title: Treatment of traumatic myositis ossificans with acetic acid iontophoresis.
abstract: The purpose of this case report is to document the treatment of a patient who had traumatic myositis ossificans with acetic acid iontophoresis. A 16-year-old boy developed quadriceps femoris muscle myositis ossificans as a result of a springboard diving accident. A 2% acetic acid solution was administered via iontophoresis into the myositis ossificans, followed by 8 minutes of pulsed ultrasound at 1.5 W/cm2. The treatment was performed three times per week for 3 weeks. At the conclusion of the treatments, radiographic findings indicated a 98.9% decrease in the size of the ossified mass. The patient regained full range of motion and was able to return to pain-free activity. This case report demonstrates the potential for a therapeutic program of acetic acid iontophoresis and ultrasound in eliminating myositis ossificans.
authors.affiliation: Ohio Physical Therapy and Sports Medicine Inc, Cleveland 44070.
authors.forename: D L
authors.initials: DL
authors.lastname: Wieder
mesh_terms: D000085:Acetates / Q000627:therapeutic use*; D019342:Acetic Acid; D000293:Adolescent; D003131:Combined Modality Therapy; D003288:Contusions / Q000150:complications*; D004242:Diving / Q000293:injuries*; D006801:Humans; D007085:Ilium / Q000293:injuries*; D007478:Iontophoresis; D008297:Male; D009221:Myositis Ossificans / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D026741:Physical Therapy Modalities / Q000379:methods*; D016059:Range of Motion, Articular / Q000502:physiology; D014463:Ultrasonography
chemical_list: D000085:Acetates; D019342:Acetic Acid