Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 22090
  Title Treatment of post-traumatic myositis ossificans of the anterior thigh with extracorporeal shock wave therapy [case report]
URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3222699/
Journal J Can Chiropr Assoc. 2011 Dec;55(4):240-246
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Objective: This case study demonstrates the effectiveness of a novel approach to the treatment of post-traumatic myositis ossificans with extracorporeal shockwave therapy in an elite athlete.

Clinical Features: A 20 year-old male semiprofessional rugby player presented with progressive pain and loss of range of motion after sustaining a severe, right quadriceps contusion nine weeks earlier.The differential diagnosis of myositis ossificans was suspected and confirmed on radiographic examination.

Intervention and Outcome: A two week treatment protocol was undertaken consisting of three sessions of extracorporeal shockwave therapy and an unsupervised exercise program consisting of active and passive range of motion, gradual strengthening and balance exercises. The patient experienced appreciable improvements in pain and range of motion in two weeks and was able to participate in sport specific activity four weeks after presentation.

Summary: This case illustrates the successful conservative management of post-traumatic myositis ossificans of the anterior thigh with extracorporeal shockwave therapy and a primarily unsupervised graded exercise program within a condensed treatment time frame of 2 weeks.


Objectif: Cette étude de cas démontre l’efficacité d’une nouvelle approche relative au traitement de la myosite ossifiante post-traumatique avec thérapie par onde de choc extracorporelle sur un athlète d’élite.

Caractéristiques cliniques: Un joueur de rugby semi-professionnel de 20 ans éprouvait des douleurs et une perte d’amplitude des mouvements après avoir subi une grave contusion au quadriceps droit neuf semaines auparavant. Le diagnostic différentiel de myosite ossifiante soupçonné fut confirmé suite à une radiographie.

Intervention et résultat: Un protocole de traitement de deux semaines fut entrepris. Celui-ci comprenait trois séances de thérapie par onde de choc extracorporelle et un programme d’exercice non supervisé comprenant l’amplitude des mouvements actifs et passifs, le renforcement graduel et des exercices d’équilibre. Le patient a senti une grande amélioration au niveau de la douleur et de l’amplitude des mouvements en l’espace de deux semaines, et fut en mesure de participer à une activité sportive quatre semaines après avoir ressenti des douleurs.

Sommaire: Ce cas démontre le succès de la gestion conservatrice de la myosite ossifiante post-traumatique de la cuisse antérieure avec thérapie par onde de choc extracorporelle et un programme d’exercice non supervisé dans un délai de 2 semaines.

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text.


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