Intramuscular Haemangioma of the Extensor Pollicis Brevis Muscle with Periosteal Reaction of the Radius: A Case Report and Review of the Literature

We report the rare case of a histologically proven mixed-type intramuscular haemangioma, adjacent to the periosteum of the radius, that caused a periosteal reaction. We also carried out a review of the literature relevant to this case. A 28-year-old male professional drummer presented with an 8-mont...

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Bibliographic Details
Published in:	Journal of international medical research Vol. 35; no. 5; pp. 724 - 730
Main Authors:	Kayias, EH, Drosos, GI, Kazakos, KI, Iatrou, C, Blatsoukas, KS, Verettas, D-A
Format:	Journal Article
Language:	English
Published:	London, England SAGE Publications 01-09-2007
Subjects:	Adult Forearm Hemangioma - diagnosis Hemangioma - diagnostic imaging Humans Magnetic Resonance Imaging Male Muscle Neoplasms - diagnosis Muscle Neoplasms - diagnostic imaging Radiography Periosteal haemangioma Intramuscular haemangioma Periosteal reaction Surface-based haemangioma
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Summary:	We report the rare case of a histologically proven mixed-type intramuscular haemangioma, adjacent to the periosteum of the radius, that caused a periosteal reaction. We also carried out a review of the literature relevant to this case. A 28-year-old male professional drummer presented with an 8-month history of pain and swelling of the dorsal aspect of the right radius. Diagnosis was established on the basis of plain radiographs and magnetic resonance imaging, and was confirmed by histology. The lesion was treated solely by resection of the soft-tissue mass. The patient remained asymptomatic 4 years post-operatively, with no radiographic signs of recurrence. From a review of the literature, it is evident that the terminology for haemangiomas causing regional bone changes is unclear. A new classification of the intramuscular haemangiomas is proposed in order to distinguish between lesions that, according to current knowledge, exhibit radiological and clinical areas of overlap.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0300-0605 1473-2300
DOI:	10.1177/147323000703500519