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PubMed1989

The management of athletes with myositis ossificans traumatica.

Myositis ossificans traumatica (MOT) is often encountered by young male athletes participating in contact sports. The purpose of this paper is to review this disorder, characterized by a localized bone formation within muscle and other connective tissues as a result of a single or repeated contusion. MOT merits close attention because it may cause protracted disability and absence from competitive and recreational activities. Moreover, it may be mistaken for serious pathologies such as sarcoma. Confusion regarding the optimal management of MOT may also arise because the literature proposes conservative, experimental and surgical treatment approaches.

Adolescent↗
PubMedDate not supplied

Pictorial essay. Myositis ossificans circumscripta.

Myositis ossificans circumscripta (MOC) is a localized, non-neoplastic, heterotopic ossification within the muscle. Despite advances in medical imaging, it remains difficult to distinguish it from other disorders. As a consequence, a biopsy is frequently performed. We illustrate some common findings and non-specific imaging features of MOC with respect to radiography, computed tomography, bone scintigraphy, ultrasonography, and magnetic resonance imaging. The differentiation among MOC and its mimics is also presented in order to help the radiologists to make an appropriate diagnostic decision.

Diagnosis, Differential↗
PubMed1995

[Non-traumatic myositis ossificans circumscripta].

BACKGROUND: Myositis ossificans circumscripta is a benign lesion with an acute course and may simulate a malignant tumor. It usually follows trauma to soft tissue. CASE REPORTS: Case n. 1. A 13 year-old girl was admitted because of a painful inflammatory tumour in the left thigh. Initial X-rays were normal. Ultrasound imaging showed a heterogeneous echogenic mass with several extending shadow cones in the distal part of the vastus medialis muscle resembling a calcifying hematoma. Twenty days later, X-rays showed a vague calcified peripheral rim in the medial distal part of the thigh. White blood count was normal, and blood sedimentation rate was 46 millimeters in the first hour. CT scan showed a transparent zone between the lesion and the adjacent bone and a lucent central area, surrounded by a dense outer area consistent with myositis ossificans. Histological examination of the excised mass confirmed myositis ossificans. Two years later, the patient was asymptomatic and X-rays showed no ossification. Case n. 2. A 14 year-old girl suffered from pain in the right anterior hip area since 10 days. She denied any trauma. A firm mass was palpable in the anterior superior iliac spine area and X-rays revealed a calcific density. CT scan showed a dense bony mass in the right gluteus medius muscle clearly separated from the adjacent bony pelvis by a soft tissue plane. Histological examination of the excised mass confirmed myositis ossificans. One year later, the patient was asymptomatic and X-rays of the pelvis showed no ossification. CONCLUSION: Myositis ossificans circumscripta is rare in children. CT scan suggests the benign nature of the lesion by demonstrating integrity of bony cortex and characteristic disposition of calcifications. The biopsy is not necessary if the diagnosis is certain. Surgery permits to reduce the evolution.

Adolescent↗
PubMed1995

[Myositis ossificans progressiva].

BACKGROUND: Myositis ossificans progressiva is a rare progressive disease of connective tissue with a poor prognosis. CASE REPORT: A 16 year-old girl suffered from lameness of her right leg associated with inguinal swelling. Progressive aggravation of pain with extension of swelling to the posterior part of her thigh required an X-ray examination which showed hip dysplasia and calcifications around the hip. Angiography was normal; a diagnosis of hematoma was suggested by scannography and bone scintigraphy, but biopsy showed features of nodular fasciitis. The association of progressive ectopic ossification to malformation of the big toe led to diagnosis of myositis ossificans progressiva. CONCLUSIONS: Congenital malformations, most commonly of big toes and thumbs, are important for distinguishing myositis ossificans progressiva from other diseases of muscle.

Adolescent↗
PubMedDate not supplied

Myositis ossificans: pedal manifestations.

Myositis ossificans traumatica is a benign muscular lesion that is frequently reported in the orthopedic literature, but is not commonly found in the foot. This case report discusses myositis ossificans occurring in the foot. It is most likely subsequent to a heel spur injection received by the patient.

Adult↗
PubMed2003

[Radiological spectrum of myositis ossificans circumscripta evolution].

Myositis ossificans circumscripta is a benign pathology of soft tissue occurring in young patients often after localized trauma. Histological and radiological appearances may mimic a malignant neoplasm, mainly sarcoma. We report a case characteristic of myositis ossificans circumscripta, to illustrate diagnostic arguments which are based on their appearance on conventional radiographs, computed tomography and magnetic resonance imaging and on their changes with time.

Adult↗
PubMed1999

Myositis ossificans in the neck.

Myositis ossificans is a non-neoplastic heterotopic bone formation within muscle or soft tissues. The most commonly involved muscles are the muscles of the upper arm and thigh. Occurrence in the head and neck is rarely encountered clinically. A 53-year-old Turkish man (farmer) was operated on for traumatic myositis ossificans circumscripta in his neck. During the operation the mass was found to originate from the scalenus medius muscle and was readily and completely dissected from surrounding tissues. The histologic examination of the specimen revealed focal cartilage and mature bone tissue, which was compatible with the late stage of myositis ossificans. In 5 years of follow-up, the patient has remained asymptomatic and no signs of recurrence have been noted.

Humans↗
PubMed1992

Magnetic resonance imaging of myositis ossificans: analysis of seven cases.

Myositis ossificans typically presents as soft tissue swelling with progressive ossification on radiographs. Since magnetic resonance imaging (MRI) is commonly used to evaluate soft tissue masses, we analyzed eight MR examinations in seven patients with myositis ossificans to determine if typical patterns were present. One acute lesion had homogeneous intermediate signal intensity on T1-weighted images and high signal intensity on T2-weighted images. Two subacute lesions had low signal intensity margins with slightly increased signal intensity centers on T1-weighted images and very high signal intensity on T2-weighted images. Five chronic lesions had two different patterns. All five were well-defined with low signal intensity borders. Three had signal intensity patterns characteristic of fat on T1-weighted and T2-weighted images. The other two lesions had intermediate signal intensity on T1-weighted images and slightly increased signal intensity on T2-weighted images. We conclude that typical MR appearances of myositis ossificans do exist. A low signal intensity rim is a common finding. However, these patterns are not unique to myositis ossificans and resemble those that have been reported in other lesions. It is important to be aware of the spectrum of MR findings of myositis ossificans when considering the differential diagnosis of a soft tissue mass.

Acute Disease↗
PubMed1992

Myositis ossificans in childhood.

Myositis ossificans is a benign, localized, ossifying lesion of soft tissues that is rarely reported in young children. This paper describes two cases found in a search of the surgical biopsy files of the Adelaide Children's Hospital over the 30 yr period from 1962 to 1991, in boys both aged 7 yrs. Diagnosis was assisted by combined clinical, radiological and histopathological information (including an adequate well-orientated biopsy in Case 1 that demonstrated the characteristic growth pattern) enabling differentiation from other possibilities such as fibrodysplasia ossificans progressiva.

Child↗
PubMed1994

[Magnetic resonance imaging in the diagnosis of myositis ossificans circumscripta].

A retrospective study of 5 cases, 4 of myositis ossificans circumscripta (MOC) and 1 of non-ossificans myositis, is presented. The clinical presentation was a painful soft-tissue swelling, and the final diagnosis was established by biopsy in 3 cases and clinical evolution in 2 cases. Different types of imaging techniques were performed: 4 MRI, 2 arteriographies, 3 Tc 99m scintigraphies, 3 US, 3 CT and plain film radiographs for all patients. MOC is a benign process (as opposed to myositis ossificans progressiva, which is an inherited pathology with a fatal prognosis) with 3 phases of evolution: an acute or pseudo-inflammatory phase, a sub-acute or pseudo-tumoral phase and a chronic phase with a spontaneous healing. The radiologic diagnostic findings are dependent of the phase of the disease. The calcifications are seen earlier with scintigraphy than plain films, with US being less helpful. A heterogenous mass and calcifications are seen with CT. MRI allows the characterization of oedema during the acute phase and sometimes can exclude a malignant process. MRI is the best method for an early diagnosis, the differential diagnosis and to follow the evolution.

Acute Disease↗
PubMedDate not supplied

[Progressive myositis ossificans. Stone man].

Myositis ossificans progressiva (MOP) is a rare hereditary connective tissue disease, genetically inherited as an autossomal dominant trait with complete penetrance but variable expression. The onset usually takes place during childhood and progressive involvement of the spinal cord and proximal extremities leads to immobilization and articular dysfunction. We present a case of a 29-year-old woman with the typical features of MOP and review the pathogenesis, clinical manifestations and treatment options of this rare disease.

Adult↗
PubMed1976

Nontraumatic myositis ossificans in healthy individuals.

Myositis ossificans has been subclassified into three categories: traumatic, progressive, or those cases associated with neuromuscular and chronic disease. Four cases of myositis ossificans occurred in otherwise healthy individuals without any history of trauma. These four patients illustrate a fourth and distinct subclassification of the disease.

Adolescent↗
PubMed1979

Calcitonin for myositis ossificans.

A case of myositis ossificans, following a hemiparesis due to a cerebral haemorrhage and treated with synthetic slamon calcitonin, is described. An improvement in joint range and a cessation of further ectopic calcification was seen but, because of the remitting nature of myositis ossificans itself, the therapeutic role of calcitonin in this case is unproven.

Calcitonin↗
PubMed1987

Myositis ossificans progressiva and pregnancy.

Myositis ossificans progressiva is a rare inherited ossifying condition of the striated muscle tissue. In the English language literature there is no reported association of this disease with an advanced state of pregnancy, nor is there any well-documented scientific data about the effect of pregnancy on this disease or of this disease on pregnancy. This report is about a patient with myositis ossificans progressiva carrying to 30 weeks' gestation and successfully delivering a viable female infant. The antenatal care and management problems of this case are discussed.

Adult↗
PubMed1993

Ultrastructural finding of vascular degeneration in myositis ossificans circumscripta (fibrodysplasia ossificans).

A case of myositis ossificans circumscripta (fibrodysplasia ossificans) of the masseter muscle has been studied ultrastructurally. It showed atrophy of muscle fibres with deranged myofilaments, adjacent to dense fibrous tissue, osteoid and bone. A large number of the cells found in the dense fibrous tissue showed vacuolation and separation of membrane bound vesicles similar to matrix vesicles released by chondroblasts and osteoblasts during calcification. It is possible that, as in normal calcification of bone, these vesicles are responsible for initiating calcification in the ectopic bone found in the present condition. It was also shown that most of the blood vessel found in the blocks examined exhibited various degrees of degenerative changes. The finding of arterial occlusion together with capillary degeneration suggests that the main changes in myositis ossificans circumscripta may be those affecting blood vessels leading to ischaemic muscle atrophy. The fibrosis and ossification that follow are probably secondary changes.

Adult↗
PubMed2001

Unusual presentations in myositis ossificans progressiva. A case report.

Myositis ossificans progressiva is a rare connective tissue disorder. We present here a case of myositis ossificans progressiva with some unusual presentations and associated congenital skeletal anomalies that are reported very infrequently in the literature. The case report highlights the importance of early diagnosis in a case of rapidly progressive myositis ossificans progressiva.

Abnormalities, Multiple↗