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Hip: R. Y. Carlier, D. M. L. Safa, P. Parva, D. Mompoint, T. Judet, P. Denormandie, C. A. Vallée, T. Judet, and P. Denormandie Ankylosing neurogenic myositis ossificans of the hip: AN ENHANCED VOLUMETRIC CT STUDY J Bone Joint Surg Br 2005; 87-B: 301-305 [Abstract] [Full text] [PDF]

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Myositis around the hip

Manoj Todkar   (13 June 2005)

Myositis around the hip 13 June 2005
Manoj Todkar, Orthopaedic Trainee Nuffield Orthopaedic Centre Send letter to journal: Re: Myositis around the hip mtodkar{at}hotmail.com Manoj Todkar	Sir, I read this article with great interest. I must congratulate the authors for discussing this realtively uncommon hip disorder. The principles discussed in this paper can be applied to myositis ossificans affecting any joint in the body. I would like to mention a case of post-traumatic heterotopic bone formation around the hip joint in a 35-year-old male. This patient had major head injury and was treated in neuro-ICU for a few weeks. He also had a soft tissue injury to his hip which was treated conservatively. He eventually recovered from the head injury and presented with anterolateral heterotopic bone around the hip three years later. His hip movements were restricted. On exploration, we found a solid block of bone anterolateral to hip bridging femur and pelvis. Fortunately, the neurovascular bundle was not involved and we could excise all heterotopic bone. After 5 years of follow up there is no new bone formation around the hip. It would be interesting to see what happens in the long term. In another case I had to explore heterotopic bone formed in brachialis muscle after injury to elbow.This mass was in proximity of neurovascular structures. It always is a prudent to carry out imaging before exploration of heterotopic ossification around joints. M. TODKAR Nuffield Orthopaedic Centre, Oxford, UK.