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

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 compl...

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Autores principales:	Jiayuan Chen, Qilin Li, Tianjing Liu, Guoqiang Jia, Enbo Wang
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	supracondylar humerus fracture brachialis myositis ossificans operative treatment child Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/0e0e83509cf24e18bd67709a4b4c0eae
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spelling	oai:doaj.org-article:0e0e83509cf24e18bd67709a4b4c0eae2021-11-18T06:39:00ZBridging Myositis Ossificans After Supracondylar Humeral Fracture in a Child: A Case Report2296-236010.3389/fped.2021.746133https://doaj.org/article/0e0e83509cf24e18bd67709a4b4c0eae2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.746133/fullhttps://doaj.org/toc/2296-2360Background: 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.Jiayuan ChenQilin LiTianjing LiuGuoqiang JiaGuoqiang JiaEnbo WangFrontiers Media S.A.articlesupracondylar humerus fracturebrachialismyositis ossificansoperative treatmentchildPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	supracondylar humerus fracture brachialis myositis ossificans operative treatment child Pediatrics RJ1-570
spellingShingle	supracondylar humerus fracture brachialis myositis ossificans operative treatment child Pediatrics RJ1-570 Jiayuan Chen Qilin Li Tianjing Liu Guoqiang Jia Guoqiang Jia Enbo Wang Bridging Myositis Ossificans After Supracondylar Humeral Fracture in a Child: A Case Report
description	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.
format	article
author	Jiayuan Chen Qilin Li Tianjing Liu Guoqiang Jia Guoqiang Jia Enbo Wang
author_facet	Jiayuan Chen Qilin Li Tianjing Liu Guoqiang Jia Guoqiang Jia Enbo Wang
author_sort	Jiayuan Chen
title	Bridging Myositis Ossificans After Supracondylar Humeral Fracture in a Child: A Case Report
title_short	Bridging Myositis Ossificans After Supracondylar Humeral Fracture in a Child: A Case Report
title_full	Bridging Myositis Ossificans After Supracondylar Humeral Fracture in a Child: A Case Report
title_fullStr	Bridging Myositis Ossificans After Supracondylar Humeral Fracture in a Child: A Case Report
title_full_unstemmed	Bridging Myositis Ossificans After Supracondylar Humeral Fracture in a Child: A Case Report
title_sort	bridging myositis ossificans after supracondylar humeral fracture in a child: a case report
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/0e0e83509cf24e18bd67709a4b4c0eae
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Bridging Myositis Ossificans After Supracondylar Humeral Fracture in a Child: A Case Report

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