Musculoskeletal Pathology: Myositis Ossificans

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Questions and Answers

Myositis ossificans typically occurs in older, sedentary individuals.

False (B)

A key feature of myositis ossificans is the erosion of the underlying cortex of the bone.

False (B)

Myositis ossificans can be identified by the presence of a mass of calcified soft tissue.

True (A)

The string sign in myositis ossificans indicates a complete separation of the mass from the bone.

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Myositis ossificans and parosteal osteosarcoma both exhibit the string sign.

<p>False (B)</p> Signup and view all the answers

Flashcards

Myositis ossificans

A condition where bone forms within muscle tissue after a muscle injury, usually occurring in young, active individuals.

Muscle haemorrhage and necrosis

Bleeding and tissue death in a muscle due to injury.

Calcification

The process of calcium deposits forming in a tissue, often as a result of injury.

String sign

A visible area of normal tissue separating a myositis ossificans mass from bone, indicating it's not attached to the bone.

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Malignant fibrous histiocytoma

A type of cancer that can grow near the bone, but thankfully it's not myositis ossificans because it erodes the underlying bone.

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Study Notes

Myositis Ossificans

  • Trauma leads to muscle haemorrhage and necrosis.
  • Calcification results from this damage, persisting sometimes long-term.
  • Large muscles are more susceptible.
  • Typically affects young, active adolescents.
  • Presents as a calcified soft tissue mass near the injury.
  • May or may not show a periosteal reaction.
  • Crucial distinction: No underlying cortical erosion, unlike malignant fibrous histiocytoma.
  • "String sign" indicates a plane of normal tissue completely separating the mass from the bone.
  • This distinguishes it from parosteal osteosarcoma, where the plane isn't always continuous.

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