Management of Myositis Ossificans of the Hand: A Case Report and a Review of the Literature

Florid Reactive Periostitis of the Hand: Three Case Report and Review of the Literature

“…Other benign lesions among which differential diagnosis will be ossifying myositis in mature state, but this is not related to the periosteum and histologically presents what is known as "zone effect" characterized by a middle zone containing osteoblasts with mature bone island and in the periphery there is mature trabecula, there is a centrifugal maturation, this pathological anatomy does not exist in reactive fibrous periostitis. This lesion is characterized radiographically by a paraphyseal mass that contains radiodense images particularly in the periphery and with the passage of time ends as mature bone separated from the adjacent periosteum by a radiolucent area [25]. Declare if any financial interest or any conflict of interest exists.…”

Idiopathic aggressive myositis ossificans of the hand infiltrating the flexor sheath/checkrein ligament, obliterating the common digital artery, and attenuating the digital nerve: A case report

“…We reviewed all previously reported cases of myositis ossificans of the hand and wrist since 1982 [ 2 , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] ]. There was a total of 18 cases (including our case) and their data are summarized in Table 1 .…”

“…None of the tumors invaded bone, although a periosteal reaction of the adjacent bone was seen in some cases [ 8 , 10 ]. Two lesions arose from the lumbrical muscles [ 2 , 17 ] and three lesions from the thenar muscles [ 12 , 14 , 15 ]. The remaining lesions (n = 13) did not arise from muscles.…”

“…The remaining lesions (n = 13) did not arise from muscles. Nerve compression was seen in two cases and complete recovery of nerve function was documented in both cases following excision [ 2 , 11 ]. In our case there was a stretching and attenuation of the adjacent digital nerve and sensibility did not return back to normal at 1 year after surgery.…”

“…Furthermore, the proximity of nerves may lead to nerve compression. Finally, most hand tumors require surgical excision despite the initial trial of conservative management either because of intractable pain or persistence of the mass [ 2 ]. Simple excision is usually curative because the tumor mass does not usually infiltrate adjacent structures [ 2 ].…”