Subcutaneous injections as a risk factor of myositis ossificans traumatica in spinal cord injury.
Myositis ossificans traumatica is a pathological condition characterized by extraskeletal bone formation, induced by major or repeated minor trauma to the muscles. Our objective is to report an unusual case of myositis ossificans traumatica in a paraplegic patient. Bilateral swelling and erythema on the thighs of a 1-month paraplegic inpatient was diagnosed as myositis ossificans traumatica in the quadriceps muscles due to low-molecular-weight heparin injections for deep vein thrombosis prophylaxis. As a result, repeated injections under the spinal cord injury level should be avoided when possible because of the risk of myositis ossificans traumatica.
Gunduz
Berrin
B
Physical Therapy and Rehabilitation Training Hospital, Ministry of Health, Istanbul, Turkey. berringunduz@superonline.com
Erhan
Belgin
B
Demir
Yaprak
Y
D000368:Aged; D000469:Alkaline Phosphatase / Q000097:blood; D000925:Anticoagulants / Q000627:therapeutic use; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D007279:Injections, Subcutaneous / Q000009:adverse effects*; D008297:Male; D009221:Myositis Ossificans / Q000209:etiology*; D010264:Paraplegia / Q000209:etiology; D012307:Risk Factors; D013119:Spinal Cord Injuries / Q000150:complications*; D020246:Venous Thrombosis / Q000517:prevention & control*
D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight; D000469:Alkaline Phosphatase