Skip to main content
SpringerLink
Log in

MR imaging and ultrasonography findings of early myositis ossificans: a case report

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Myositis ossificans (MO) is a benign soft tissue lesion with non-neoplastic heterotopic bone formation. MO in the intermediate and mature stages can be easily diagnosed if characteristic imaging findings such as a peripheral zonal pattern of ossification with variable thickness is observed. However, it is difficult to correctly diagnose early MO because it can mimic malignancy clinically, radiologically, and histopathologically. We report a case of early pseudosarcomatous phase of non-traumatic MO with atypical imaging findings. A 59-year-old woman presented with pain followed by a mass in the left thigh within a week. MR imaging and ultrasonography showed an intramuscular lesion with preserved muscle fascicles in the vastus lateralis muscle. Intralesional ossification or calcification was not seen on ultrasonography. A diagnosis of myositis ossificans was made by ultrasonographically guided biopsy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Walczak BE, Johnson CN, Howe BM. Myositis ossificans. J Am Acad Orthop Surg. 2015;23(10):612–22.

    Article  PubMed  Google Scholar 

  2. De Smet AA, Norris MA, Fisher DR. Magnetic resonance imaging of myositis ossificans: analysis of seven cases. Skelet Radiol. 1992;21(8):503–7.

    Article  Google Scholar 

  3. Gindele A, Schwamborn D, Tsironis K, Benz-Bohm G. Myositis ossificans traumatica in young children: report of three cases and review of the literature. Pediatr Radiol. 2000;30(7):451–9.

    Article  CAS  PubMed  Google Scholar 

  4. Russo R, Hughes M, Manolios N. Biopsy diagnosis of early myositis ossificans without radiologic evidence of calcification: success of early surgical resection. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis. 2010;16(8):385–7.

    Google Scholar 

  5. Tyler P, Saifuddin A. The imaging of myositis ossificans. Semin Musculoskelet Radiol. 2010;14(2):201–16.

    Article  PubMed  Google Scholar 

  6. Hatano H, Morita T, Kobayashi H, Ito T, Segawa H. MR imaging findings of an unusual case of myositis ossificans presenting as a progressive mass with features of fluid-fluid level. J Orthop Sci Off J Jpn Orthop Assoc. 2004;9(4):399–403.

    Google Scholar 

  7. Nishio J, Nabeshima K, Iwasaki H, Naito M. Non-traumatic myositis ossificans mimicking a malignant neoplasm in an 83-year-old woman: a case report. J Med Case Rep. 2010;4:270.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Abate M, Salini V, Rimondi E, Errani C, Alberghini M, Mercuri M, et al. Post-traumatic myositis ossificans: sonographic findings. J Clin Ultrasound JCU. 2011;39(3):135–40.

    Article  PubMed  Google Scholar 

  9. Yigit H, Turgut AT, Kosar P, Astarci HM, Kosar U. Proliferative myositis presenting with a checkerboard-like pattern on CT. Diagn Interv Radiol. 2009;15(2):139–42.

    PubMed  Google Scholar 

  10. Kransdorf MJ, Meis JM, Jelinek JS. Myositis ossificans: MR appearance with radiologic-pathologic correlation. AJR Am J Roentgenol. 1991;157(6):1243–8.

    Article  CAS  PubMed  Google Scholar 

  11. Yamaga K, Kobayashi E, Kubota D, Setsu N, Tanaka Y, Minami Y, et al. Pediatric myositis ossificans mimicking osteosarcoma. Pediatr Int Off J Jpn Pediatr Soc. 2015;57(5):996–9.

    Article  Google Scholar 

  12. Luczynska E, Kasperkiewicz H, Domalik A, Cwierz A, Bobek-Billewicz B. Myositis ossificans mimicking sarcoma, the importance of diagnostic imaging—case report. Pol J Radiol / Pol Med Soc Radiol. 2014;79:228–32.

    Google Scholar 

  13. Simon T, Guillodo Y, Madouas G, Saraux A. Myositis ossificans traumatica (circumscripta) and return to sport: a retrospective series of 19 cases. Joint Bone Spine Rev Rhum. 2016;83(4):416–20.

    Article  Google Scholar 

  14. Yochum AM, Reckelhoff K, Kaeser M, Kettner NW. Ultrasonography and radiography to identify early post-traumatic myosistis ossificans in an 18-year-old male: a case report. J Chiropr Med. 2014;13(2):134–8.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Thomas EA, Cassar-Pullicino VN, McCall IW. The role of ultrasound in the early diagnosis and management of heterotopic bone formation. Clin Radiol. 1991;43(3):190–6.

    Article  CAS  PubMed  Google Scholar 

  16. Jarraya M, Parva P, Stone M, Klein MJ, Guermazi A. Atypical proliferative myositis: original MR description with pathologic correlation: case report. Skelet Radiol. 2014;43(8):1155–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Jeju National University Hospital, Aran 13 gil 15 (Ara-1-dong), Jeju-si, Jeju Special Self-Governing Province, 63241, Republic of Korea

    Kyung Ryeol Lee

  2. Department of Radiology, Kyung Hee University Hospital at Gangdong, 892, Dongnam-ro, Gangdong-gu, Seoul, 134-727, Republic of Korea

    So Young Park & Wook Jin

  3. Department of Pathology, Kyung Hee University Hospital at Gangdong, 892, Dongnam-ro, Gangdong-gu, Seoul, 134-727, Republic of Korea

    Kyu Yeoun Won

Authors
  1. Kyung Ryeol Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. So Young Park
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Wook Jin
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Kyu Yeoun Won
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to So Young Park.

Ethics declarations

Conflict of interest

The authors declare that there is no actual or potential conflict of interest in relation to this article.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, K.R., Park, S.Y., Jin, W. et al. MR imaging and ultrasonography findings of early myositis ossificans: a case report. Skeletal Radiol 45, 1413–1417 (2016). https://doi.org/10.1007/s00256-016-2441-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-016-2441-4

Keywords

Search

Navigation