Vascular abnormalities of the extremities: Clinical findings and management

Roger Rogalski, Robert Hensinger, Randall Loder

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

A retrospective review identified 41 patients with angiodysplastic lesions of the extremities. Twenty-two patients had a mass, 11 had limb length discrepancy and/or hemihypertrophy, and two had recurrent joint effusions. Enhanced computed tomography (CT) and magnetic resonance imaging (MRI) were most valuable for both diagnosis and preoperative planning. Many patients were diagnosed clinically and treated symptomatically. Twenty-nine patients (71%) required operation. Descriptive pathology and histologic diagnosis were not determinants of clinical outcome, whereas anatomic location and overall size were predictive of symptomatology. Subcutaneous hemangiomas irritated sensory nerves, intramuscular lesions mimicked compartment syndromes, intraarticular lesions caused recurrent hemarthroses, and periarticular or large lesions resulted in hypertrophy or limb length discrepancy. Simple excision under tourniquet control with incomplete exsanguination is possible but often incomplete (48% recurrence) owing to the invasive nature of the lesion.

Original languageEnglish (US)
Pages (from-to)9-14
Number of pages6
JournalJournal of Pediatric Orthopaedics
Volume13
Issue number1
DOIs
StatePublished - Jan 1993

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Keywords

  • Angiodysplasia
  • Excision
  • Extremities
  • Hemangioma
  • Hemihypertrophy
  • Recurrence

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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