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Citation:
Knipe H, Weerakkody Y, Alhusseiny K, Musculoskeletal arteriovenous malformations. Reference article, Radiopaedia.org (Accessed on 07 Jun 2023) https://doi.org/10.53347/rID-78943
Musculoskeletal arteriovenous malformations (AVM) are typically congenital, growing with age and may not manifest until adolescence or adulthood. Spinal AVMs are discussed separately.
Rarely they can be acquired e.g. post traumatic vascular malformation.
Clinical presentation
Patients can present with a palpable mass (with or without erythema or a thrill) and/or pain 1-3.
Pathology
Musculoskeletal AVMs can occur within 2:
- soft tissues
- subcutaneous
- intramuscular
- intermuscular fascia
- joints
- repeated intra-articular bleeds can produce degenerative change similar to haemophilic arthropathy 3
- bone: rare; mostly craniofacial with appendicular skeletal even more rarely involved 4
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