Abstract:
UNASSIGNED: Myositis ossificans traumatica (MOT) is a self-limiting and self-resolving pathology. In most cases, conservative treatment is chosen as the first step. Surgical treatment is reserved for cases of failure of conservative treatment with persistence of pain and mass. The case presented concerns an 18-year-old soccer player suffering from bilateral adductor longus (AL) MOT results following two different sports injuries. The patient reports the appearance of swelling and palpable mass at the proximal and medial region of the thigh, about 2 cm from the pubic symphysis, along the course of the adductor magnus. The radiological investigation showed the presence of a calcification along the course of the right and left AL muscles. Surgical treatment was considered for the right thigh injury, being symptomatic 1 year after the onset and refractory to other treatments. At 3 months of follow-up, the patient was asymptomatic and completed the rehabilitation program for the recovery of muscle strength and range of motion (ROM). In cases where MOT manifests with resistant pain, ROM restriction and daily activity reduction, surgical excision is the preferred option.
摘要:
■骨化性肌炎(MOT)是一种自我限制和自我解决的病理。在大多数情况下,选择保守治疗作为第一步。手术治疗保留用于保守治疗失败并持续疼痛和肿块的病例。此案涉及一名18岁的足球运动员,患有两种不同的运动损伤后的双侧内收肌(AL)MOT结果。患者报告大腿近端和内侧区域出现肿胀和明显肿块,距耻骨联合约2厘米,沿着内收肌马格努斯的路线。放射学研究显示,沿左右AL肌肉的过程中存在钙化。右大腿损伤考虑手术治疗,发病后1年有症状,对其他治疗无效。随访3个月时,患者无症状,完成了恢复肌肉力量和活动范围(ROM)的康复计划.在MOT表现为抗性疼痛的情况下,ROM限制和日常活动减少,手术切除是首选。