title: Traumatic fibromyositis: a critical review of an enigmatic concept.
abstract: Traumatic fibromyositis is not an inflammation; there is no fever, leukocytosis or increased sedimentation rate; electrical characteristics and serum enzyme levels are within normal limits, and there are no observable pathologic alterations, although they have been carefully searched for. Recent attempts to express the effects of muscular sprain or strain as a biochemical disturbance expressed in an unusual pattern of lactate dehydrogenase isoenzymes appear not only to be technically flawed but inconsistent with results of conventional enzyme studies on other muscle and interstitial inflammations. In the author's view, "traumatic" fibromyositis is no more than a verbal construct arrived at by adding an adjectival modifier to the old terms for idiopathic rheumatic disorders. An examination of the evolution of the concept of traumatic fibromyositis shows that it lacks validity as a clinical diagnosis and ought to be abandoned.
mesh_terms: D005356:Fibromyalgia / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D014947:Wounds and Injuries / Q000150:complications
references.citation: Ann Rheum Dis. 1948;7(2):89-96
references.pmid: 18623782
references.citation: Ann Rheum Dis. 1946 Mar;5(3):69-77
references.pmid: 18623734
references.citation: Ann Rheum Dis. 1940 Dec;2(2):114-26
references.pmid: 18623663
references.citation: Neurology. 1956 Feb;6(2):91-5
references.pmid: 13288760
references.citation: Am J Phys Med. 1955 Dec;34(6):585-90
references.pmid: 13268620
references.citation: J Am Med Assoc. 1950 Feb 25;142(8):557-61
references.pmid: 15403262
references.citation: Ohio State Med J. 1964 Jul;60:672-5
references.pmid: 14159625
references.citation: Arch Phys Med Rehabil. 1961 Oct;42:704-9
references.pmid: 13881118
references.citation: Ann Rheum Dis. 1957 Dec;16(4):438-40
references.pmid: 13498594
references.citation: Northwest Med. 1955 Sep;54(9):980-4
references.pmid: 13253967
references.citation: Med Clin North Am. 1955 Mar;12:601-12
references.pmid: 14355215
references.citation: N Y State J Med. 1955 Feb 1;55(3):331-40
references.pmid: 13224017
references.citation: Ann Rheum Dis. 1954 Dec;13(4):331-5
references.pmid: 13229243
references.citation: Northwest Med. 1954 Oct;53(10):1003-5
references.pmid: 13214584
references.citation: Arch Phys Med Rehabil. 1952 May;33(5):291-8
references.pmid: 14934442
references.citation: Postgrad Med. 1952 May;11(5):425-34
references.pmid: 14920327
references.citation: Z Orthop Ihre Grenzgeb. 1951;80(2):237-68
references.pmid: 14837121
references.citation: Arch Phys Med Rehabil. 1968 Mar;49(3):155-62
references.pmid: 4869675
references.citation: Arch Phys Med Rehabil. 1974 Jan;55(1):23-8
references.pmid: 4520070
references.citation: Arch Phys Med Rehabil. 1973 Oct;54(10):449-53
references.pmid: 4126445
references.citation: Ann N Y Acad Sci. 1966 Sep 9;138(1):293-303
references.pmid: 5230210
references.citation: Neurology. 1969 Jan;19(1):26-31
references.pmid: 5813124
references.citation: J Trauma. 1976 May;16(5):377-82
references.pmid: 1271500
references.citation: Proc R Soc Med. 1971 Apr;64(4):354-60
references.pmid: 5314148
references.citation: Am J Phys Med. 1975 Dec;54(6):289-311
references.pmid: 1106214