Changes of fascia and muscles before and 12 months after successful treatment of recalcitrant XXXX by shave therapy.

@entity1 @entity3179 @entity194 @entity4096 @entity528 @entity6008
BACKGROUND: In @entity4096 ( @entity4096 ) III typical changes of skin, subcutaneous tissue, fascia and muscle can be found. It was believed, that the thickening of the fascia is irreversible and it has been postulated that the degeneration of muscles is causative for the persistence of @entity6008 . @entity1 AND METHODS: By computed tomography (CT) and magnetic resonance imaging (MRI) 8 @entity1 with therapy resistant venous ulcers were examined. Changes of fascia and muscles were determined preoperatively and 12 months after successful shave therapy. RESULTS: By CT a thinning of the preoperatively thickened fascia could be demonstrated in all @entity1 one year after surgery. Before shave therapy MRI showed that the fascia was not only thickened and blurred, but also had fluid accumulations perifascial. 12 months after therapy the fascia was thinner and sharply demarcated. The fluid was either absent or distinctively reduced. Referring to the thickness of fascia an average decrease of 0.084 cm (0.03-0.17 cm) was observed. Before surgery the muscles showed a @entity528 as a sign of @entity194 ; with CT and MRI no changes could be demonstrated after one year in all @entity1 . CONCLUSION: The results after one year demonstrate for the first time, that the changes of the fascia in @entity4096 III are reversible and that there is no direct correlation between the degeneration of muscles and the persistence of @entity3179 .
