Jenny P, Spescha H, Fliegel C
Z Kinderchir. 1982 Mar;35(3):86-7. doi: 10.1055/s-2008-1059908.
Diagnosis of localised myositis ossificans is difficult in the initial stage. A history of trauma is frequently missing. Clinical symptoms point in the direction of osteomyelitis or soft tissue abscess. Sonotomography is useful for localisation and delineation of the lesion. Biopsy is the only reliable method to establish the diagnosis. Conservative treatment is recommended until the process is inactive. Radiographic follow-up will demonstrate the expected massive calcification and scintigraphic follow-up at 6-monthly intervals will eventually prove the metabolic inactivity of the lesion necessary for successful operation. Surgical removal of the calcified tumor will become necessary in cases of continued pain or significant functional limitations of the involved extremity.
局限性骨化性肌炎在初始阶段难以诊断。创伤史常常缺失。临床症状指向骨髓炎或软组织脓肿。超声断层扫描有助于病变的定位和轮廓勾勒。活检是确诊的唯一可靠方法。在病情静止之前，建议采取保守治疗。影像学随访将显示预期的大量钙化，每6个月进行一次闪烁扫描随访最终将证明病变的代谢静止，这是成功手术所必需的。如果持续疼痛或受累肢体存在明显功能受限，则有必要手术切除钙化肿瘤。
