Monckeberg’s sclerosis of the femoral artery (case report)

DOI: https://doi.org/10.25512/DIR.2017.11.3.11

For quoting:
Diachkova G.V., Diachkov K.A., Larionova T.A., Tropin V.I., Tropin D.V., Chertischev A.A. "Monckeberg’s sclerosis of the femoral artery (case report)". Journal Diagnostic & interventional radiology. 2017; 11(3); 85-90.

authors:

Diachkova G.V.

Diachkov K.A.

Larionova T.A.

Tropin V.I.

Tropin D.V.

Chertischev A.A.

keywords:

Monckeberg’s sclerosis

femoral artery

femoral neck pseudarthrosis

femoral shortening

computed tomography

Abstract:

Aim: was to evaluate diagnostic significance of current methods of radiological diagnostics in examination of patients with Monckeberg's sclerosis of the femoral artery

Material and methods: lower limb arteries and femoral bone of patient with Monckeberg's sclerosis of the femoral artery, femoral neck pseudarthrosis, 8 cm lower limb shortening, Cushing syndrome, secondary steroid osteoporosis, diabetes, hypercorticism and hyperparathyroidism were examined before and after double staged treatment using methods of radiography, ultrasonography and multi-slice CT (MSCT).

Results: the study of the femoral artery using ultrasonography and MSCT, processing the data with special filter, indicated patent femoral artery lumen, structure of sclerotic middle coat of the artery similar to the bone structure (layer of lateral cortical plate, osteon layer and the layer of the medial cortical plates) and did not reveal sonographic «drop-out defects». Healing of the femoral neck pseudarthrosis and 5 cm femoral lengthening was achieved in the patient.

Conclusion: data obtained by MSCT and USD gave possibility to perform doubles-staged surgical intervention, to achieve healing of the femoral neck non-union and to lengthen the limb for 5 cm.

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