𝙏𝙝𝙞𝙨 𝙞𝙨 𝙬𝙝𝙮 𝙬𝙚 𝙙𝙤𝙣'𝙩 𝙧𝙚𝙘𝙤𝙢𝙢𝙚𝙣𝙙 '𝙈𝙖𝙨𝙨𝙖𝙜𝙚' 𝙖𝙛𝙩𝙚𝙧 𝙏𝙧𝙖𝙪𝙢𝙖/𝙎𝙪𝙧𝙜𝙚𝙧𝙮 》𝙈𝙮𝙤𝙨𝙞𝙩𝙞𝙨 𝙊𝙨𝙨𝙞𝙛𝙞𝙘𝙖𝙣𝙨 -𝙄𝙣𝙩𝙚𝙧𝙚𝙨𝙩𝙞𝙣𝙜 𝘾𝙖𝙨𝙚

Myositis Ossificans

The 'Myositis ossificans' is an aberrant reparative process that represents formation of benign heterotopic ossification in skeletal muscle. Term Heterotopic Ossification is used for extra ossious bone formation in soft tissues.

Myositis is misnomer as it is not a primary inflammatory pathophysiologic process of muscle. Predisposing factors includes - traumatic injury such as muscle contusion, burns, neurologic insults with head injuries, long term immobilization like paraplegia and extensive surgery.

Clinically, patient with myositis ossificans presents with a painful/painless, palpable soft tissue mass that may be confused to be a neoplastic or inflammatory conditions. If mass is exdending upto the joint then it is bound to restrict the range of motion of particular joint.

Case History:
67 year male patient had history of head injury 2 year back and patient went into coma. Patient was bedridden for almost 8 months follwing which he was started with passive mobilization. Patient was also given massage which the relatives thought could be helpful. Since then patient had consulted many doctors with the complaints of not being able to walk.

Diagnosis :
Extensive myositis ossificans (or Heterotopic ossification) with extra-articular ankylosis of the hip joint secondary to traumatic brain injury.

#educationalVideo #MyositisOssificans #Orthopaedics #HeadInjuryPatient #PassivePhysiotherapy #DrChintanNPatel #HeterotopicOssification #Massage #Physiotherapy #HipAnkylosis #HipCase #CasePresentation

- Dr Chintan N Patel #OrthopaedicSurgeon

Instagram : xtrmeuphoriaz

[neilgohain]

Can you tell me what is the status of the patient now? Did he undergo surgery or was he able to walk without any surgery?