Thomas Simon1, Yannick Guillodo1, Gwenaelle Madouas2, Alain Saraux3. 1. Cabinet de Médecine du Sport du Questel, 260, rue Francis-Thomas, 29200 Brest, France; Department of Rheumatology, CHU de la Cavale Blanche, boulevard Tanguy-Prigent, BP 824, 29609 Brest, France. 2. Cabinet de Médecine du Sport du Questel, 260, rue Francis-Thomas, 29200 Brest, France. 3. Department of Rheumatology, CHU de la Cavale Blanche, boulevard Tanguy-Prigent, BP 824, 29609 Brest, France; EA 2216, Inserm ESPRI, ERI29 Université Bretagne Occidentale, 29200 Brest, France. Electronic address: alain.saraux@chu-brest.fr.
Abstract
OBJECTIVE: Myositis ossificans is a worrisome complication of muscle lesions in sports medicine. Our goal is to specify clinical, paraclinical and therapeutic elements to guide a myositis ossificans traumatica patient back into sport. METHOD: All patients having consulted between January 2006 and December 2012 presenting myositis ossificans with a recent muscle injury from playing sports were included. We excluded patients with myositis ossificans without an identified trauma, or from an old injury (>6 months). Ultrasound images were captured on a Philips(®) Sparq ultrasound machine with a linear probe (4-12MHz). The diagnosis of myositis ossificans was performed on 2 ultrasound criteria in context of recent muscle trauma: presence of ossification or calcification within a muscle on axial and longitudinal sections using B-mode and hyperactivity in power Doppler mode around the ossification/calcification. Clinical signs and treatment were collected systematically at inclusion, 6 months and 1 year. RESULTS: Among the 22 myositis ossificans cases diagnosed between January 2006 and December 2012, 19 were of traumatic origin, on a recent muscle lesion and were included in the study. Our patients resumed light physical activities 3 months after diagnosis for 89.5% of them (100% at 10 months) and returned to their earlier level 6 months after myositis ossificans diagnosis for also 89.5% of them (all patients having resumed sport at their earlier levels 12 months after diagnosis). CONCLUSION: Therapeutic abstention and persistence of ossification do not seem to be detrimental factors for resuming a sport at the earlier level with ultrasound monitoring.
OBJECTIVE:Myositis ossificans is a worrisome complication of muscle lesions in sports medicine. Our goal is to specify clinical, paraclinical and therapeutic elements to guide a myositis ossificans traumaticapatient back into sport. METHOD: All patients having consulted between January 2006 and December 2012 presenting myositis ossificans with a recent muscle injury from playing sports were included. We excluded patients with myositis ossificans without an identified trauma, or from an old injury (>6 months). Ultrasound images were captured on a Philips(®) Sparq ultrasound machine with a linear probe (4-12MHz). The diagnosis of myositis ossificans was performed on 2 ultrasound criteria in context of recent muscle trauma: presence of ossification or calcification within a muscle on axial and longitudinal sections using B-mode and hyperactivity in power Doppler mode around the ossification/calcification. Clinical signs and treatment were collected systematically at inclusion, 6 months and 1 year. RESULTS: Among the 22 myositis ossificans cases diagnosed between January 2006 and December 2012, 19 were of traumatic origin, on a recent muscle lesion and were included in the study. Our patients resumed light physical activities 3 months after diagnosis for 89.5% of them (100% at 10 months) and returned to their earlier level 6 months after myositis ossificans diagnosis for also 89.5% of them (all patients having resumed sport at their earlier levels 12 months after diagnosis). CONCLUSION: Therapeutic abstention and persistence of ossification do not seem to be detrimental factors for resuming a sport at the earlier level with ultrasound monitoring.
Authors: Enrice I Huenerfauth; Viktor Molnár; Marco Rosati; Malgorzata Ciurkiewicz; Franz J Söbbeler; Oliver Harms; Robert Hildebrandt; Wolfgang Baumgärtner; Andrea Tipold; Holger A Volk; Jasmin Nessler Journal: Front Vet Sci Date: 2022-07-04