GENERAL CONDITIONS
Heterotopic Ossification (traumatic myositis ossificans)
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Myositis ossificans, also known as heterotopic ossification, is a condition where there is abnormal bony formation in the soft tissues. There is new bony growth in areas where normally bone is not present such as muscles, ligaments, tendons, or fascial tissue. This can occur after an injury or trauma such as a contusion to the muscle (as pictures in the middle illustration). This results in bleeding and may lead to formation of hematoma which can harden into a bone particularly if the region is massaged or heated in the early stages of recovery. Posttraumatic myositis ossificans occurs as a complication
in approximately 20% of large haematomas associated with muscle contusions and strains. It is responsible for considerable morbidity, with symptoms of prolonged pain, diminished flexibility, local tenderness and stiffness lasting an average of 1.1 years.
In some instances, even with proper conservative measures, the bone growth does not fully resolve. Prior to shockwave the main option was to have this tissue removed surgically; however, early shockwave studies are showing very promising results with reductions in bone size, restoration of range of motion, significant reduction in pain, and return to sport.
in approximately 20% of large haematomas associated with muscle contusions and strains. It is responsible for considerable morbidity, with symptoms of prolonged pain, diminished flexibility, local tenderness and stiffness lasting an average of 1.1 years.
In some instances, even with proper conservative measures, the bone growth does not fully resolve. Prior to shockwave the main option was to have this tissue removed surgically; however, early shockwave studies are showing very promising results with reductions in bone size, restoration of range of motion, significant reduction in pain, and return to sport.
