Pătru Simona, Pădureanu Vlad, Rădulescu Dumitru, Mititelu Radu Răzvan, Pădureanu Rodica, Băcanoiu Manuela, Matei Daniela
Department of Physical and Rehabilitation Medicine, University of Medicine and Pharmacy of Craiova, Craiova 200349, Romania.
Department of Internal Medicine, University of Medicine and Pharmacy of Craiova, Craiova 200349, Romania.
Exp Ther Med. 2021 May;21(5):531. doi: 10.3892/etm.2021.9963. Epub 2021 Mar 23.
Myositis ossificans (MO) is a rare, benign ossifying lesion characterized by focal formation of heterotopic bone and cartilage in extraskeletal soft-tissue that most commonly occurs in young adults. In most cases, no causative factor can be identified. The diagnosis of MO is usually based on the patient's history of trauma, clinical signs, on imaging appearance and histological examination. We present a non-traumatic MO case of the forearm in a 40-year-old man with weakness in left finger motion, a decrease in prehension for more than three weeks, without any weight loss, malaise, anorexia or fever. The clinical symptoms and radiological findings can be easily confused with malignant lesions. Treatment is usually conservative but, due to the limited strength and range of motion of the left hand, the tumor was extirpated and the diagnosis of MO was made by biopsy. The patient had no neurological deficits after surgical treatment and was discharged on the fifth day after the surgery in good condition with the recommendation to begin a rehabilitation program.
骨化性肌炎(MO)是一种罕见的良性骨化性病变,其特征是在骨骼外软组织中局灶性形成异位骨和软骨,最常见于年轻人。在大多数情况下,无法确定致病因素。MO的诊断通常基于患者的创伤史、临床体征、影像学表现和组织学检查。我们报告一例40岁男性前臂非创伤性MO病例,该患者左手指运动无力、抓握力下降超过三周,无体重减轻、不适、厌食或发热。其临床症状和影像学表现很容易与恶性病变混淆。治疗通常是保守的,但由于左手力量和活动范围有限,对肿瘤进行了切除,并通过活检确诊为MO。手术治疗后患者无神经功能缺损,术后第五天情况良好出院,并建议开始康复计划。