Abstract

In the following case study an atypical presentation of myositisossificans (MO) in the superior anterolateral thigh of a youngsoccer player is discussed. This case demonstrates that MO canpresent without obvious history of trauma, which makes thediagnosis of this condition more challenging. The most importantdifferential diagnosis is malignant osteosarcoma or soft-tissuesarcoma, which usually presents without trauma. Additionallyboth pathologies typically occur in the same population.Keywords: case report, ossification, osteosarcoma

Highlights

  • Myositis ossificans (MO) is defined as a localised formation of heterotopic non-neoplastic bone in muscle or soft tissue.[1]. It usually presents as a complication of traumatic muscle injury and is most likely to develop in high-risk sites of injury such as the quadriceps and biceps muscle

  • A 21-year-old male recreational soccer player presents with a three-week history of right hip pain during kicking, sprinting and climbing stairs, preceded by eight months of stiffness

  • Since the patient has recovered to his previous level of participation in myositis ossificans (MO) is a known complication of muscle injury where calcification proceeds to ossification in muscle or soft tissue.[2]

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Summary

ORIGINAL RESEARCH

M Bultheel, MD, M Med (Sports Med); JH Kirby, MBChB, MSc (Sports Med); JT Viljoen, BSc (Physio), MPhil (Exercise Sci); PL Viviers, MBChB, M Med Sc, MSc (Sports Med), FACSM. In the following case study an atypical presentation of myositis ossificans (MO) in the superior anterolateral thigh of a young soccer player is discussed This case demonstrates that MO can present without obvious history of trauma, which makes the diagnosis of this condition more challenging. Myositis ossificans (MO) is defined as a localised formation of heterotopic non-neoplastic bone in muscle or soft tissue.[1] It usually presents as a complication of traumatic muscle injury and is most likely to develop in high-risk sites of injury such as the quadriceps and biceps muscle. A 21-year-old male recreational soccer player presents with a three-week history of right hip pain during kicking, sprinting and climbing stairs, preceded by eight months of stiffness He noticed a hard lump in the upper thigh on which he unsuccessfully performed self-facilitated massage to release the area. Since the patient has recovered to his previous level of participation in

Discussion
Conclusion
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