Myositis ossificans circumscripta of the knee improved by alendronate.

Abstract:

:Myositis ossificans circumscripta (MOC) is a rare benign disorder characterized by heterotopic ossification of soft tissues. We report a case in a 21-year-old male who presented with knee pain after strenuous physical activity. Evidence of inflammation of the knee and a hard swelling in the subquadricipital area were the main physical findings. The initial plain radiographs showed a subpatellar soft tissue mass containing flocculent calcifications. Over the next 2 months, the calcific deposits organized into a calcified mass. Magnetic resonance imaging findings were nonspecific, with a mass within the vastus medialis muscle generating low signal on T1 images and high signal on T2 images, without postgadolinium enhancement. Computed tomography showed several calcific deposits arranged in a ring, strongly suggesting MOC. Histological examination of a biopsy specimen confirmed this diagnosis. Alendronate therapy given for 6 months was followed by marked clinical improvement, obviating the need for surgery.

journal_name

Joint Bone Spine

journal_title

Joint bone spine

authors

Ben Hamida KS,Hajri R,Kedadi H,Bouhaouala H,Salah MH,Mestiri A,Zakraoui L,Doughi MH

doi

10.1016/S1297-319X(03)00096-4

subject

Has Abstract

pub_date

2004-03-01 00:00:00

pages

144-6

issue

2

eissn

1297-319X

issn

1778-7254

pii

S1297319X03000964

journal_volume

71

pub_type

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