Journal article
Diabetic Muscle Infarction
The Iowa orthopaedic journal, Vol.20, pp.65-74
2000
PMCID: PMC1888747
PMID: 10934627
Appears in Diamond Open Access
Abstract
Diabetic muscle infarction is a rare complication of diabetes mellitus that is not clearly defined in the orthopaedic literature. This study is a descriptive case series of 7 new cases of diabetic muscle infarction and 55 previously reported cases in the literature. In the majority of patients, diabetic muscle infarction presents as a localized, exquisitely painful swelling and limited range of motion of the lower extremity. No cases affecting the muscles of the upper extremity have been observed. The onset is usually acute, persists for several weeks, and resolves spontaneously over several weeks to months without the need for intervention. Diabetic muscle infarction is a condition that should be considered in the differential diagnosis of any diabetic patient with lower extremity pain and swelling without systemic signs of infection. Magnetic resonance imaging is sensitive and specific enough to make the diagnosis. Muscle biopsy and surgical irrigation and debridement are not recommended since they are associated with complications. Pain management and activity restriction in the acute phase followed by gentle physical therapy is the treatment of choice. Recurrences in the same or opposite limb are common. Although the short-term prognosis is very good and the majority of cases resolve spontaneously, the long-term survival is uncertain in this patient population.
Details
- Title: Subtitle
- Diabetic Muscle Infarction
- Creators
- José A Morcuende - Pediatric Orthopaedic Department, Starship Children's Hospital, Auckland, New ZealandMatthew B Dobbs - Pediatric Orthopaedic Department, Starship Children's Hospital, Auckland, New ZealandJoseph A Buckwalter - Pediatric Orthopaedic Department, Starship Children's Hospital, Auckland, New ZealandHaemish Crawford - Pediatric Orthopaedic Department, Starship Children's Hospital, Auckland, New Zealand
- Resource Type
- Journal article
- Publication Details
- The Iowa orthopaedic journal, Vol.20, pp.65-74
- PMID
- 10934627
- PMCID
- PMC1888747
- NLM abbreviation
- Iowa Orthop J
- ISSN
- 1541-5457
- eISSN
- 1555-1377
- Publisher
- Dept. of Orthopaedics, The University of Iowa; United States
- Language
- English
- Date published
- 2000
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation; Injury Prevention Research Center
- Record Identifier
- 9984040336602771
Metrics
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