Clinical noteBilateral and Recurrent Myositis Ossificans in an Athlete: A Case Report and Review of Treatment Options
Section snippets
Case description
The patient—a male in his late forties—was a semiprofessional softball player whose chief complaint was left thigh pain for 1 month. He reported being among the fastest runners on the team. He presented to his primary care physician 1 month before evaluation in our sports clinic with a sudden onset of pain in the left thigh while playing softball and trying to stretch a single into a double. The pain was described as tightness posteriorly around his mid thigh not extending past his knee. He
Discussion
Calcification of soft tissues has been well described in the literature.3, 7 Traumatic MO is believed to result from an initial injury followed by prolonged macrophage invasion with osteogenic bone mediator release, resulting in osteogenesis.4, 19 This leads to progression of focal osteogenesis near the site of injury. This case demonstrates definite recurrent disease in multiple sites in an active athlete who suffered significant loss of athletic function as a result of MO. Our hypothesis is
Conclusions
MO is not an uncommon sequela of sports injuries. It is most likely to occur after contusions or strains, and is often of no major clinical consequence if treated appropriately. We report the case of an athlete who developed multiple sites of MO that significantly limited his athletic function. After a thorough review of the literature, we believe this is the first reported case of recurrent, bilateral MO occurring entirely as the result of multiple muscular strains of the lower extremities. MO
Acknowledgments
We thank Peter Cooperberg, MD, from the Department of Radiology, University of British Columbia, Vancouver, BC, Canada, for his contribution of images, and Pamela T. Prescott, MD, Division of Endocrinology, Clinical Nutrition and Vascular Medicine, University of California, Davis, CA, for her expertise in endocrinology.
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Cited by (34)
Trauma
2019, Ortner's Identification of Pathological Conditions in Human Skeletal RemainsMyositis ossificans traumatica (circumscripta) and return to sport
2017, Revue du Rhumatisme (Edition Francaise)Myositis ossificans traumatica (circumscripta) and return to sport: A retrospective series of 19 cases
2016, Joint Bone SpineCitation Excerpt :And further, power or colour Doppler mode serves as a good reflection of the muscle healing process [13,14]. While MO is well described in the literature, there are still vague areas: concerning its pathogenesis, the diagnosis of its severity, its development, treatment [15–18] and its evolution. Even though the mild nature of MO is well established [19], its consequences on playing sports are less well known.
Ossifying myositis of the neck muscles
2015, Reumatologia ClinicaUltrasonography and radiography to identify early post traumatic myosistis ossificans in an 18-year-old male: A Case report
2014, Journal of Chiropractic MedicineCitation Excerpt :The ossification measured 18.33 cm by 4.04 cm on radiography and 15.47 cm by 5.79 cm on US (Figs 4-5). The goals of treatment were increased flexibility, strength, and proprioception.1,11,14 The frequency of treatment was 3 times per week utilizing ice, Class IV cold laser and vibration applied to his anterior thigh, myofascial release of his quadriceps musculature with targeted and progressive rehabilitative exercises.1,11,14
Rehabilitation of Thigh Injuries
2012, Physical Rehabilitation of the Injured Athlete: Expert Consult - Online and Print
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