A challenging case of calcific myonecrosis of tibialis anterior and hallucis longus muscles with a chronic discharging wound

We present a rare case of a 7‐year history of chronic discharging sinus overlying the site with protruding calcified muscle and discuss the senior author's wound management strategy and surgical considerations. The initial approach used dressing applications to reduce wound exudate while obtaining repeated imaging for disease progression comparison. Repeated CT scans showed significant disease progression from a single solitary amorphous soft tissue calcification to disseminated scattered calcified myonecrosis. In planning such surgeries, extensive debridement and temporary wound coverage is the first stage. Subsequent definitive coverage includes skin grafting of the remaining defect.
Source: International Wound Journal - Category: Surgery Authors: Tags: CASE REPORT Source Type: research