[Research concerning the physiopathology of post-traumatic periarticular ossifications and anterior brachial muscle osteoma. Their prevention].
The author maintains that the osteoma of the brachial muscle as well as post-traumatic periarticular calcifications, occur in the muscle mass or in the tendon that prolongs it, or in the articular capsule, as a result of surgical treament and post-operative immobilization, and only exceptionally following orthopaedic treatment of traumatic lesions. Articular mobilization in the first week after osteosynthesis, or in the frame of conservative treatment, is not followed by osteoma of the brachial muscle or by calcifications surrounding the articulation, a fact that suggest that the presently applied therapeutic methods, which recommend strict and prolonged articular immobilization should be avoided. The development of ossification can be explained by post-traumatic changes in the muscular microcirculation, rendered more severe by surgical treatment and maintained by muscular inactivity. Early articular mobilization is the most efficient method of prophylaxis of these complications, which are determined not by the traumatic lesions themselves but by the present therapeutic methods applied.
D000328:Adult; D000368:Aged; D001134:Arm Injuries / Q000150:complications*; D005592:Fracture Fixation / Q000009:adverse effects*; D006801:Humans; D006810:Humeral Fractures / Q000150:complications*; D007596:Joints / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D009999:Ossification, Heterotopic / Q000209:etiology*; D010016:Osteoma / Q000209:etiology*; D011885:Radius Fractures / Q000150:complications*; D012253:Rib Fractures / Q000150:complications*; D014947:Wounds and Injuries / Q000150:complications*
Cercetări privitoare la fiziopatologia osificărilor periarticulare posttraumatice şi a osteomului muşchiului brahial anterior. Profilaxia lor.