Osteomyelitis in a circumscribed non-traumatic myositis ossificans in the leg: report of a case

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DOI:

https://doi.org/10.21615/cesmedicina.6920

Keywords:

myositis ossificans, osteomyelitis, leg, infection, venous ulcer

Abstract

Introduction: myositis ossificans is a subtype of heterotopic ossification, being a complication that occurs after musculoskeletal trauma. Its clinical presentation consists of a stony mass, with defined contours, often painless; frequently located on the extremities. Its diagnosis can be made with an x-ray, where its main differential diagnosis is a neoplasm. The first-line treatment is conservative, with the prevention of its formation being the mainstay of management. Methods: the case of a patient who was admitted under the diagnostic suspicion of osteomyelitis of the right tibia is presented; consulting for an ulcer in the middle third of the medial face, with exposure of apparent bone tissue and secondary infection. Subsequently, the diagnosis of circumscribed non-traumatic myositis ossificans in both legs was made. Results: surgical lavage was performed by the orthopedic team, obtaining cultures and isolating a sensitive germ. A targeted antibiotic treatment was established with an adequate clinical evolution; and finally, the patient was discharged with wound cleansing sessions and elastic compression measures. At the review appointment, a successful evolution of the wound was found, without bone exposure. Conclusion: it is important to highlight that the heterotopic ossifications, like any other bone tissue, can suffer the same complications when exposed to the environment.

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Author Biographies

Nicolas Torres Escobar, Universidad CES

Medico General, Universidad CES. Medellín, Colombia.

Maria Carolina Abril Botero, Universidad de Antioquia

Residente posgrado Ortopedia y Traumatología, Universidad de Antioquia. Medellín, Colombia.

Alejandro Oquendo Ruiz, Universidad CES

Residente posgrado Anestesiología, Universidad CES. Medellín, Colombia.

Jorge Mario Cardona Alvarez, Fundación Clínica del Norte

Cirujano ortopedista y traumatólogo, Fundación Clínica del Norte. Medellín, Colombia.

References

Meyers C, Lisiecki J, Miller S, Levin A, Fayad L, Ding C, et al. Heterotopic Ossification: A Comprehensive Review. JBMR Plus. 2019;3(4):e10172.

Xu R, Hu J, Zhou X, Yang Y. Heterotopic ossification: Mechanistic insights and clinical challenges. Bone. 2018;109:134-42.

Walczak BE, Johnson CN, Howe BM. Myositis Ossificans. J Am Acad Orthop Surg. octubre de 2015;23(10):612-22.

Sharma V, Sharma D, Dinar H, Dhatariya KK. Myositis ossificans in the diabetic foot: a review of the literature with an illustrative case series. JRSM Open. diciembre de 2019;10(12):2054270419885231.

L. Folpe A, Y. Inwards C. “Osteocartilaginous tumors,”. En: Bone and soft tissue pathology. a volume in the series foundations in diagnostic pathology. Philadelphia: Saunders-Elsevier; 2010. p. 239-54.

Oc Y, Ozcan MS, Sezer HB, Kilinc BE, Eren OT. Nontraumatic Myositis Ossificans of Hip: A Case Presentation. Case Rep Orthop [citado 31 de marzo de 2020];2016. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4942593/

Nhamoucha Y, Alaoui O, Alaoui C, Abdellaoui H, Tazi M, Oukhoya M, et al. La myosite ossifiante circonscrite du coude: à propos d’un cas. Pan Afr Med J [citado 31 de marzo de 2020];24.

Yazici M, Etensel B, Gürsoy MH, Aydoğdu A, Erkuş M. Nontraumatic myositis ossificans with an unusual location: case report. J Pediatr Surg. noviembre de 2002;37(11):1621-2.

Sha II, Edwin A, Roy S. A rare case report of osteomyelitis of myositis ossificans traumatica mass in leg. Journal of Orthopaedics and Spine. 7 de enero de 2019;7(2):76.

Mishra PK, Singhal P, Shukla J, Maravi DS. Osteomyelitis of Myositis Ossificans in Arm – First Case Report. J Orthop Case Reports. 2014;4(4):57-9.

Katagiri T, Tsukamoto S, Nakachi Y, Kuratani M. Discovery of Heterotopic Bone-Inducing Activity in Hard Tissues and the TGF-β Superfamily. Int J Mol Sci. 13 de noviembre de 2018;19(11).

Pacifici M. Acquired and congenital forms of heterotopic ossification: new pathogenic insights and therapeutic opportunities. Curr Opin Pharmacol. 2018;40:51-8.

Dubuisson A, Lombard A, Otto B. Pseudomalignant Myositis Ossificans of the Neck in a Child: Case Report and Review of the Literature. World Neurosurg. octubre de 2019;130:95-7.

Defoort S, Arnout NA, Debeer PD. Myositis ossificans circumscripta of the triceps due to overuse in a female swimmer. Int J Shoulder Surg. enero de 2012;6(1):19-22.

Shah ZA, Rausch S, Arif U, El Yafawi B. Fibrodysplasia ossificans progressiva (stone man syndrome): a case report. Journal of Medical Case Reports. 1 de diciembre de 2019;13(1):364.

Nishio J, Nabeshima K, Iwasaki H, Naito M. Non-traumatic myositis ossificans mimicking a malignant neoplasm in an 83-year-old woman: a case report. J Med Case Reports. 12 de agosto de 2010;4:270.

El Bardouni A, Boufettal M, Zouaidia F, Kharmaz M, Berrada MS, Mahassini N, et al. Non-traumatic myositis ossificans circumscripta: A diagnosis trap. J Clin Orthop Trauma. diciembre de 2014;5(4):261-5.

Pignolo RJ, Baujat G, Brown MA, De Cunto C, Di Rocco M, Hsiao EC, et al. Natural history of fibrodysplasia ossificans progressiva: cross-sectional analysis of annotated baseline phenotypes. Orphanet J Rare Dis. 03 de 2019;14(1):98.

Portada Revista CES Medicina Vol 37 no. 1 2023

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Published

2023-04-10

How to Cite

Torres Escobar, N., Abril Botero, M. C., Oquendo Ruiz, A., & Cardona Alvarez, J. M. (2023). Osteomyelitis in a circumscribed non-traumatic myositis ossificans in the leg: report of a case. CES Medicina, 37(1), 132–142. https://doi.org/10.21615/cesmedicina.6920

Issue

Vol. 37 No. 1 (2023): CES Medicina

Section

Reporte de caso

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