Main Article Content
Abstract
Background: Myositis Ossificans (MO) is a benign bone formation in a extra-skeletal location. The most common subtype of MO, the post-traumatic, usually develops after a traumatic event. Patients usually present with pain and joint stiffness. The aim of treatments are to decrease pain and joint stiffness. Objectives : The aim of this case report was to document the physical medicine and rehabilitation (PM&R) treatment of a patient who had post-traumatic myositis ossificans. Case Presentation: A 62-years-old man developed MO as a result of a chronic traumatic injury. He was suffering from weakness in motion of the hip joint, and felt severe pain (VAS=7-8) since 1 year ago. History of falls recognized 2 years ago. The patient could not stand and walk. A radiograph showed MO. The patient received PM&R treatment once in a week for 6 months, consisted of infra-red, transcutaneous electrical nerve stimulation, range of motion, and strengthening exercise. Result: After 6 months of treatment, patient felt the pain decreased (VAS=3-4). Patient could stand and walk with walker. A radiograph was no changed. Conclusions: This case report demonstrated the benefit of PM&R treatment in eliminating pain and joint stiffness of post-traumatic myositis ossificans, although radiographic imaging no changed.
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References
- Al-Qattan, M.M., Al-Fahdil, L., Al-Shammari, H.M., Joarder, A.I., 2017. Management of myositis ossificans of the hand: a case report and a review of the literature. The Journal of Hand Surgery. Jul 1;42(7):576-e1.
- Bai, Q., Zou, X., Yang, G., Fan, Y., Wang, W., Zhang, B., Chang, X., 2023. Painful and restricted hip due to myositis ossificans circumscripta of the pectineus muscle after pelvic fracture: a case report. Medicine. Apr 4;102(17).
- Bultheel, M., Kirby, J.H., Viljoen, J.T., Viviers, P.L., 2016. An atypical presentation of myositis ossificans. South African Journal of Sports Medicine. 28(1):33-4.
- Bhatia, A., Vidad, A.R., Mehra, D., Shah, H., Ogunjemilusi, O., 2021. Multifocal post-traumatic myositis ossificans circumscripta in a young male following a motor vehicle accident: a review of imaging and clinical presentation. Cureus. Apr 6;13(4).
- Durigan, J.L.Q., Cancelliero, K.M., Polacow, M.L.O., Silva, C.A., Guirro, R.R.J., 2005. Modelos de desuso muscular e estimulac¸ãoelétrica neuromuscular: aspectos pertinentes à reabilitac¸ãofisioterapêutica. Fisioterapia em Movimento. 18: 53–62
- Goldblum, J.R., Weiss, S.W., Folpe, A.L., 2013. Enzinger and Weiss's Soft Tissue Tumors E-book. Elsevier Health Sciences. Oct 11.
- Golovynska, I., Golovynskyi, S., Stepanov, Y.V., Stepanova, L.I., Qu, J., Ohulchanskyy, T.Y., 2021. Red and near-infrared light evokes Ca2+ influx, endoplasmic reticulum release and membrane depolarization in neurons and cancer cells. Journal of
- Photochemistry and Photobiology B: Biology. Jan 1;214:112088.
- Gupta, S., Kawde, P., Kekatpure, A., Karmore, S., Rathi, R., 2020. Myositis ossificans traumatica of the wrist in elderly: a description of an unusual case. Indian Journal of Forensic Medicine & Toxicology. Oct 29;14(4):6905- 7.
- Herdiansyah, D., Prabowo, T., Goesasi, R.Z., 2017. The difference on pain and range of motion after high- intensity laser therapy on myositis ossificans of the right deltoid muscle: a case report. Indonesian Journal of Physical Medicine and Rehabilitation. Jun 1;6(01):42-6.
- Kopacz-Dósa, B., Vulturar, R., Vele, P., Damian, L., 2021. Myositis ossificans: a short review. Health, Sports & Rehabilitation Medicine. Oct 1;22(4).
- Lee, D., Seo, Y., Kim, Y.W., Kim, S., Bae, H., Choi, J., Lim,
- I., Bang, H., Kim, J.H., Ko, J.H., 2019. Far-infrared radiation stimulates platelet-derived growth factor mediated skeletal muscle cell migration through extracellular matrix-integrin signaling. The Korean Journal of Physiology & Pharmacology. Mar 1;23(2):141-50.
- Li, W.T., Horng, S.Y., Chien, H.F., 2016. Abdominis rectus intramuscular myositis ossificans. Formosan Journal of Surgery. Feb 1;49(1):20-6.
- Lungu, S.G., 2011. Case report-myositis ossificans: two case presentations. Medical Journal of Zambia. 38(2):25-31.
- Mavrogenis, A.F., Soucacos, P.N., Papagelopoulos, P.J., 2011. Heterotopic ossification revisited. Orthopedics. Mar 11;34(3).
- Medici, D., Olsen, B.R., 2012. The role of endothelial‐ mesenchymal transition in heterotopic ossification. Journal of Bone and Mineral Research. Aug;27(8):1619-22.
- Miller, A.E., Davis, B.A., Beckley, O.A., 2006. Bilateral and recurrent myositis ossificans in an athlete: a case report and review of treatment options. Archives of Physical Medicine and Rehabilitation. Feb 1;87(2):286-90.
- Olvi, L.G., Santini-Araujo, E., 2015. Myositis ossificans. tumors and tumor-like lesions of bone: for surgical pathologists. Orthopedic Surgeons and Radiologists. 777-92.
- Patil, S., Iyengar, A.R., Kotni, R.M., Subash, B.V., Joshi, R.K., 2016. Evaluation of efficacy of ultrasonography in the assessment of transcutaneous electrical nerve stimulation in subjects with myositis and myofascial pain. The Korean Journal of Pain. Jan 31;29(1):12-7.
- Reeves, J.L., Graff-Radford, S.B., Shipman, D. The effects of transcutaneous electrical nerve stimulation on experimental pain and sympathetic nervous system response. Pain Medicine Journal. 5: 150–161, doi: 10.1111/pme.2004.5.issue-2.
- Saad, A., Azzopardi, C., Patel, A., Davies, A.M., Botchu, R., 2021. Myositis ossificans revisited–the largest reported case series. Journal of Clinical Orthopaedics and Trauma. Jun 1;17:123-7.
- Savvidou, O., Papakonstantinou, O., Lakiotaki, E., Melissaridou, D., Korkolopoulou, P., Papagelopoulos, P.J., 2021. Post-traumatic myositis ossificans: a benign lesion that simulates malignant bone and soft tissue tumours. EFORT open reviews. Jul 8;6(7):572-83.
- Schultzel, M.M., Johnson, M.H., Rosenthal, H.G., 2014. Bilateral deltoid myositis ossificans in a weightlifter using anabolic steroids. Orthopedics. Sep 1;37(9):e844- 7.
- Starkey, C., 2015. Recursos Terapêuticos em Fisioterapia.1st edn.São Paulo: Manole
- Torrance, D.A., Degraauw, C., 2011. Treatment of post- traumatic myositis ossificans of the anterior thigh with extracorporeal shock wave therapy. The Journal of the Canadian Chiropractic Association. Dec;55(4):240.
- Tsagkaris, C., Papazoglou, A.S., Eleftheriades, A., Tsakopoulos, S., Alexiou, A., Găman, M.A., Moysidis, D.V., 2022. Infrared radiation in the management of musculoskeletal conditions and chronic pain: a systematic review. European Journal of Investigation in Health, Psychology and Education. Mar 14;12(3):334-43.
- Walczak, B.E., Johnson, C.N., Howe, B.M., 2015. Myositis ossificans. Journal of the American Academy of Orthopaedic Surgeons. Oct 1;23(10):612-22.
- Wang, H., Nie, P., Li, Y., Hou, F., Dong, C., Huang, Y., Hao, D., 2018. MRI findings of early myositis ossificans without calcification or ossification. BioMed Research International. Sep 3;2018
- Zietkiewicz, J.M., 2014. Post-traumatic myositis ossificans.
- SA Journal of Radiology. 18(2).
- Zotz, T.G., de Paula, J.B., 2015. Influence of transcutaneous electrical stimulation on heterotopic ossification: an experimental study in Wistar rats. Brazilian Journal of Medical and Biological Research. Aug 18;48:1055-62.
- Zuim, P.R., Garcia, A.R., Turcio, K.H., Hamata, M.M., 2006. Evaluation of microcurrent electrical nerve stimulation (MENS) effectiveness on muscle pain in temporomandibular disorders patients. Journal of Applied Oral Science. 14:61–66. PMID: 19089032.
References
Al-Qattan, M.M., Al-Fahdil, L., Al-Shammari, H.M., Joarder, A.I., 2017. Management of myositis ossificans of the hand: a case report and a review of the literature. The Journal of Hand Surgery. Jul 1;42(7):576-e1.
Bai, Q., Zou, X., Yang, G., Fan, Y., Wang, W., Zhang, B., Chang, X., 2023. Painful and restricted hip due to myositis ossificans circumscripta of the pectineus muscle after pelvic fracture: a case report. Medicine. Apr 4;102(17).
Bultheel, M., Kirby, J.H., Viljoen, J.T., Viviers, P.L., 2016. An atypical presentation of myositis ossificans. South African Journal of Sports Medicine. 28(1):33-4.
Bhatia, A., Vidad, A.R., Mehra, D., Shah, H., Ogunjemilusi, O., 2021. Multifocal post-traumatic myositis ossificans circumscripta in a young male following a motor vehicle accident: a review of imaging and clinical presentation. Cureus. Apr 6;13(4).
Durigan, J.L.Q., Cancelliero, K.M., Polacow, M.L.O., Silva, C.A., Guirro, R.R.J., 2005. Modelos de desuso muscular e estimulac¸ãoelétrica neuromuscular: aspectos pertinentes à reabilitac¸ãofisioterapêutica. Fisioterapia em Movimento. 18: 53–62
Goldblum, J.R., Weiss, S.W., Folpe, A.L., 2013. Enzinger and Weiss's Soft Tissue Tumors E-book. Elsevier Health Sciences. Oct 11.
Golovynska, I., Golovynskyi, S., Stepanov, Y.V., Stepanova, L.I., Qu, J., Ohulchanskyy, T.Y., 2021. Red and near-infrared light evokes Ca2+ influx, endoplasmic reticulum release and membrane depolarization in neurons and cancer cells. Journal of
Photochemistry and Photobiology B: Biology. Jan 1;214:112088.
Gupta, S., Kawde, P., Kekatpure, A., Karmore, S., Rathi, R., 2020. Myositis ossificans traumatica of the wrist in elderly: a description of an unusual case. Indian Journal of Forensic Medicine & Toxicology. Oct 29;14(4):6905- 7.
Herdiansyah, D., Prabowo, T., Goesasi, R.Z., 2017. The difference on pain and range of motion after high- intensity laser therapy on myositis ossificans of the right deltoid muscle: a case report. Indonesian Journal of Physical Medicine and Rehabilitation. Jun 1;6(01):42-6.
Kopacz-Dósa, B., Vulturar, R., Vele, P., Damian, L., 2021. Myositis ossificans: a short review. Health, Sports & Rehabilitation Medicine. Oct 1;22(4).
Lee, D., Seo, Y., Kim, Y.W., Kim, S., Bae, H., Choi, J., Lim,
I., Bang, H., Kim, J.H., Ko, J.H., 2019. Far-infrared radiation stimulates platelet-derived growth factor mediated skeletal muscle cell migration through extracellular matrix-integrin signaling. The Korean Journal of Physiology & Pharmacology. Mar 1;23(2):141-50.
Li, W.T., Horng, S.Y., Chien, H.F., 2016. Abdominis rectus intramuscular myositis ossificans. Formosan Journal of Surgery. Feb 1;49(1):20-6.
Lungu, S.G., 2011. Case report-myositis ossificans: two case presentations. Medical Journal of Zambia. 38(2):25-31.
Mavrogenis, A.F., Soucacos, P.N., Papagelopoulos, P.J., 2011. Heterotopic ossification revisited. Orthopedics. Mar 11;34(3).
Medici, D., Olsen, B.R., 2012. The role of endothelial‐ mesenchymal transition in heterotopic ossification. Journal of Bone and Mineral Research. Aug;27(8):1619-22.
Miller, A.E., Davis, B.A., Beckley, O.A., 2006. Bilateral and recurrent myositis ossificans in an athlete: a case report and review of treatment options. Archives of Physical Medicine and Rehabilitation. Feb 1;87(2):286-90.
Olvi, L.G., Santini-Araujo, E., 2015. Myositis ossificans. tumors and tumor-like lesions of bone: for surgical pathologists. Orthopedic Surgeons and Radiologists. 777-92.
Patil, S., Iyengar, A.R., Kotni, R.M., Subash, B.V., Joshi, R.K., 2016. Evaluation of efficacy of ultrasonography in the assessment of transcutaneous electrical nerve stimulation in subjects with myositis and myofascial pain. The Korean Journal of Pain. Jan 31;29(1):12-7.
Reeves, J.L., Graff-Radford, S.B., Shipman, D. The effects of transcutaneous electrical nerve stimulation on experimental pain and sympathetic nervous system response. Pain Medicine Journal. 5: 150–161, doi: 10.1111/pme.2004.5.issue-2.
Saad, A., Azzopardi, C., Patel, A., Davies, A.M., Botchu, R., 2021. Myositis ossificans revisited–the largest reported case series. Journal of Clinical Orthopaedics and Trauma. Jun 1;17:123-7.
Savvidou, O., Papakonstantinou, O., Lakiotaki, E., Melissaridou, D., Korkolopoulou, P., Papagelopoulos, P.J., 2021. Post-traumatic myositis ossificans: a benign lesion that simulates malignant bone and soft tissue tumours. EFORT open reviews. Jul 8;6(7):572-83.
Schultzel, M.M., Johnson, M.H., Rosenthal, H.G., 2014. Bilateral deltoid myositis ossificans in a weightlifter using anabolic steroids. Orthopedics. Sep 1;37(9):e844- 7.
Starkey, C., 2015. Recursos Terapêuticos em Fisioterapia.1st edn.São Paulo: Manole
Torrance, D.A., Degraauw, C., 2011. Treatment of post- traumatic myositis ossificans of the anterior thigh with extracorporeal shock wave therapy. The Journal of the Canadian Chiropractic Association. Dec;55(4):240.
Tsagkaris, C., Papazoglou, A.S., Eleftheriades, A., Tsakopoulos, S., Alexiou, A., Găman, M.A., Moysidis, D.V., 2022. Infrared radiation in the management of musculoskeletal conditions and chronic pain: a systematic review. European Journal of Investigation in Health, Psychology and Education. Mar 14;12(3):334-43.
Walczak, B.E., Johnson, C.N., Howe, B.M., 2015. Myositis ossificans. Journal of the American Academy of Orthopaedic Surgeons. Oct 1;23(10):612-22.
Wang, H., Nie, P., Li, Y., Hou, F., Dong, C., Huang, Y., Hao, D., 2018. MRI findings of early myositis ossificans without calcification or ossification. BioMed Research International. Sep 3;2018
Zietkiewicz, J.M., 2014. Post-traumatic myositis ossificans.
SA Journal of Radiology. 18(2).
Zotz, T.G., de Paula, J.B., 2015. Influence of transcutaneous electrical stimulation on heterotopic ossification: an experimental study in Wistar rats. Brazilian Journal of Medical and Biological Research. Aug 18;48:1055-62.
Zuim, P.R., Garcia, A.R., Turcio, K.H., Hamata, M.M., 2006. Evaluation of microcurrent electrical nerve stimulation (MENS) effectiveness on muscle pain in temporomandibular disorders patients. Journal of Applied Oral Science. 14:61–66. PMID: 19089032.