Non-Traumatic Myositis Ossificans in the Lumbosacral Paravertebral Muscle.
10.3340/jkns.2013.53.5.305
- Author:
Daeyoung JUNG
1
;
Keun Tae CHO
;
Ji Hyeon ROH
Author Information
1. Department of Neurosurgery, Ilsan Hospital, Dongguk University, Goyang, Korea. ktcho21@naver.com
- Publication Type:Case Report
- Keywords:
Myositis ossificans;
Lumbosacral spine;
Paravertebral muscle
- MeSH:
Biopsy;
Buttocks;
Diagnosis, Differential;
Magnetic Resonance Imaging;
Muscles;
Myositis;
Myositis Ossificans;
Osteogenesis;
Physical Examination;
Thigh
- From:Journal of Korean Neurosurgical Society
2013;53(5):305-308
- CountryRepublic of Korea
- Language:English
-
Abstract:
Myositis ossificans (MO) is a benign condition of non-neoplastic heterotopic bone formation in the muscle or soft tissue. Trauma plays a role in the development of MO, thus, non-traumatic MO is very rare. Although MO may occur anywhere in the body, it is rarely seen in the lumbosacral paravertebral muscle (PVM). Herein, we report a case of non-traumatic MO in the lumbosacral PVM. A 42-year-old man with no history of trauma was referred to our hospital for pain in the low back, left buttock, and left thigh. On physical examination, a slightly tender, hard, and fixed mass was palpated in the left lumbosacral PVM. Computed tomography showed a calcified mass within the left lumbosacral PVM. Magnetic resonance imaging (MRI) showed heterogeneous high signal intensity in T1- and T2-weighted image, and no enhancement of the mass was found in the postcontrast T1-weighted MRI. The lack of typical imaging features required an open biopsy, and MO was confirmed. MO should be considered in the differential diagnosis when the imaging findings show a mass involving PVM. When it is difficult to distinguish MO from soft tissue or bone malignancy by radiology, it is necessary to perform a biopsy to confirm the diagnosis.
