Abstract
Vascular malformations are rare congenital lesions which often have associated skeletal changes. Over a period of ten years, 90 patients at our clinic had a vascular anomaly of the lower limb, examined by either CT or MRI. Of these, 18 (20%) had bony involvement. A questionnaire was sent to these patients (8 men, 10 women) to evaluate their age of presentation, initial symptoms and current complaints. Radiological imaging revealed 15 low- and three high-flow lesions. The mean age at presentation to a physician was six years of age. Pain was the most common complaint. Disparity in leg length of 2 cm or more was observed in ten patients. Of the 16 patients with muscle infiltration, 13 had four or more muscles involved. Treatment by resection alone would require radical surgery.
Our 11 year old daughter was diagnosed with vascular malformation in the soleus and medial part of gastrocnemius muscle in the left calf. She started toe-walking, length of her left leg and left foot was affected. Her Achilles tendon has been shortened, as a result of a spasm in the calf muscles. This blog gathers info on her condition, medical history and course of treatment in Saudi Arabia.
Sunday, March 3, 2019
Vascular malformations of the lower limb with osseous involvement
Vascular Malformations of the lower limb with osseous involvment [PDF file]
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