Case Report
 
A rare case of myositis ossificans progressiva presenting as multiple progressive contracture
Anil Mehtani1, Jatin Prakash2, Suresh Chand3, Abhinav Sinha2, Ajeet Singh2, Harvinder Dev2
1Head of Department of Orthopedics, Lady Hardinge Medical College, Shaheed Bhagat Singh Marg, New Delhi, India.
2MBBS, MS(Ortho), DNB, Department of Orthopedics, Lady Hardinge Medical College, Shaheed Bhagat Singh Marg, New Delhi, India.
3Rresident ,Department of Orthopedics, Lady Hardinge Medical College, Shaheed Bhagat Singh Marg, New Delhi, India.

doi:10.5348/ijcri-201467-CR-10378

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How to cite this article
Mehtani A, Prakash J, Chand S, Sinha A, Singh A, Dev H. A rare case of myositis ossificans progressiva presenting as multiple progressive contracture. International Journal of Case Reports and Images 2014;5(5):345–350.


Abstract
Introduction: Myositis ossificans progressiva is a rare disease characterized by formation of areas of calcification in soft tissue such as ligaments, muscles and tendons. There are a few sporadic case reports all over the world. The disease has an incidence of less than 1 in 10,000,000 population. Myositis ossificans progressiva is a disease of early childhood. The disease is often progressive with multiple soft tissue contracture and subsequent death by third or fourth decade of life. There is no effective treatment till date.
Case Report: We herein present a case report of myositis ossificans progressiva presented to us with numerous lumps and shoulder and hip contracture. Patient was treated conservatively on bisphosphonates. No progression of lumps or swelling were seen after one year of follow-up.
Conclusion: This presents a case report of a very rare disease. In most cases there is history of any trauma or inciting factors that result in formation of myositis mass. This case, however, presents a very aggressive form of disease with patient developing spontaneous swellings and progressive contractures.

Keywords: Myositis ossificans progressive, Multiple contractures, Pediatric


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Author Contributions
Anil Mehtani – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jatin Prakash – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Suresh Chand – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Abhinav Sinha – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ajeet Singh – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Harvinder Dev – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Anil Mehtani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Anil Mehtaniis Head of Department at Lady Hardinge Medical College, New Delhi India. He has published over 20 research papers in national and international academic journals and authored several books. His research interests include arthroplasty and paediatric orthopaedics.



Jatin Prakash is Senior Resident at Lady Hardinge Medical College, New Delhi, India. He earned the undergraduate degree MBBS from MAMC, New Delhi and postgraduate degree from MS from Lady Hardinge Medical College, New Delhi. His research interests include arthroplasty, arthroscopy and paediatric orthopaedics. He intends to pursue arthroplasty fellowship in future.



Suresh Chand is Junior Resident at Lady Hardinge Medical College, New Delhi, India. He earned the undergraduate degree postgraduate degree from MS from LHMC, New Delhi. His research interests include arthroplasty, arthroscopy and paediatric orthopaedics. He intends to pursue arthroplasty fellowship in future.



Abhinav is Senior Resident at Lady Hardinge Medical College, New Delhi, India. He earned the undergraduate degree postgraduate degree from MS from LHMC, New Delhi. His research interests include arthroplasty, arthroscopy and paediatric orthopaedics. He intends to pursue arthroplasty fellowship in future.



Ajeet Singh is Senior Resident at Lady Hardinge Medical College, New Delhi, India. His research interests include arthroplasty, arthroscopy and paediatric orthopaedics. He intends to pursue arthroplasty fellowship in future.



Harvinder Dev is senior resident at Lady Hardinge Medical college, New Delhi, India, He earned the undergraduate degree postgraduate degree from MS from LHMC, New Delhi. His research interests include arthroplasty, arthroscopy and paediatric orthopaedics. He intends to pursue arthroplasty fellowship in future.