Volume 25, Issue 117, November 2021

An extremely favourable outcome in a case of severe myositis ossificans of elbow

Hitendra Wamborikar¹, Prateek Upadhyay², Naresh Dhaniwala³, Arzoo Chadha⁴, Ankit Jaiswal²

¹Assistant Professor, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
²Post Graduate Resident, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
³Professor, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
⁴Post Graduate Resident, Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India

ABSTRACT

Introduction: Myositis ossificans (MO) is a self-limiting, reparative disease characterised by growing fibroblasts in soft tissues that develop bone and cartilage Fractures of the distal humerus, on the other hand, account for around 2% of all fractures. Most cases progress to malunion if left unaddressed, but myositis ossificans is a large concern that contributes to increased deformity and compromised limb functioning. Delay in obtaining treatment is rather problematic because of the passage of major nerves and vessels around the distal humerus and delayed operative management has no positive effects on regaining the normalcy in the limb function. Surgical intervention requires open reduction and internal fixation with plate osteosynthesis, ulnar and median nerve preservation and rigorous post operative rehabilitation. Case: A 21 years old male came with 2 months old history of pain, restricted mobility in right elbow. Xray and CT scan of right elbow showed Bi-columnar low T fracture of the right distal humerus. Patient was managed with open reduction and internal fixation with bi-columnar plating, meticulous dissection of the myositis ossificans and ulnar nerve release.

Keywords: Distal Humerus fracture, Myositis ossificans, ulnar nerve entrapment

Medical Science, 2021, 25(117), 2925-2930

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