Aggressive atraumatic myositis ossificans in a toddler

Silveri, Claudio; Stoppiello, Pablo; Gaiero, Leticia; Bianchi, Gottardo; Casales, Nicolas; Belzarena, Ana C.

doi:10.1016/j.radcr.2022.09.032

Cited by 2 publications

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In most cases, Accepted: November 22 nd 2022 inflammation, ischemia, or repetitive mechanical injuries have been cited as possible factors. Non-traumatic cases are reported in literature and are usually suited to neurogenic conditions such as spinal cord injuries, strokes, brain tumors and other neurological conditions [1][2][3][4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Myositis ossificans in a 29 years old athletic female

Mehedințu

Toader

Șerban

et al. 2022

Romanian Journal of Orthopaedic Surgery and Traumatology

View full text Add to dashboard Cite

Myositis ossificans (MO) is a rare group of diseases in which heterotopic ossification occurs in muscles, tendons, nerves, or even subcutaneous fat. MO can occur in patients of all ages, but usually appears in young adults who practice sports or have a history of mechanical trauma, burns, infections or drug abuse. The article highlights the case of a 29-year-old athletic female who noticed, by random palpation, a small lump in her left biceps, near the radial insertion. The lump was not painful and noticeable with the naked eye. Rest and NSAIDs were recommended and all went well for about 3 months. However, after almost a week from that moment, the pain was excruciating, inflammation extend on the arm and forearm, she could not extend her arm anymore and its circumference was 30 cm from 24 initially. A biopsy was performed and the result was calcified fibrous tissue with suggestive aspect of myositis ossificans. Surgery was planned with reconstruction of the biceps tendon in mind. After surgery, the elbow was splinted at 90 degrees for two weeks, then dynamic splinting was performed with increasingly wider range of motion until full recovery was achieved. MO is a rare disease that involves many differential diagnoses, some of which are deadly and each with its own particularities, different imaging aspects and different treatments.

show abstract

Section: Introductionmentioning

confidence: 99%

Myositis ossificans in a 29 years old athletic female

Mehedințu

Toader

Șerban

et al. 2022

Romanian Journal of Orthopaedic Surgery and Traumatology

View full text Add to dashboard Cite

show abstract

Myositis ossificans in the pediatric population: a systematic scoping review

Cherry,

Mutschler,

Samara

et al. 2023

Front. Pediatr.

View full text Add to dashboard Cite

IntroductionCircumscribed or pseudomalignant myositis ossificans (MO) is a rare and benign condition characterized by heterotopic bone formation in soft tissues. The clinical presentation of MO, imaging investigations, histological findings, and treatment strategies are unclear, especially in the pediatric population.Materials and methodsA literature search was conducted in PubMed, Scopus, and Google Scholar electronic databases to identify original articles and reviews in English or French of traumatic and non-traumatic MO. Studies were selected by 2 independent reviewers following the PRISMA recommendation and descriptive data were extracted. We harvest in each case the sex, age at diagnosis, location, presence of initial trauma, pre-emptive diagnosis, modalities of imagery used, realized biopsy, treatment performed, and type of follow-up.ResultsSixty pediatric cases of MO were identified between 2002 and 2023. Twenty-three patients (38.3%) were diagnosed with idiopathic/pseudomalignant and 37 patients (61.7%) with circumscribed. The mean age at diagnosis was 9.5 years (range 0.2–17 years), with a male-to-female ratio of 1:1. The initial pre-emptive diagnosis was neoplasia in 13 patients (21.7%). The biopsy was percutaneous in 9 patients (15%) and incisional in 7 patients (11.7%). Histological analysis was achieved in 35 cases (57%). Surgical excision was the first line treatment in 46.7% of patients, and non-surgical in the remaining patients. The follow-up strategy was clinical in 16 patients (26.7%) or based on imaging investigation in 23 patients (38.3%).DiscussionAlthough MO in children is described as a rare pathology, identifying the benignity of the condition is essential to avoid unnecessary invasive treatment and to avoid delaying the treatment of a potentially life-threatening entity. It seems that there is no consensus established concerning the proper imaging for diagnosis. Clinicians should acknowledge that the absence of a triggering trauma tends to direct the investigation and the management toward a surgical attitude. Conservative management is key, however, surgical excision can be proposed on matured lesions on a case-by-case basis. The absence of recurrence is not excluded. Therefore, a close clinical follow-up is suggested for all cases. The true benefit of a radiological is questioned in a question known to be self-resolving.

show abstract

Aggressive atraumatic myositis ossificans in a toddler

Cited by 2 publications

References 24 publications

Myositis ossificans in a 29 years old athletic female

Myositis ossificans in a 29 years old athletic female

Myositis ossificans in the pediatric population: a systematic scoping review

Contact Info

Product

Resources

About