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Post-traumatic myositis ossificans circumscripta: an unusually large example.

William Todd1, Philip J Gianfortune, Todd Laughner

  • 1Department of Medicine, Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, 3333 Green Bay Rd, North Chicago, IL 60064, USA.

Journal of the American Podiatric Medical Association
|May 18, 2007
PubMed
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A rare case of extensive post-traumatic myositis ossificans circumscripta in the foot was successfully treated with surgical excision. This condition, often misdiagnosed, highlights the importance of accurate diagnosis and complete removal for long-term recovery.

Area of Science:

  • Orthopedics
  • Trauma Surgery
  • Radiology

Background:

  • Post-traumatic myositis ossificans circumscripta (OMC) is a benign condition characterized by heterotopic ossification in soft tissues following trauma.
  • Recurrent cases can be challenging to manage, often requiring multiple surgical interventions.

Observation:

  • A 66-year-old female presented with a painful, nonmobile mass in her right foot.
  • She had a history of four prior surgeries for a recurring 'calcified hematoma' stemming from an injury 30 years earlier.

Findings:

  • An unusually large ossific mass measuring 7.0 x 7.0 x 2.0 cm was identified.
  • The mass was surgically excised and confirmed to be consistent with post-traumatic myositis ossificans circumscripta.

Implications:

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  • Complete surgical excision is an effective treatment for large and recurrent post-traumatic myositis ossificans circumscripta.
  • Accurate diagnosis is crucial to differentiate OMC from other bone and soft tissue tumors.
  • Long-term follow-up confirmed no recurrence of symptoms or mass after 3 years.