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Case report
Rare case of a traumatic myositis ossificans in the tibialis anterior muscle
  1. Chantal J Nieuwenhuizen,
  2. Peter L J van Veldhoven and
  3. Robert F van Oosterom
  1. Sports Medicine, Medisch Centrum Haaglanden, Den Haag, Zuid-Holland, The Netherlands
  1. Correspondence to Mrs Chantal J Nieuwenhuizen; chantal-nieuwenhuizen{at}hotmail.com

Abstract

Athletes involved in contact sports can be diagnosed with traumatic myositis ossificans. Myositis ossificans is characterised by a benign ossifying lesion in soft tissue mass, most commonly preceded by a muscle contusion in the thigh. Despite the fact that it is often a self-limiting disease, treatment modalities are anti-inflammatory drugs, physiotherapy, shockwave therapy, radiation therapy or surgical resection. We report a 22-year-old competitive football player with severe ongoing pain in the lower leg after a direct trauma. An X-ray showed calcification between the tibia and fibula. An additional ultrasound confirmed the diagnosis: myositis ossificans of the tibialis anterior muscle. After treating him with anti-inflammatory drugs and physiotherapy, he was able to return to sports. Myositis ossificans of the lower leg is an uncommon, though if present, troublesome condition, occurring after a contusion.

  • musculoskeletal and joint disorders
  • accidents, injuries
  • orthopaedics
  • sports and exercise medicine
  • physiotherapy (sports medicine)

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Footnotes

  • Twitter @MCHSport

  • Contributors CJN and PLJvV made substantive intellectual contributions to the published study and wrote the paper. RFvO evaluated clinical conditions and clinical follow-up. All authors revised the manuscript critically.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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