BMJ Case Reports 2009; doi:10.1136/bcr.07.2008.0381
  • Unusual presentation of more common disease/injury

An unusual case of bilateral myositis ossificans in a young athlete

  1. Chris M Bleakley1,
  2. Philip Glasgow2,
  3. Michael Webb2,
  4. David Minion2
  1. 1
    University of Ulster, Shore Road, Newtownabbey BT37OQB, UK
  2. 2
    Sports Institute of Northern Ireland, Shore Road, Newtownabbey BT37OQB, UK
  1. Chris M Bleakley, chrisbleakley{at}
  • Published 21 June 2009


This case report describes the occurrence of bilateral myositis ossificans in the rectus femoris muscles of a young Gaelic football player with a long history of recurrent bilateral thigh strain. In each case, clinical diagnosis was followed up with biochemical profiling and sonographic investigations. Management consisted of rest from elite level competition and intense rehabilitation to address any potential risk factors for rectus femoris strain. A 4-week course of acetic acid iontophoresis was administered to the first myositis ossificans lesion on the left thigh; however, as this did not result in any significant changes to the lesion’s dimensions, it was not used on the contralateral lesion. The athlete returned to full sporting capacity 4 months after the first lesion was diagnosed. A 13-month follow-up showed that the athlete continued to play to full capacity with no recurrence of injury.


  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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