Giant Myositis Ossificans Circumscribed Post Traumatic of Gluteus and Adductor Muscles: Case Report


Myositis ossificans circumscribed is a bone and cartilage heterotopic non neoplastic proliferation inside the soft tissues. It is a benign focal heterotopic ossification process of soft tissues, and a rare disorder that occurs spontaneously or after local trauma. Clinical and radiographic appearances are quite hustler. A careful histological examination of biopsy straightens diagnosis is necessary. There is no consensus in support (surgical or/and medical). From Benign prognosis, evolution of this pathology is usually favorable. The authors report a case of giant myositis ossificans circumscribed post-traumatic localized on gluteus and adductor muscles of the right hip on a 26-year-old man. Through a review of literature the mechanism, the diagnostic methods and therapeutic will be discussed.

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Samba, K. , Stanislas, T. , Abdoulaye, B. , Eric, D. , Brahima, D. , Astrid, N. , Gérard, K. , Marius, V. , Estelle, M. and Sylvain, A. (2015) Giant Myositis Ossificans Circumscribed Post Traumatic of Gluteus and Adductor Muscles: Case Report. Open Journal of Orthopedics, 5, 157-162. doi: 10.4236/ojo.2015.56021.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Thorndike, A. (1940) Myositis Ossificans Traumatica. Journal of Bone Joint Surgery, 22, 315-323.
[2] Neal, B., Gray, H., MacMahon, S. and Dunn, L. (2002) Incidence of Heterotopic Bone Formation after Major Hip. ANZ Journal of Surgery, 72, 808-821.
[3] Petropoulos, A.S. and Sferopoulos, N.K. (1997) Myosite Ossifiante Post-Traumatique du Muscle Psoas Iliaque. Revue de Chirurgie Orthopédique, 83, 747-751.
[4] Baccar, S., Glon, Y., Miquel, A., Rocher, L., Kone, T., Benyoussef, H. and Blery, M. (2003) Imagerie des Tumeurs Primitives des Parties Molles. Feuillet de Radiologie, 43, 391-417.
[5] Garcia-Pinzas, J., Wong, J.E. and Fernández, M.A. (2013) Fibrodysplasia Ossificans Progressiva: Diagnosis in Primary Care. Revista Paulista de Pediatria, 31, 124-128.
[6] Gougeon, J. and Dousset, M. (1970) La Myosite Ossifiante Circonscrite Non Traumatique. Observation Anatomo-Clinique d’un cas et revue générale. Revue du Rhumatisme, 37, 367-373.
[7] Crouzet, J. and Chomette, G. (1983) Myosite Ossifiante Circonscrite non Traumatique. Difficultés Diagnostiques. à propos d’une observation. Revue du Rhumatisme, 50, 213-216.
[8] Battistelli, J.M., Pauline-Balas, D., et al. (1988) Myosite Ossifiante Circonscrites non Traumatique à localisation cervicale. Apport de la tomodensitométrie. Annales de Pédiatrie, 35, 59-63.
[9] Serratrice, G. (1988) Pathologie médicale des muscles striés du squelette, EncyclMéd Chir (Paris-France). Appareil Locomoteur, 10, 12 p.
[10] Jarvinen, Ta.H., Jarvinen, T.L.N., Kaariainen, M., et al. (2007) Muscle Injuries: Optimising Recovery. Best Practice & Research. Clinical Rheumatology, 21, 317-331.
[11] Buselli, P., Coco, V., Notarnicola, A., et al. (2010) Shock Waves in the Treatment of Post-Traumatic Myositis Ossificans. Ultrasound in Medicine & Biology, 36, 397-409.
[12] Yochum, T.R. and Rowe, L.J. (1996) Essentials of Skeletal Radiology. 2nd Edition, Williams and Wilkins, Baltimore.
[13] Miller, A.E., Davis, B.A. and Beckley, O.A. (2006) Bilateral and Recurrent Myositis Ossificans in an Athlete: A Case Report and Review of Treatment Options. Archives of Physical Medicine and Rehabilitation, 87, 286-290.
[14] Diaine, B., Kurzenne, J.Y., Hofman, P. and Coussement, A. (1993) Myosite ossifiante circonscrite pseudo-tumorale de la paroi thoracique. Apport respectif de l’échographie, de la tomodensitométrieet de l’IRM. Journal de Radiologie, 74, 87-90.
[15] Traoré, O., Yilboudo, J., Cissé, R., Compaoré, T.M, Bandré, E. and Ouiminga, R.M. (1998) La myosite ossifiante circonscrite non traumatique. Revue de Chirurgie Orthopédique, 84, 79-83.
[16] Ogilvie-Harris, D.J. and Fornasier, V.L. (1980) Pseudomalignant Myositis Ossificans: Heterotopic New-Bone Formation without a History of Trauma. Journal of Bone and Joint Surgery, 62, 1274-1283.
[17] Leriche, R. and Policard, A. (1926) Les problèmes de la physiologie normale et pathologique de l’os. Masson et Cie, Paris.
[18] Amendola, M.A., Glazer, G.M., Agha, F.P., Francis, I.R. and Weatherbee, L. (1983) Myositis Ossificans Circumscripta: Computed Tomographic Diagnosis. Radiology, 149, 775-779.
[19] Tachdjian, M.O. (1990) Pediatric Orthopedics. 2nd Edition, W.B. Saunders Company, Philadelphia, 2169-2171.
[20] Bronfen, C., Touzet, P.H., Peuchmaur, M., Prieur, A.M. and Rigault, P. (1993) Myosite ossifiante circonscrite non traumatique chez l’enfant. Revue de la littérature: A propos d’un cas simulant une tumeur maligne. Revue de Chirurgie Orthopédique, 79, 229-234.
[21] Cushner, F.D. and Morwessel, R.M. (1995) Myositis Ossificans in Children. Orthopedics, 18, 287-291.
[22] Miao, J., Zhang, C. and Wu, S. (2012) Genetic Abnormalities in Fibrodysplasia Ossificans Progressiva. Genes & Genetic Systems, 87, 213-219.
[23] Chalabi-Benabdallah, A., Zoubir, S., Bendoubaba, R. and Mebarki, F. (2008) SFP-P203—Génétique—La maladie de 2 cas. Archives de Pédiatrie, 15, 1003.
[24] Goldman, A.B. (1976) Myositis Ossificans Circumscripta: A Benign Lesion with a Malignant Differential Diagnosis. American Journal of Roentgenology, 106, 32-40.
[25] Mathonnet, M., Longis, B. and Moulies, D. (1992) Myosite ossifiante circonscrite non traumatique. Problème diagnostique. Ann Orthop Ouest, 24, 91-94.
[26] Bernard, M., Coumbaras, M., Zeitoun, F., Arrivé, L., Tubiana, J.M. and LeHir, P. (2003) Spectre radiologique évolutif de la myosite ossifiante circonscrite. Journal de Radiologie, 84, 54-56.
[27] Masquelet, A.C. and Nordin, J.Y. (1992) Ossifications et tumeurs musculaires en Pathologie chirurgical tome 3. Masson, Paris.

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