Orfanu N
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1979 May-Jun;28(3):189-98.
The author maintains that the osteoma of the brachial muscle as well as post-traumatic periarticular calcifications, occur in the muscle mass or in the tendon that prolongs it, or in the articular capsule, as a result of surgical treament and post-operative immobilization, and only exceptionally following orthopaedic treatment of traumatic lesions. Articular mobilization in the first week after osteosynthesis, or in the frame of conservative treatment, is not followed by osteoma of the brachial muscle or by calcifications surrounding the articulation, a fact that suggest that the presently applied therapeutic methods, which recommend strict and prolonged articular immobilization should be avoided. The development of ossification can be explained by post-traumatic changes in the muscular microcirculation, rendered more severe by surgical treatment and maintained by muscular inactivity. Early articular mobilization is the most efficient method of prophylaxis of these complications, which are determined not by the traumatic lesions themselves but by the present therapeutic methods applied.
作者认为，肱肌骨瘤以及创伤后关节周围钙化，是手术治疗和术后固定的结果，发生在肌肉团块或延续该肌肉的肌腱中，或关节囊中，仅在创伤性病变的骨科治疗后偶尔出现。在骨合成后的第一周或保守治疗过程中进行关节活动，并不会引发肱肌骨瘤或关节周围钙化，这一事实表明，应避免目前所采用的建议严格和长期关节固定的治疗方法。骨化的形成可以通过肌肉微循环的创伤后变化来解释，手术治疗会使其更加严重，而肌肉不活动则会维持这种状态。早期关节活动是预防这些并发症的最有效方法，这些并发症并非由创伤性病变本身决定，而是由目前所应用的治疗方法导致。
