Recalcitrant Ulnar-Sided Hand Pain in a Collegiate Golfer: A Case Report

Area of Science:

• Orthopedics
• Sports Medicine
• Radiology

Background:

• Myositis ossificans is a benign condition characterized by heterotopic ossification in muscle or soft tissues, often following trauma.
• Ulnar-sided hand pain can present diagnostic challenges due to complex anatomy and varied etiologies.
• Collegiate athletes, particularly golfers, are susceptible to overuse injuries and trauma affecting the hand and wrist.

Observation:

• A collegiate golfer presented with persistent right ulnar-sided hand pain after a golf swing impact.
• Initial conservative management and workup failed to alleviate symptoms.
• Ultrasound imaging revealed myositis ossificans in the abductor digiti minimi muscle.

Findings:

• Diagnosis of myositis ossificans was confirmed via ultrasound in the abductor digiti minimi muscle.
• Ultrasound-guided fenestration and corticosteroid injection (lidocaine and dexamethasone) were performed.
• The patient experienced complete resolution of ulnar-sided hand pain post-intervention.

Implications:

• This case underscores the necessity of considering myositis ossificans in athletes with refractory ulnar-sided hand pain.
• Diagnostic imaging, such as ultrasound, is crucial for identifying soft tissue ossification.
• Targeted minimally invasive treatments can effectively manage myositis ossificans, restoring function and alleviating pain in athletes.