignant Soft-Tissue Tumor Case Reports in Orthopedics |
| title | Diabetic Muscle Infarction of the Tibialis Anterior and Extensor Hallucis Longus Muscles Mimicking the Malignant Soft-Tissue Tumor |
| title_full | Diabetic Muscle Infarction of the Tibialis Anterior and Extensor Hallucis Longus Muscles Mimicking the Malignant Soft-Tissue Tumor |
| title_fullStr | Diabetic Muscle Infarction of the Tibialis Anterior and Extensor Hallucis Longus Muscles Mimicking the Malignant Soft-Tissue Tumor |
| title_full_unstemmed | Diabetic Muscle Infarction of the Tibialis Anterior and Extensor Hallucis Longus Muscles Mimicking the Malignant Soft-Tissue Tumor |
| title_short | Diabetic Muscle Infarction of the Tibialis Anterior and Extensor Hallucis Longus Muscles Mimicking the Malignant Soft-Tissue Tumor |
| title_sort | diabetic muscle infarction of the tibialis anterior and extensor hallucis longus muscles mimicking the malignant soft tissue tumor |
| url | http://dx.doi.org/10.1155/2015/656307 |
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