Kanthimathi B, Udhaya Shankar S, Arun Kumar K, Narayanan V L
Division of Orthopaedics, Rajah Muthiah Medical College, Annamalai University, Chidambaram, India.
Clin Orthop Surg. 2014 Dec;6(4):480-3. doi: 10.4055/cios.2014.6.4.480. Epub 2014 Nov 10.
Myositis ossificans traumatica is an unusual complication following a muscle contusion injury. A significantly large myositic mass causing ankylosis of the elbow is even rarer. We report a 13-year-old boy who presented with a 14-month history of a fixed elbow with no movement and a palpable bony mass in the anterior aspect of the elbow. He had sustained significant trauma to the affected limb 1 month prior to onset of symptoms, which was managed by native massage and bandaging for 4 weeks. The clinicoradiological diagnosis was suggestive of myositis ossificans, and the myositic mass was completely excised. Histopathology revealed lamellar bone. The 2-year follow-up showed full function of the affected limb and no signs of recurrence. We report this case of clinical interest due to the unusually large myositic mass.
创伤性骨化性肌炎是肌肉挫伤后的一种罕见并发症。导致肘关节强直的巨大肌炎肿块更为罕见。我们报告一名13岁男孩,其肘关节固定、无法活动已有14个月病史,且在肘关节前方可触及骨性肿块。他在症状出现前1个月,患侧肢体遭受了严重创伤,最初进行了4周的局部按摩和包扎治疗。临床放射学诊断提示为骨化性肌炎,随后将肌炎肿块完全切除。组织病理学显示为板层骨。2年的随访结果显示,患侧肢体功能完全恢复,且无复发迹象。鉴于该例肌炎肿块异常巨大,我们特此报告这一具有临床意义的病例。