myositis ossificans

[rpreetipj]

i have a pt with head injury with (R)feur fracture fixated with internal fixation and (L) ischial fracture fixated with k wire and (L)elbow lower end humerus with olecranon frature with radial head fracture all fixtaed with k wire with radial nerve palsy
2 months old pt on partial weight bearing
but developed myositis ossificans of elbow
advise me on this
how shd i go about it
range is 80-100 degrees

Similar Threads:

• Lapdancer went too hard. Contusion? Worried about myositis ossificans
• Inclusion Body Myositis
• Traumatic myositis ossificans
• Heterotopic Ossification Versus Myositis Ossificans
• myositis ossificans

[junior_physiotherapist]

hello all colleagues

just tell the agr of yours pt , i'd like to tell u that this ossification tissue u have to give it 3 to 4 month to resolve spontanuously during this u have to give him gentel hold -relax teqniches with gentl mobilizing exs. and more activation to active &gradual weight bearing exs .

remember u if s/he childe don't weight alotof u have to be in contact with the physician

Realy i have a current experience wirh child and so i a chieved with her great results estimated by her orthopedic physician.

All bes t

[emad]

Hi all :

Seems a complex orthopedic patient following accident , you have much work with this patient because of the femur and that radial nerve injury ! why not addressing all that and gives the elbow some time to resolve that myositis Ossification .

I think just gentle active motion is good for that elbow .

Cheers
Emad

[stalinphysio]

nothing 2 worry it , if u have any bandage r pop pls remove it as quick as possible and continue u r activ ex and if u have any pain , go 4 wax and apply mets and joint mobilzation ex and conti 4 week we con ge improvement . from this we can avoid the ossi replay after the week

[drarunpt]

Dear

I have a patient 8 year old boy had fall and supra condylar #. He was treated by traditional bone setters (!!!!!). He presents with elbow stiffness ROM is 95 degree Flexion (Prom) and 30 degree ext (PROM). When I give little pressure at the end of flexion he feels pain in the palm.

His X ray shows myositis both Ant and posterior aspect of the elbow joint.
I am continuing with active exercises and hold relax at the end of flexion range. I have started weight bearing exercise thro elbow.

Extension limited due to biceps contracture. so I am continuing the passive stretching.

can anybody say am I going in the right way or.....? needs advice

[mageshanand]

Hi Arun,

you must be knowing that, passive stretching is a strict NO NO in myositis ossificans, though you have been doing hold relax which is a alright thing to do... you also mentioned about doing passive stretching which according to me you have to STOP immediately.... its going to worsen the condition.... i would suggest you to start IONTOPHORESIS, if i am right i think you should try with acetic acid ! try to refer to some literature about the dosage... otherwise continue with active movements only but no massage or stretching .... cheers

[drarunpt]

Hi Magesh Anand
Thank you for your reply. Any more thing other than IONTOPHORESIS? because the place where I am working doesn't have much facility to give IONTOPHORESIS. Any how thanks lot

[atarunpt]

Hi Magesh Anand and every one

I want to do the iontophorosis with acetic acid for my patient. To be honest I haven't done it so far in my career . Can any body explain me the procedure and the way to prepare 2 % acetic acid solution. Preparing the treatment area and dosage too. I have only the theory knowledge .

I read in some article that pulsed Ultra sound also helpful, But any body come across any evidence please let me know.

Thank you all in advance.
Arun

[elbow_joint]

Hi, i had elbow capitellium fracture in june 2010 and open reduced with 2 herbert screws, after that started physiotherapt in the 4th week post op i got full extension, i went to another physio there he did passive moments and bended by elbow for increasing flexion. after that in the x-ray i have developed some bone like shade under my elbow joint.
my orhto-surgeon said it is myositis ossificans and he asked me to do active exercises. i was doing exercise and improved flexion to 120 degrees but, that bony shade has increased to 8-10 times and iam not able to get extension. iam getting extension 30 degrees only. doctor said that because of myositis iam not able to get extension. recently, i had operated and removed the implants. Now please suggest me to increase the Extension and to reduce the Myositis ossicication, as because of this iam not getting a good extension in the hand. I will be very thankful. Thank you.