What are the treatments for myositis ossificans

Although myositis ossificans is not a very common disease, the patients are often relatively young, mostly children, so the harm caused to children is very great. Although the cause of myositis ossificans has not yet been clearly identified medically, clinical data show that the disease has certain genetic factors and a small part is caused by trauma. Early symptoms may include a crooked neck and torticollis, and the symptoms will become more and more obvious as the child grows older. If your child unfortunately suffers from myositis ossificans, parents and friends should not be discouraged. There are many medical methods for the treatment of myositis ossificans. Here are several methods for treating myositis ossificans for your reference.

Myositis ossificans is a disease in which the progressive deposition of bone structure in muscle and connective tissue causes muscle sclerosis. The cause is unclear. Some of them are inherited in an autosomal dominant manner. Some scholars have reported that there are four factors that cause ossification:

① Irritation factors and contusion lead to hematoma. The injury may be mild, with only a small amount of skeletal muscle or myofibrils damaged.

② Damage signal: Damaged tissues or cells secrete a signal protein.

③ Mesenchymal cells with gene expression defects. These cells can generate bone-like or cartilage-like cells after receiving appropriate signals.

④ There is an environment where ossification tissue occurs continuously, among which the signal gene is the most critical. Urist named this gene BMP.

treat

1. In the early stage (reaction stage), taking myositis ossificans of the elbow as an example, gentle and moderate stroking, touching, kneading, pushing, flicking and plucking techniques are used on the forearm flexor and extensor muscles, biceps and triceps near the elbow joint to loosen the adhesions of the tendons, aponeurosis and muscles. Afterwards, the surgeon holds the wrist of the affected limb with one hand and the upper middle part of the elbow joint with the other hand, applying slight and continuous traction. Then, the surgeon holds the wrist of the affected limb and gently performs painless adduction, abduction, and shaking and circumferential rotation of the elbow joint in the directions of flexion and extension. During the manual therapy, patients are also guided to perform active elbow joint functional exercises without pain or with little pain.

2. In the middle stage (active stage), the affected limb can be massaged according to the early techniques. Then, the surgeon holds the proximal end of the elbow joint of the affected limb with one hand and the middle forearm of the affected limb with the other hand, and gradually flexes and extends the elbow joint passively with a little force. The sound of myositis ossificans breaking and adhesion tearing can often be heard. At this time, the passive movement of the elbow joint can reach a basically normal range. If there is bony obstruction, avoid forced passive flexion and extension to prevent further fractures. Surgical treatment should be performed only after the ossified tissue has gradually matured and been localized. After the manual treatment, instruct the patient to perform functional exercises of the elbow joint mainly with active movements and supplemented by passive movements when the pain is tolerable.

3. In the late stage (ossification stage), surgical removal of ossified tissue and joint release are performed. Use an incision on the outside of the elbow, peel off the lateral condylar ridge of the humerus towards the front and back of the elbow respectively, and after exposing the ossified tissue, remove it and completely loosen the adhesion tissue. Before closing the incision, loosen the tourniquet and carefully stop the bleeding, and place negative pressure drainage. After surgery, the joints were immobilized for 3 weeks and active joint movements were performed to prevent adhesion.