PDF(Pubmed)
Abstract：
BACKGROUND: Myositis ossificans (MO) is a rare disease involving the formation of bone outside the musculoskeletal system. While surgical intervention is the main treatment approach, preventing recurrence and standardized rehabilitation are also crucial. Here, we present a surgical strategy to prevent the recurrence of MO.
METHODS: A 28-year-old female patient was admitted for the first time for a comminuted fracture of the left olecranon. However, incorrect postoperative rehabilitation resulted in the development of elbow joint stiffness with ectopic ossification, causing a loss of normal range of motion. The patient was diagnosed with MO based on physical examination, X-ray findings, and clinical presentation. We devised a surgical strategy to remove MO, followed by fixation with an Ilizarov frame, and implemented a scientifically reasonable rehabilitation plan. The surgery lasted for 3 h with an estimated blood loss of 45 mL. A drainage tube was placed after surgery, and fluid was aspirated through ultrasound-guided puncture. The patient experienced a significant reduction in joint stiffness after surgery. In the final follow-up at 9 mouths, there was evident improvement in the range of motion of the elbow joint, and no other symptoms were reported.
CONCLUSIONS: The Ilizarov frame is an advantageous surgical technique for facilitating rehabilitation after MO removal. It offers benefits such as passive recovery, individualized treatment, and prompt recovery.
METHODS: A 28-year-old female patient was admitted for the first time for a comminuted fracture of the left olecranon. However, incorrect postoperative rehabilitation resulted in the development of elbow joint stiffness with ectopic ossification, causing a loss of normal range of motion. The patient was diagnosed with MO based on physical examination, X-ray findings, and clinical presentation. We devised a surgical strategy to remove MO, followed by fixation with an Ilizarov frame, and implemented a scientifically reasonable rehabilitation plan. The surgery lasted for 3 h with an estimated blood loss of 45 mL. A drainage tube was placed after surgery, and fluid was aspirated through ultrasound-guided puncture. The patient experienced a significant reduction in joint stiffness after surgery. In the final follow-up at 9 mouths, there was evident improvement in the range of motion of the elbow joint, and no other symptoms were reported.
CONCLUSIONS: The Ilizarov frame is an advantageous surgical technique for facilitating rehabilitation after MO removal. It offers benefits such as passive recovery, individualized treatment, and prompt recovery.
摘要：
背景：骨化性肌炎（MO）是一种罕见的疾病，涉及肌肉骨骼系统外部的骨骼形成。虽然手术干预是主要的治疗方法，预防复发和规范康复也至关重要。这里,我们提出了预防MO复发的手术策略。
方法：一名28岁女性患者因左侧鹰嘴粉碎性骨折首次入院。然而,不正确的术后康复导致肘关节僵硬与异位骨化的发展，导致正常运动范围的丧失。根据体格检查，患者被诊断为MO，X光检查结果,和临床表现。我们设计了一种切除MO的手术策略，然后用Ilizarov框架固定，并实施了科学合理的康复计划。手术持续3小时，估计失血量为45mL。手术后放置了引流管，通过超声引导穿刺抽吸液体。患者在手术后经历了关节僵硬的显著降低。在9个嘴巴的最后随访中，肘关节的活动范围有了明显的改善，没有其他症状报告。
结论：Ilizarov框架是促进MO去除后康复的有利手术技术。它提供的好处，如被动恢复，个体化治疗,迅速恢复。
方法：一名28岁女性患者因左侧鹰嘴粉碎性骨折首次入院。然而,不正确的术后康复导致肘关节僵硬与异位骨化的发展，导致正常运动范围的丧失。根据体格检查，患者被诊断为MO，X光检查结果,和临床表现。我们设计了一种切除MO的手术策略，然后用Ilizarov框架固定，并实施了科学合理的康复计划。手术持续3小时，估计失血量为45mL。手术后放置了引流管，通过超声引导穿刺抽吸液体。患者在手术后经历了关节僵硬的显著降低。在9个嘴巴的最后随访中，肘关节的活动范围有了明显的改善，没有其他症状报告。
结论：Ilizarov框架是促进MO去除后康复的有利手术技术。它提供的好处，如被动恢复，个体化治疗,迅速恢复。
