一名运动员双侧复发性骨化性肌炎：病例报告及治疗选择综述

Bilateral and recurrent myositis ossificans in an athlete: a case report and review of treatment options.

作者信息

Miller Alan E, Davis Brian A, Beckley Olawunmi A

机构信息

Department of Physical Medicine and Rehabilitation, University of California, Davis, 95817, USA.

出版信息

Arch Phys Med Rehabil. 2006 Feb;87(2):286-90. doi: 10.1016/j.apmr.2005.09.002.

DOI:10.1016/j.apmr.2005.09.002

PMID:16442986

Abstract

An unusual case of recurrent myositis ossificans (MO) bilaterally in the hamstring muscles of a 47-year-old athlete secondary to trauma is presented with a review of the literature of current treatment options. MO is a common condition that occurs among athletes in association with muscle and/or tendon strain or contusion. After an extensive literature review, we believe this to be the first case reported of recurrent and bilateral MO in a nonsurgical setting from recurrent hamstring strains. Plain radiographs and physical examination revealed the appearance and chronology of this pathology. Treatment options to improve flexibility and decrease morbidity are discussed along with prophylaxis for future injury. Treatment of mobility and flexibility, rehabilitation goals and treatment with nonsteroidal anti-inflammatory drugs, bisphosphonates, and magnesium are discussed along with prophylaxis.

摘要

本文报告了一例47岁运动员双侧腘绳肌反复发生骨化性肌炎（MO）的罕见病例，该病例继发于创伤，并对当前治疗选择的文献进行了综述。MO是一种常见于运动员中的疾病，与肌肉和/或肌腱拉伤或挫伤有关。经过广泛的文献综述，我们认为这是第一例在非手术情况下因反复腘绳肌拉伤而出现反复双侧MO的病例报告。X线平片和体格检查揭示了这种病理状况的表现和病程。文中讨论了改善灵活性和降低发病率的治疗选择以及预防未来损伤的措施。还讨论了活动度和灵活性的治疗、康复目标以及使用非甾体抗炎药、双膦酸盐和镁的治疗及预防措施。