Myositis ossificans of bilateral hip joints in a patient with diplegic cerebral palsy
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Published on: September 7, 2022
Monica Juneja1, Rahul Jain, Devendra Mishra
1Department of Pediatrics, Maulana Azad Medical College, New Delhi, India.
Abstract:
Myositis ossificans (MO) occurs in association with musculoskeletal trauma, traumatic and non-traumatic neurologic conditions, joint surgery and rarely as a hereditary disorder. We report a 6-year-old boy with diplegic cerebral palsy who developed MO of his bilateral hip joints after initiating physiotherapy. He responded well to conservative management.
Insights
Myositis ossificans, a bone growth disorder, can occur after physiotherapy in children with cerebral palsy. This case shows conservative management can effectively treat hip joint myositis ossificans in affected children.
Area of Science:
- Orthopedics
- Pediatrics
- Neurology
Background:
- Myositis ossificans (MO) is a condition characterized by abnormal bone formation in soft tissues.
- It is often associated with trauma, neurological disorders, or surgery.
- Hereditary forms are rare.
Observation:
- A 6-year-old boy with diplegic cerebral palsy initiated physiotherapy.
- Following physiotherapy, he developed myositis ossificans affecting both hip joints.
Findings:
- The patient's myositis ossificans was diagnosed and managed conservatively.
- Conservative treatment led to a positive clinical response.
Implications:
- This case highlights a potential complication of physiotherapy in children with cerebral palsy.
- It underscores the efficacy of conservative management for myositis ossificans in this population.
- Further research may explore preventative strategies and optimal physiotherapy protocols.
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