Re: Myositis Ossificans

[Guest guest]

Mike,

The following is an abstract adressing the use of acidic acid-iontophoresis

for the treatment of myositis ossificans. I can fax you the actual article

if you wish. Just let me know.

My own personal experience includes only one patient, an 18 year old male who

suffered a blow to his left quadriceps playing basketball, with myositis

ossificans sequelae. His treatment included acidic acid iontophoresis and

quad stretching. For some reason, I think we used a cold pack during ionto

(no clinical data to support, but rather anecdotal with the rationale of

slowing down blood flow to the area that potentially could transport away the

acidic acid). Clinically, the myositis ossificans resloved as evidenced by

X-ray and a return of full knee AROM (at onset, knee flexion was no greater

than ~ 60 - some degrees). I recall wishing at the time we could take a

baseball bat to his good leg to evoke a " control " group for comparison.

Hope this helps. Again, I can fax a copy of the full article.

(abstract is below)

Babich, MS, MS-PT, CSCS

Ohio State University Medical Center

Home Care Services Corporation

Phys Ther 1992 Feb;72(2):133-137 <A

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Treatment of traumatic myositis ossificans with acetic acid iontophoresis.

Wieder DL.

Ohio Physical Therapy and Sports Medicine Inc, Cleveland 44070.

The purpose of this case report is to document the treatment of a patient who

had traumatic myositis ossificans with acetic acid iontophoresis. A

16-year-old boy developed quadriceps femoris muscle myositis ossificans as a

result of a springboard diving accident. A 2% acetic acid solution was

administered via iontophoresis into the myositis ossificans, followed by 8

minutes of pulsed ultrasound at 1.5 W/cm2. The treatment was performed three

times per week for 3 weeks. At the conclusion of the treatments, radiographic

findings indicated a 98.9% decrease in the size of the ossified mass. The

patient regained full range of motion and was able to return to pain-free

activity. This case report demonstrates the potential for a therapeutic

program of acetic acid iontophoresis and ultrasound in eliminating myositis

ossificans.