title: Deltoid contracture: a case with multiple muscle contractures.
abstract: Deltoid contracture is relatively uncommon. The literature consists primarily of case reports and few articles on large case series. The pathogenesis has been well studied. Muscle contractures can occur in the deltoid, biceps, triceps, gluteus and quadriceps muscles; however, cases of multiple muscle contractures are rare. We reported a patient with multiple contractures of the bilateral deltoid, bilateral gluteus, and bilateral quadriceps muscles, who had received repeated intramuscular injections during childhood and adulthood. The radiographic, including magnetic resonance imaging (MRI), features of the bone and joint abnormalities are presented. Some literatures reported that damage to the structures of the body due to intramuscular injection is related to the site of injection, age of the patient, and the volume, pH, chemical composition, and diffusional capacity of the injectate. Our patient had muscular contracture induced by needle injection regardless of her age, medication and injection site.
authors.affiliation: Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, No. 201, Sec.2, Shih-Pai Rd, Taipei, 11217, Taiwan, ROC.
authors.forename: Hsin-Chang
authors.initials: HC
authors.lastname: Chen
authors.forename: Tung-Fu
authors.initials: TF
authors.lastname: Huang
authors.forename: Po-Hsin
authors.initials: PH
authors.lastname: Chou
authors.forename: Tain-Hsiung
authors.initials: TH
authors.lastname: Chen
mesh_terms: D000328:Adult; D003286:Contracture / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular / Q000009:adverse effects*; D018482:Muscle, Skeletal; D012782:Shoulder