一例29岁运动女性骨化性肌炎

Mihai Mehedințu, Horia Toader, B. Serban, C. Cirstoiu
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摘要

摘要骨化性肌炎(MO)是一种罕见的疾病,发生在肌肉、肌腱、神经甚至皮下脂肪的异位骨化。MO可发生在所有年龄段的患者中,但通常出现在从事体育运动或有机械创伤、烧伤、感染或药物滥用史的年轻人身上。这篇文章强调了一个29岁的女运动员的病例,她注意到,随机触诊,在她的左二头肌,靠近桡骨插入处有一个小肿块。这个肿块不痛,肉眼也看不出来。建议休息并服用非甾体抗炎药,大约3个月后一切都很好。然而,从那一刻起将近一个星期后,疼痛难以忍受,手臂和前臂都发炎了,她的手臂再也伸直不了,它的周长从最初的24厘米变成了30厘米。活检结果为钙化纤维组织,提示骨化性肌炎。手术的目的是重建肱二头肌肌腱。手术后,肘关节90度夹板固定两周,然后进行动态夹板,活动范围越来越大,直到完全恢复。MO是一种罕见的疾病,涉及许多鉴别诊断,其中一些是致命的,每一种都有自己的特点,不同的影像学方面和不同的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Myositis ossificans in a 29 years old athletic female
Abstract Myositis ossificans (MO) is a rare group of diseases in which heterotopic ossification occurs in muscles, tendons, nerves, or even subcutaneous fat. MO can occur in patients of all ages, but usually appears in young adults who practice sports or have a history of mechanical trauma, burns, infections or drug abuse. The article highlights the case of a 29-year-old athletic female who noticed, by random palpation, a small lump in her left biceps, near the radial insertion. The lump was not painful and noticeable with the naked eye. Rest and NSAIDs were recommended and all went well for about 3 months. However, after almost a week from that moment, the pain was excruciating, inflammation extend on the arm and forearm, she could not extend her arm anymore and its circumference was 30 cm from 24 initially. A biopsy was performed and the result was calcified fibrous tissue with suggestive aspect of myositis ossificans. Surgery was planned with reconstruction of the biceps tendon in mind. After surgery, the elbow was splinted at 90 degrees for two weeks, then dynamic splinting was performed with increasingly wider range of motion until full recovery was achieved. MO is a rare disease that involves many differential diagnoses, some of which are deadly and each with its own particularities, different imaging aspects and different treatments.
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