Abstract: Blood Supply and Skeletal Muscle Infarction (Plastic Surgery 2015)

Sunday, October 18, 2015: 1:55 PM

Ya-Wei Lai, MD , Plastic Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

Chung Sheng Lai, MD, PhD , Taiwan Abstract, Taiwan

Kao-Ping Chang, MD, PhD , Taiwan Abstract, na, Taiwan

Su-Shin Lee, MD , Taiwan Abstract, na, Taiwan

Sin-Daw Lin, MD , Plastic Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan, Kaohsiung, Taiwan

Austin Deng Chen, MD , Plastic Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

Hui-Min David Wang, PhD , Fragrance and Cosmetic Science; Graduate Institute of Natural Products, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

Shu-Hung Huang, MD, PhD , Plastic Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

Hsin-Ti Lai, MD , Plastic surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

Presentation PDF file

BACKGROUND:Muscle infarction is a rare complication of spontaneous ischemic necrosis occurring in skeletal muscle. It is particularly common in patients with diabetes who have impaired sugar regulation. However, muscle infarction is frequently misdiagnosed due to varied clinical manifestations.

METHODS:We presented 3 cases of muscle infarction reported during April 2009 to April 2014.After a comprehensive literature review, we selected 147 muscle infarction cases from the literature, first investigating the relationships between type of muscle blood supply and infarcted muscle.

RESULTS:The result indicated that skeletal muscle infarction 25.85 % belonged to type I vascular supply and 61.21% belonged to type II vascular supply, according to the definition by Mathes and Nahai.

CONCLUSIONS: Poor glucose regulation, intense exercise without adequate hydration, vascular disease, and type I and II muscular blood supply were critical predisposing factors. For preventing muscle infarction, we recommend strict glucose regulation and a gradual increase in exercise with adequate hydration.

27306 Blood Supply and Skeletal Muscle Infarction