Myositis ossificans of the serratus anterior as a rare complication of massage: a case report.

INTRODUCTION: Myositis ossificans usually occurs in the vicinity of the elbow, knee joints, or hip joints, following obvious trauma or surgery. This is the first report on myositis ossificans of the serratus anterior. CASE PRESENTATION: In this report we present a case of myositis ossificans within the serratus anterior which developed as a complication due to long-term nape massage. The patient was a 29-year-old Han woman. Because heterotopic ossificans constricted her brachial plexus the surface of her right upper arm was slightly numb; the symptom disappeared after surgery. CONCLUSION: This case highlights that myositis ossificans can occur in the serratus anterior following long-term nape massage.

Myositis ossificans in the paraspinal muscles of the neck after acupuncture: a case report.

BACKGROUND CONTEXT: Although traumatic myositis ossificans (MO) has been reported occasionally, MO of paraspinal muscles has been rarely seen in the cervical spine after minor injury. This is difficult to distinguish from benign and malignant soft lesions in cases of a lack of definite trauma history. PURPOSE: We report a case of MO in the cervical paraspinal muscle after acupuncture and describe methods for diagnosis and proper treatment, including classification, etiology, and radiologic and histologic features. STUDY DESIGN: Case report. METHODS: A 26-year-old woman complained of posterior neck pain that had began 2 months earlier and neck swelling after acupuncture. No abnormal finding existed on the X-ray except soft tissue swelling. Magnetic resonance imaging was evaluated because of constant neck pain. To obtain more accurate assessment, computed tomography-guided biopsy was performed and a diagnosis of MO was made. RESULTS: The patient was conservatively treated through rest and analgesics. Posterior neck pain and swelling improved for a several months. The hyperdensity was comparable with the bony density, and the size of the calcified lesion on X-ray diminished until the last follow-up. CONCLUSIONS: Myositis ossificans that can occur after acupuncture should be recognized as a possible cause of persistent neck pain and swelling despite no definite trauma after thorough evaluation of the neoplasm and infection.

The extremes in orthopaedics! Whom to blame?

Traditional medicines especially the herbal paste is routinely prescribed by the herb sellers. The unsupervised combinations and preparations are easily available in our part of world. The demand and supply of such irrational combination is only based on the principle that anything natural is safe. Drugs and preparations made by the people who lack the scientific knowledge of traditional herbal medicines adversely affect the consumer. We put forward few complications that resulted after herbal paste application in those who already had visited the specialist but opted the easily available unsupervised herbal preparations.

Myositis ossificans of the elbow after a trigger point injection.

Trigger point injection is a simple procedure that is widely performed for relieving pain. Even though there are several complications of trigger point injection, myositis ossificans has not been documented as one of its complications. We treated a patient who suffered from painful limitation of elbow motion and this was caused by myositis ossificans between the insertions of brachialis and supinator muscles after a trigger point injection containing lidocaine mixed with saline, and we also review the relevant medical literature.

Myositis ossificans.

Myositis ossificans is a fairly common disorder that typically involves progressive heterotropic bone formation. A typical case is discussed in this paper. The radiographic findings in myositis ossificans are relevant in differentiating it from a malignant bone tumor and a benign process. Myositis ossificans can cause impairment to a joint with poor rehabilitative results. Limitation of joint function and little reabsorption of the heterotopic bone formation is common. Most cases are posttraumatically related with the brachialis and the quadricep femoris muscles frequently involved. This is especially true for sport injuries.

Mismanagement of elbow joint fractures and dislocations by traditional bone setters in Plateau State, Nigeria.

Four out of seven cases of elbow joint fractures and dislocations mismanaged by traditional bone setters in Plateau State, Nigeria are reported. A careful assessment of traditional bone setting as practised today in Nigeria should be made for advocating its integration into modern orthopaedic traumatology.