Intramuscular Angiomatous Tumors Associated With Periosteal Changes and Pain


This case report discusses two cases in which patients present with the uncommon triad of extremity
pain, focal periosteal reaction on imaging studies, and intramuscular hemangioma on pathologic
examination. Both patients presented in this article were older than those previously reported in the
literature. Neither patient reported complete resolution of pain following excision, although there was
marked improvement. (Journal of Surgical Orthopaedic Advances 14(1):37–41, 2005)
Key words: epithelioid hemangioendothelioma, intramuscular angiomatous tumors, intramuscular
hemangioma, periosteal reaction

Stephen E. Fern, MD, Claire A. Coggins, MD, H. Davis Massey, DDS, MD, PhD, and William C. Foster, MD