Subcutaneous injections as a risk factor of myositis ossificans traumatica in spinal cord injury

Int J Rehabil Res. 2007 Mar;30(1):87-90. doi: 10.1097/MRR.0b013e3280146f85.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Alkaline Phosphatase / blood
  • Anticoagulants / therapeutic use
  • Heparin, Low-Molecular-Weight / therapeutic use
  • Humans
  • Injections, Subcutaneous / adverse effects*
  • Male
  • Myositis Ossificans / etiology*
  • Paraplegia / etiology
  • Risk Factors
  • Spinal Cord Injuries / complications*
  • Venous Thrombosis / prevention & control*

Substances

  • Anticoagulants
  • Heparin, Low-Molecular-Weight
  • Alkaline Phosphatase