STIFF ELBOW!! POST TRAUMATIC MYOSITIS OSSIFICANS? A CASE REPORT

Abstract

Myositis Ossicans is dened as Ossication of Haematoma around a joint resulting in formation of bone mass leading to restriction of joint movements completely in majority of cases. This is also known as Heterotopic Ossication, Ectopic Ossication. It is pathological bone formation in soft tissues especially in between muscle planes. It is extensive, progressive benign lesion occurring most commonly in exor muscles of arm, quadriceps muscles, adductor muscles of hip joint in young active adults and athletes [2,3,10] . Massage following trauma is the most aggravating factor of Myositis Ossicans. We report a case of 12 year boy with complaining of stiff elbow since 9 months, restricted elbow joint movements with history of fall while playing 1 year back for which he had taken treatment from local quack with aggressive massaging. There is xed exion deformity of 90°. Clinical examination revealed a palpable bony mass on anterior aspect of elbow and Radiological investigation revealed ossied bony mass bridging elbow joint. Surgical Excision is done and biopsy showed mature stage Myositis Ossicans trabecular bone. Elbow range of movements started and patients has good range of movements with 1 year follow up with good physiotherapy.