Myositis ossificans: pictures, symptoms, consequences, treatment. Any predictions on the treatment of patients with myositis ossificans?

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2018-03-23 19:29:22

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Myositis – a disease that occurs for a number of reasons and causes in the muscle tissues of the inflammatory process. Depending on what caused the disease, it klassificeret on different types. One group of pathological conditions of probation benign and treatable, the other, causing serious disturbances in the body can lead to death. In the article we consider the basic questions about this pathology. Here, the reader learns, in some cases, myositis occurs, any predictions on the treatment of myositis ossificans exist today, how to protect yourself from this disease.

What is it?

For myositis include a whole range of diseases in which basis inflammatory process that occurs in the muscles. The key symptom indicating the possible occurrence of the disease in the body is pain in the muscles, aggravated by movement or palpation. a myositis ossificansPathology occurs on the background of previous infection or exposure and can also develop due to autoimmune diseases, injuries, bruises, etc.

The causes of the disease klassificeret conditionally on two groups:

  • Endogenous – which occur inside of the body;
  • Exogenous-from outside causes.

To endogenous include:

  • Autoimmune diseases such as lupus erythematosus, rheumatoid arthritis, etc.;
  • Infections of various nature – enterovirus, typhoid, influenza;
  • The disease caused by activity in the human body of parasites (Echinococcus, trichinosis);
  • Intoxication.

Exogenous causes are trauma, hypothermia, recurrent muscle tension, caused by any activity. Myositis is considered a professional disease of musicians, athletes.

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Types

The origin of the disease, its clinical course and other characteristics myositis klassificeret infectious, purulent and parasitic category. Also known toxic and traumatic varieties. Polymyositis (myositis ossificans) – pathology with the most severe and complex consequences. This violation is a disease of the connective tissue and, in turn, is classified into:

  • Traumatic myositis ossificans;
  • Progressive myositis ossificans;
  • Neyromiozit.

Traumatic myositis ossificans (the symptoms of the disease are discussed later) - is an inflammatory disease that occurs due to severe trauma or repeated microtraumas. Pathology is localized in the articular ligaments and leads subsequently to the appearance of ossification in the problematic area. Successfully treated surgically.

Myositis ossificans Progressive (the symptoms we describe below) – this is a genetic disease caused by a mutation of a particular gene, leading to severe disturbances in the body, and in the end – to the death. It is considered very rare (200 cases known world of medical practice).

Neurotrophic myositis occurs on the background of injuries to major nerve trunks or spinal cord. Most often pathology develops in the knee or hip joint.

Neyromiozit

As mentioned earlier, it affects the intramuscular nerve fibers. This happens in the following way. The inflammatory process leads to destruction of muscle cells, resulting in releases various kinds of substances that have a toxic effect on nerve fibers. The nerve sheath is gradually destroyed, leading to the defeat of the axis cylinder of the nerve.

Signs of neyromiozit are:

  • Increase or decrease sensitivity in the area of localization of pathology;
  • The pain;
  • Muscle weakness;
  • Joint pain.

The destruction of the sheath of nerve fibres causes a change in skin sensitivity. It can be manifested by numbness or tingling that is accompanied by progressive pain. First pain syndrome is moderate, but it increases even at low loads. Pain causes breath, turning or tilting the body, the movement of the limbs. She later makes itself felt even at rest. Often in pathology there is a symptom of tension, when it becomes very sensitive palpation of the muscles in a tense condition.

Progressive form of the disease

The Second type of polymyositis due to genetic disorders – progressive myositis ossificans. Symptoms of pathology is almost impossible to eliminate because it is considered incurable. In progressive myositis ossificans is ossification of the muscles, tendons and ligaments. The disease occurs almost spontaneously and over time covers a large group of muscles. Death is inevitable, as the ossification of the pectoral and the muscles of swallowing it deprives people of the opportunity to eat and breathe. Progressive myositis ossificans has a different name – fibrodysplasia ossificans progressive (FOP).

myositis ossificansAt the heart of pathology is the occurrence of inflammation in the tendons, ligaments and muscles, which ultimately leads to their ossification. The muscles of the back (wide, trapezoidal) are the largest initial changes in myositis ossificans. What effects causes the condition? A serious breach in the functioning ofmusculoskeletal, stiffness, inability to eat normally and breathe – all this greatly reduces the quality of life of the patient. Typically, the process starts in children at the age of ten and progresses over the years, however most of the patients dying and not living up to the ten-year milestone.

In 2006 alone, thanks to research conducted by a team of scientists from Pennsylvania state University identified a gene whose mutation leads to severe pathology. Today, experts are developing blockers of mutations in the gene.

Symptoms of FOP

As mentioned above, the FOP occurs in childhood. The possible formation of disease in toddler may indicate several signs that occur mostly just with myositis ossificans. What are the symptoms of the disease are the most obvious?

for ossificans myositis what are the symptoms

With 95% probability it is possible to diagnose pathology in the child, if one or more phalanges of the big toe curved inward. In some cases, the finger is missing a joint. Often progressive myositis boys are sick. A symptom of disease in early infancy is painful palpation of muscles, while they are quite dense and intense.

Another sign of the disease is swelling of the soft tissues of the head, which could cause minor injuries or scratches, insect bites. However, if you have FOP swelling does not respond to medical therapy and persists up to a month. Under the skin in the back, forearm or neck can also occur seal size up to ten centimeters.

The FOP Initially affects the muscles of the neck, back, head, and later descends into the abdominal and pelvic divisions of the muscles. However, the disease never affects the heart muscle, diaphragm, tongue, near eye muscles.

The Disease is often confused with cancer and are trying to remove has arisen hardening that does not lead to recovery, and provokes a rapid increase in “unnecessary” bones.

Treatment

Unfortunately, to date, progressive myositis ossificans is virtually impossible to eliminate, and the applied therapy is ineffective. Does not exist and proven methods of prevention FOP. With the discovery of the mutated gene was possible only the study of the processes of disease. Treatments developed in the laboratory and are not applied in medical practice. In addition, possible experimental therapies needs to undergo a serious assessment of dosage and duration of treatment.

Specialists that deal with myositis ossificans, working in the United States, in McKay's Lab at Penn Federal University. He supervises the scientific work doctor of medicine Frederic Kaplan.

In the early stages of the disease the therapy includes anti-inflammatory agents, ascorbic acid, vitamins a and B, biostimulants. In severe cases, pathology applied steroid hormones, although their effectiveness is also not proven.

progressive myositis ossificans symptoms

To some improvements results physiotherapy-ultrasound, electrophoresis. These procedures give a resolving and analgesic effect. Should adhere to the minimum the consumption of products containing calcium, to avoid any intramuscular injections. Surgery and removal of bone formations is meaningless.

Traumatic myositis ossificans

A Localized traumatic myositis ossificans – a disease that causes bone formation as a result of acute injuries-dislocations, fractures, sprains, or due to repeated minor trauma, for example, in athletes or musicians.

The basis of pathology lies bleeding in the muscle tissue. Most often, ossification formed in the buttock, thigh and shoulder muscles. Some time after the injury the first symptoms appear disease. The muscle forms a seal, which is growing rapidly and painful to palpation. After a few weeks the seal is converted to ossification of the indefinite form, which limits the mobility of a nearby joint. Then the pain gradually disappear. The disease affects young people, mostly men with well-developed musculature.

myositis ossificans photo

Only after the radiographs reliably diagnosed “traumatic myositis ossificans”. Photo x-ray picture shown above. The x-rays suggests that the lesion observed peculiar slight “cloud”, has no clear boundaries. Occurs when pathology ossification initially have no definite shape, but later become structure and clear contours.

Traumatic myositis ossificans: treatment

How to eliminate a disease? Traumatic myositis ossificans has a favorable forecasts for treatment. Immediately after injury shows the superimposition of the plaster bandage for a period of up to two weeks. After detecting the first signs of the disease and diagnosis is necessary to apply light heat, radon baths, x-ray, electrophoresis, light therapy. Simultaneously, cannot be used for therapeutic purposes massage, paraffin,electric field.

After the radiograph revealed the presence of blackboy shadows, it is still possible to prevent the development of disease and to reverse the process. Under the influence of hormones there is resorption of education. Steroid injections are carried out locally. Often used in the treatment of "Hydrocortisone" in conjunction with the solution "Novocaine".

After a few months after the injury, when ossification has already formed, apply conservative treatment does not make sense. Six months later surgery – ossific together with the capsule removed.

There are some conditions which will lead to a positive outcome of therapy and absence of relapse – surgery should be atraumatic, you must apply the electric knife, carefully suturing the wound a cavity in the postoperative period to perform prescribed preventive measures.

Diagnosis of myositis ossificans

The Detection of the disease begins with a study of the clinical picture. The conversation with the patient allows to determine the presence in the life of the last ailments that could have been the triggering mechanism for the development of myositis. Often the pathology occurs due to cystitis, osteomyelitis, erysipelas of the skin. Viruses, bacteria and fungal infections also provoke the development of myositis. The disease is formed after injury, muscle cramps, hypothermia. Prolonged pressure on specific muscle groups also lead to disease.

As mentioned earlier, if myositis ossificans occurs pain syndrome. Patients often complain of aching pain and muscle weakness. Palpation of the affected areas of the body helps to determine the presence/absence of gravity muscles and knots.

traumatic myositis ossificans symptoms

The Disease can develop under the influence of toxic substances, for example, alcoholism and drug taking. Certain prescription medications can also leads to loss of muscle.

Survey

In Addition to the medical history and examination to confirm the diagnosis performed x-rays, which allows to detect the calcification. Sometimes can be computer tomography and radioisotope study of the affected muscles.

what are the predictions for treatment for myositis ossificans

The presence of myositis in the body indicate characteristic changes in the blood test. Another method of laboratory research is to conduct raumprobe-analyses that help to define the nature of the disease and to exclude autoimmune diseases, and to identify the intensity of the inflammatory process.

Indicators of raumprobe indicate various conditions of the body. For example, C-reactive protein-a marker of the acute phase of the inflammatory process. The antistreptolysin O – is a substance that is produced in the body in streptococcal infection. Its presence indicates rheumatic fever or rheumatoid arthritis. Rheumafaktor – antibodies, which are produced in the body in autoimmune pathologies.

Morphological examination in the diagnosis of myositis is biopsy-the taking of biological samples and careful study. The main task – to identify structural changes in muscle and connective tissue.

Prevention

Prevention of myositis ossificans includes several principles, the main of which is the observance of a healthy lifestyle – activity without excessive physical activity, balanced nutrition and timely treatment of any disease.

Good nutrition helps prevent inflammatory processes in the muscles – polyunsaturated essential fatty acids contained in fish; foods high in salicylates (vegetables); digestible protein (almonds, chicken meat); foods that contain large amounts of calcium; grains.

It is Very important for drinking regime under which a day should be consumed about two liters of water. Should not be neglected fruit drinks and fruit drinks, are also useful green tea. To remedy edema it is recommended to take a decoction of rose hips. For the prevention of myositis, it is useful to spend time in the fresh air. Many patients are often concerned with this question: is it possible when myositis ossificans exercise? You can, however, load should be light and metered. In addition to gymnastics in this disease the recommended hardening, swimming, Cycling.

Prevention of myositis involves constant movement, it is important to avoid inactivity and hypothermia. Of course, the best prevention of disease is the absence of any trauma.


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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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