Myositis Ossificans

Myositis ossificans is the ossification caused by the osteogenic progenitor cells released in the periosteal soft tissue with bleeding and hematoma formation (Fig. 64-1). The mass effect it has on the quadriceps muscle after maturation is usually the only sequelae of formation.3 It is commonly painless, unless reinjured by contusion, but may not decrease in size with time. After ath-

Figure 64-1 Myositis ossificans after a quadriceps contusion.

letic thigh contusion, the incidence of myositis ossificans is 9% to 20%.5

Radiographic maturation is usually seen at approximately 4 to 6 months. If a biopsy is performed to rule out osteosarcoma, the biopsy specimen should come from the mature periphery. Serial radiographic follow-up is usually adequate without biopsy. Rarely is the athlete symptomatic or is excision indicated. Increased or specialized padding to protect that area for future contact may be appropriate. If excision is undertaken, it must be done after the bony mass has matured or recurrence may be an issue. Prophylactic treatment with indomethacin postoperatively is recommended.

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Cure Tennis Elbow Without Surgery

Cure Tennis Elbow Without Surgery

Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.

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