scholarly journals Bridging Myositis Ossificans After Supracondylar Humeral Fracture in a Child: A Case Report

2021 ◽  
Vol 9 ◽  
Author(s):  
Jiayuan Chen ◽  
Qilin Li ◽  
Tianjing Liu ◽  
Guoqiang Jia ◽  
Enbo Wang

Background: Myositis ossificans is an uncommon complication of trauma and surgery, defined as ossifying changes in a non-osseous tissue such as muscles. It happens after tissue injury, with or without fractures. When myositis ossificans occurs around a joint, it can cause ankylosis, leading to complete dysfunction of the joint. Though it has been described in most parts of the body, bridging myositis ossificans involving the elbow joint were scarcely reported.Case Presentation: We report a severe case of myositis ossificans after a supracondylar humerus fracture in a 9-year-old child. In this case a palpable painless mass appeared following the fracture and surgical trauma. Ultrasound or X-ray is of significant diagnostic value. The brachialis was completely ossified and formed a bony bridge around the elbow, causing complete ankylosis. The bone mass was surgically removed through a bilateral less-invasive approach with less surgical trauma 9 months after initial presentation. we applied bone wax to the fresh bone wounds to prevent the formation of hematocele. Indomethacin, a non-steroidal anti-inflammatory drug, was administered after the operation to suppress bone proliferation in our case. Our patient had the best possible functional status and no recurrence at 2 years' follow-up.Conclusion: Elbow myositis ossificans in children may mainly affects the brachialis. A bilateral less-invasive approach is sufficient to remove the bone mass with less surgical trauma. This case also provides a new reference for the treatment of myositis ossificans after the elbow injuries.

Author(s):  
Petar Risteski ◽  
Nadejda Monsefi ◽  
Aleksandra Miskovic ◽  
Tanja Josic ◽  
Sherife Bala ◽  
...  

2017 ◽  
Vol 23 (3) ◽  
pp. 161-163
Author(s):  
Norikazu Kawai ◽  
Takeshi Kawaguchi ◽  
Motoaki Yasukawa ◽  
Takashi Watanabe ◽  
Takashi Tojo

2011 ◽  
Vol 75 (7) ◽  
pp. 1573-1574 ◽  
Author(s):  
Naoya Matsumoto ◽  
Yasuyuki Suzuki ◽  
Ken Nagao ◽  
Atsushi Hirayama ◽  
Yuichi Sato

2009 ◽  
Vol 87 (1) ◽  
pp. 238-243 ◽  
Author(s):  
Dominique Gossot ◽  
Costin Radu ◽  
Philippe Girard ◽  
Axel Le Cesne ◽  
Sylvie Bonvalot ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Tadatsugu Morimoto ◽  
Masatsugu Tsukamoto ◽  
Tomohito Yoshihara ◽  
Motoki Sonohata ◽  
Masaaki Mawatari

The selection of an anterior, lateral, or posterior approach to the cervicothoracic junction for surgical treatment of vertebral osteomyelitis is still a matter of debate. These ordinary approaches generally require an extensile exposure. This article describes a less invasive approach case of a vertebral osteomyelitis of T2/3 using a video-assisted operating technique of thoracic surgery (VATS). A 78-year-old female underwent anterior debridement and interbody fusion with bone graft at T2/3 using a lateral surgical approach through a right thoracotomy with VATS. The VATS through two small skin incisions in the axillary region provides a good view without requiring elevation of the scapula with extensile muscle dissection and rib resection. There was no complication without partial lobectomy due to pleural adhesion during the perioperative period. Currently, at 1 year after operation, the patient has no back pain with neurologically normal findings and no inflammation findings (CRP was 0.01 mg/dl). Although the operating field of the upper thoracic level in the lateral approach is generally deep and narrow, the VATS provides a good view and allows us to perform adequate debridement and bone fusion at the T2/3 level with a less invasive approach than those previously described anterior or laterally or posterior approach.


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