title: Recurrent focal myositis of the peroneal muscles.
abstract: Recurrent focal myositis is a rare entity and can be difficult to diagnose and treat. A long-term follow-up and diagnostic evaluation was carried out in a patient who presented with ankle stiffness secondary to a painful mass within the calf. This process was diagnosed as focal myositis of the peroneal muscles, which recurred over a period of 7 yr. A review of the literature regarding focal myositis, treatment options and a successful conservative therapy regimen, as an alternative to a surgical protocol, are presented. After making the diagnosis with the help of a muscle biopsy, long-term therapy should be considered. Conservative treatment of focal myositis with anti-inflammatory drugs and physical therapy can be successful but recurrence may occur if the medical treatment is interrupted.
authors.affiliation: Department of Orthopaedic Surgery, University Hospital Aachen, Aachen, Germany.
authors.forename: K
authors.initials: K
authors.lastname: Kisielinski
authors.forename: O
authors.initials: O
authors.lastname: Miltner
authors.forename: B
authors.initials: B
authors.lastname: Sellhaus
authors.forename: S
authors.initials: S
authors.lastname: Krüger
authors.forename: H
authors.initials: H
authors.lastname: Goost
authors.forename: C H
authors.initials: CH
authors.lastname: Siebert
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D005500:Follow-Up Studies; D005682:Gadolinium; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use*; D007866:Leg; D008279:Magnetic Resonance Imaging; D008297:Male; D018482:Muscle, Skeletal / Q000473:pathology*; D009220:Myositis / Q000175:diagnosis* / Q000188:drug therapy* / Q000473:pathology / Q000534:rehabilitation; D011856:Radiographic Image Enhancement; D012008:Recurrence; D012720:Severity of Illness Index; D016896:Treatment Outcome
chemical_list: D005682:Gadolinium; D007213:Indomethacin