Zhou MW, Zhang PW, Zhang AL, Wei CH, Xu YD, Chen W, Fu ZB. Ilizarov technique for treating elbow stiffness caused by myositis ossificans: A case report. World J Clin Cases 2024; 12(17): 3144-3150 [PMID: 38898861 DOI: 10.12998/wjcc.v12.i17.3144]
Corresponding Author of This Article
Ming-Wang Zhou, Doctor, PhD, Doctor, Department of Orthopedics Medicine, Gansu Province Hospital of Chinese Medicine, No. 418 Guazhou Road, Qilihe District, Lanzhou 730050, Gansu Province, China. zmw2006@126.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Ming-Wang Zhou, Chang-Hao Wei, Yu-De Xu, Wei Chen, Zhi-Bin Fu, Department of Orthopedics Medicine, Gansu Province Hospital of Chinese Medicine, Lanzhou 730050, Gansu Province, China
Peng-Wei Zhang, An-Le Zhang, Gansu University of Chinese Medicine, Clinical College of Traditional Chinese Medicine, Lanzhou 730000, Gansu Province, China
Co-first authors: Ming-Wang Zhou and Peng-Wei Zhang.
Author contributions: Zhang PW and Zhang AL wrote this article; Zhou MW performed surgery and article editing; Wei CH and Xu YD performed data collection; Fu ZB and Chen W participated in surgery and rehabilitation plan development. All authors have read and approved the final manuscript.
Supported byGansu Provincial Science and Technology Program Project, No. 008108491108.
Informed consent statement: Informed consent was obtained from all subjects involved in the study.
Conflict-of-interest statement: All authors have stated that there are no competing interests related to this report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ming-Wang Zhou, Doctor, PhD, Doctor, Department of Orthopedics Medicine, Gansu Province Hospital of Chinese Medicine, No. 418 Guazhou Road, Qilihe District, Lanzhou 730050, Gansu Province, China. zmw2006@126.com
Received: January 15, 2024 Revised: April 12, 2024 Accepted: April 19, 2024 Published online: June 16, 2024 Processing time: 141 Days and 6.9 Hours
Abstract
BACKGROUND
Myositis ossificans (MO) is a rare disease involving the formation of bone outside the musculoskeletal system. While surgical intervention is the main treatment approach, preventing recurrence and standardized rehabilitation are also crucial. Here, we present a surgical strategy to prevent the recurrence of MO.
CASE SUMMARY
A 28-year-old female patient was admitted for the first time for a comminuted fracture of the left olecranon. However, incorrect postoperative rehabilitation resulted in the development of elbow joint stiffness with ectopic ossification, causing a loss of normal range of motion. The patient was diagnosed with MO based on physical examination, X-ray findings, and clinical presentation. We devised a surgical strategy to remove MO, followed by fixation with an Ilizarov frame, and implemented a scientifically reasonable rehabilitation plan. The surgery lasted for 3 h with an estimated blood loss of 45 mL. A drainage tube was placed after surgery, and fluid was aspirated through ultrasound-guided puncture. The patient experienced a significant reduction in joint stiffness after surgery. In the final follow-up at 9 mouths, there was evident improvement in the range of motion of the elbow joint, and no other symptoms were reported.
CONCLUSION
The Ilizarov frame is an advantageous surgical technique for facilitating rehabilitation after MO removal. It offers benefits such as passive recovery, individualized treatment, and prompt recovery.
Core Tip: In this case report, we report a 28-year-old female with myositis ossificans. The patient had an ulnar humerus fracture early in the course of the disease, and after internal fixation treatment, the wrong rehabilitation method led to the occurrence of myositis ossificans. In this operation, we normalized the rehabilitation plan of the patient by the passive pulling force of Ilizarov technology, which made no recurrence after the removal of myositis ossificans, and achieved a good effect.
