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病例报告:一名儿童肘部骨化性肌炎的不寻常表现,该儿童术后进行了过度的康复锻炼。

Case Report: Unusual Presentation of Myositis Ossificans of the Elbow in a Child Who Underwent Excessive Postoperative Rehabilitation Exercise.

作者信息

Cao Jin, Zheng Hua Jiang, Sun Jing Hua, Zhu Huan Ye, Gao Chao

机构信息

Department of Orthopedics, Ningbo Sixth Hospital, Ningbo, China.

Department of Pathology, Ningbo Diagnostic Pathology Center, Ningbo, China.

出版信息

Front Pediatr. 2021 Nov 12;9:757147. doi: 10.3389/fped.2021.757147. eCollection 2021.

Abstract

Traumatic myositis ossificans (MO) is an unusual complication after muscle injury and is predominantly seen in young adults and adolescents. Pediatric MO cases are even rarer. We report an 8-year-old girl who was diagnosed with a lateral humeral condyle fracture. She was treated surgically, and her elbow joint was fixed with plaster. Rehabilitation exercise was administered 1 month after the operation. Due to the wrong exercise method, a palpable bony mass appeared around the elbow 1 month later. The clinical radiological diagnosis showed MO, and conservative treatment was administered. After 3 years of follow-up, the affected limb functioned well, with no sign of recurrence. Here, we report this long-term follow-up case of MO resulting from excessive rehabilitation exercise.

摘要

创伤性骨化性肌炎(MO)是肌肉损伤后一种不常见的并发症,主要见于年轻人和青少年。小儿MO病例更为罕见。我们报告一名8岁女孩,她被诊断为肱骨外侧髁骨折。她接受了手术治疗,肘关节用石膏固定。术后1个月进行康复锻炼。由于锻炼方法错误,1个月后肘部周围出现可触及的骨性肿块。临床影像学诊断为MO,并给予保守治疗。经过3年随访,患侧肢体功能良好,无复发迹象。在此,我们报告这例因过度康复锻炼导致MO的长期随访病例。

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