Skip to main content Skip to main navigation menu Skip to site footer
Case Report
Published: 07-10-2023

Intramuscular use of pmma microspheres for treating calf poliomyelitis atrophy: a case report

Corcini Clinic, Porto Alegre, Rio Grande do Sul, Brazil
Fernanda Bortolozo Clinic, Balneário Camboriú, Santa Catarina, Brazil
GH Center, São Paulo, SP, Brazil
Fernanda Bortolozo Clinic, Balneário Camboriú, Santa Catarina, Brazil
Fernanda Bortolozo Clinic, Balneário Camboriú, Santa Catarina, Brazil
Poliomyelitis PMMA Muscle Atrophy Calf

Abstract

Introduction: One of the sequelae of poliomyelitis is muscle atrophy, which presents with decreased muscle mass, especially in the lower limbs. Besides functional treatment, it is important to consider aesthetic treatment to correct muscle asymmetry because this condition negatively affects the quality of life. Case description: In this report, we describe the case of a female patient with muscle atrophy in the left calf due to poliomyelitis sequelae who was treated with intramuscular implantation of polymethylmethacrylate (PMMA) microspheres.  Results: Obtained an increase of 7 cm in the circumference of the left calf after the end of the treatment. Conclusion: The result obtained with the intramuscular filling was effective in treating calf muscle asymmetry.

Metrics

Metrics Loading ...

References

  1. Agüero AL. Poliomielitis en Argentina: epidemias, políticas sanitarias, tratamientos e instituciones. Rev Argent Salud Pública. 2020 Dec 10; 12:21-21.
  2. Ploeger HE, Bus SA, Brehm MA, Nollet F. Use and usability of custom-made dorsiflexion-restricting ankle-foot orthoses for calf muscle weakness in polio survivors: a cross-sectional survey. Eur J Phys Rehabil Med. 2020 May 26; 56(5):575-584. doi: https://doi.org/10.23736/S1973-9087.20.06020-7.
  3. Kay L, Nielsen NM, Wanscher B, Jennum P. Neurological Symptoms in Danes with a History of Poliomyelitis: Lifelong Follow-Up of Late Symptoms, their Association with Initial Symptoms of Polio, and Presence of Postpolio Syndrome. Eur Neurol. 2018; 80(5-6):295-303. doi: https://doi.org/10.1159/000497483.
  4. Lo JK, Robinson LR. Postpolio syndrome and the late effects of poliomyelitis. Part 1. pathogenesis, biomechanical considerations, diagnosis, and investigations. Muscle Nerve. 2018 Dec; 58(6):751-759. doi: https://doi.org/10.1002/mus.26168.
  5. Bortolozo F, Menezes HS, Paschoal Ângela S, Rinaldi M, Rêgo B, Souza P. Scanning electron microscope analysis of PMMA third generation: a comparative experimental study. MedNEXT Journal of Medical and Health Sciences. 2022 May 27. 3(2). doi: https://doi.org/10.54448/mdnt22208.
  6. Bortolozo F, Azizi PCA, Teixeira EC, Rinaldi M, Paschoal Ângela S, Menezes HS, et al. Polymethylmethacrylate injections for augmentation and strengthening of abdominal muscles: an experimental model. MedNEXT Journal of Medical and Health Sciences. 2023 May 3;4(2). doi: https://doi.org/10.54448/mdnt23209.
  7. Chacur R, Sampaio Menezes H, Maria Bordin da Silva Chacur N, Dias Alves D, Cadore Mafaldo R, Dias Gomes L, et al. Gluteal Augmentation with Polymethyl Methacrylate: A 10-year Cohort Study. Plast Reconstr Surg Glob Open. 2019 May 31;7(5):e2193. doi: https://doi.org/10.1097/GOX.0000000000002193
  8. Teixeira EC, Bortolozo F, Menezes, HS. Biocompatibility and fibrous response of polymethylmethacrylate in skeletal muscles. International Journal of Development Research. 2021 Oct 30; 11(10), 51034-51039.
  9. Lo JK, Robinson LR. Post-polio syndrome and the late effects of poliomyelitis: Part 2. treatment, management, and prognosis. Muscle Nerve. 2018 Dec; 58(6):760-769. doi: https://doi.org/10.1002/mus.26167.
  10. Melita D, Innocenti A. surgical calf augmentation techniques: personal experience, literature review and analysis of complications. Aesthetic Plast Surg. 2019 Aug;43(4):973-979. doi: https://doi.org/10.1007/s00266-01901347-z.
  11. Andjelkov K, Atanasijevic TC, Popovic VM, Colic M, Llull R. Safe composite calf augmentation: a staged procedure. Aesthet Surg J. 2021 Jan 25;41(2):NP26NP35. doi: https://doi.org/10.1093/asj/sjaa080.
  12. Paulucci BP. PMMA safety for facial filling: review of rates of granuloma occurrence and treatment methods. Aesthetic Plast Surg. 2020 Feb;44(1):148159. doi: https://doi.org/10.1007/s00266-019-01522-2.
  13. Ronan SJ, Eaton L, Lehman A, Pilcher B, Erickson CP. Histologic Characterization of Polymethylmethacrylate Dermal Filler Biostimulatory Properties in Human Skin. Dermatol Surg. 2019 Dec;45(12):1580-1584. doi: https://doi.org/10.1097/DSS.0000000000001877
  14. Teixeira ACA, Dib CC. Implantes de panturrilha: complicações, prevenção e tratamento. Rev. Bras. Cir. Plást. 2010 Sep; 25: 547-550. doi: https://doi.org/10.1590/S1983-51752010000300024.

How to Cite

Corcini, A. C., Bortolozo, F., Rinaldi, M., Paschoal, Ângela S., & Souza, P. de. (2023). Intramuscular use of pmma microspheres for treating calf poliomyelitis atrophy: a case report. MedNEXT Journal of Medical and Health Sciences, 4(2). https://doi.org/10.54448/ijn23232