Massive traumatic myositis ossificans

Abstract

Introduction Traumatic myositis ossificans (TMO) is a rare condition, which can jeopardize athletic careers, especially in cases when a large ossification is formed. The aim of this paper is to present the results of treating a large TMO mass by application of physical procedures.

Case outline A TMO mass of large dimensions was detected in a 13-year-old competitive athlete two months after the patient sustained a direct blow to the quadriceps. Physical treatment lasted three months. The patient was able to carry out normal daily activities and recreational sports activities without limitation eight months after the initial injury. The imaging over a five-year follow-up detected a decrease in height and width of the ossification, but also a discrete increase in its length.

Conclusion Physical therapy resulted in full functional recovery, regardless of the massive ossification. The height and width of the ossification was reduced, but its length increased.

Keywords: muscle injures; large ossification; physical therapy