Open AccessAn unusual case of rapidly progressive contractures: Case report and brief review
Author(s) -
Sivasubramanian Ramakrishnan,
Samhita Panda,
Pramod Kumar Pal,
S. Ravishankar
Publication year - 2008
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.41882
Subject(s) - medicine , muscle contracture , torticollis , thorax (insect anatomy) , kyphoscoliosis , anatomy , surgery , myositis ossificans , abdomen , rib cage , calcific tendinitis , scoliosis , rotator cuff
An 8-year-old boy, diagnosed as cervical dystonia, was referred to our tertiary center. After a trivial trauma he had developed painful lumps in the axial region, which was followed by restricted movements of neck, shoulder, and abdominal muscles over 4 months. He had kyphoscoliosis, torticollis, rigid abdomen, and multiple muscle contractures. He also had short great toes. A detailed skeletal survey showed calcification in the soft tissues surrounding the shoulder anterior chest wall, thorax, and paraspinal muscles; there was also beaking of vertebrae, which was confirmed by CT thorax. This report showcases the diagnostic challenge posed by myositis ossificans progressiva, which can rarely cause rapidly progressing muscle contractures. A brief review of literature is also presented.