Toe-walking attributable to venous malformation of the calf muscle
Toe-walking attributable to venous malformation of the calf muscle
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DOI：
10.1097/01.blo.0000122879.25630.5a
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发表时间：
2004-03-01
影响因子：
4.2
通讯作者：
Frassica, F
中科院分区：
文献类型：
--
作者：
Domb, BG;Khanna, AJ;Frassica, F
肌肉软组织静脉畸形可因受累肌肉痉挛而导致肌肉骨骼畸形。当静脉畸形累及小腿屈肌时，可能会出现马蹄畸形和足趾行走。本文报告三例继发于小腿肌肉静脉畸形的单侧足趾行走患者，表现出这种罕见情况的典型表现。讨论了几种治疗该畸形和潜在静脉畸形的方法，并对目前有关肌内静脉畸形的文献进行了综述，包括其自然病史、诊断、治疗选择和结果。根据我们的经验和文献回顾，对于导致脚趾行走畸形的小腿肌肉静脉畸形，经皮硬化疗法可能是一个可行的选择。
Soft tissue venous malformations of muscles may produce musculoskeletal deformities caused by contracture of the involved muscle. When the venous malformation involves the flexor muscles of the leg, equinus deformity and toe-walking may occur. Three patients with unilateral toe-walking secondary to venous malformation of the calf muscle, showing the classic presentation of this unusual condition, are presented. Several methods of treating the deformity and the underlying venous malformation are discussed, and the current literature on intramuscular venous malformations, including their natural history, diagnoses, treatment options, and outcomes, is reviewed. Based on our experience and review of the literature, percutaneous sclerotherapy may be a viable option for treatment of venous malformations of the calf musculature that result in a toe-walking deformity.