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Query: UMLS:C0027121 (myositis)
 4,538 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Conditions that occur in the dancer's hip fall into the following categories: poor training; conditions that occur as the result of normal use; overuse syndromes, including tendinitis and myositis; and conditions referring pain to the hip. Dancers are highly motivated and goal oriented and often suppress symptoms for long periods, making diagnosis and treatment difficult. Observing the dancer at work and understanding his art are emphasized, and a practical guide to therapy is presented. Development of proper dance technique and a proper flexibility program can decrease the incidence of injuries.
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PMID:The dancer's hip. 665 98

Labetalol has been successful in treating hypertension, and few side effects have been reported, although there have been cases of muscle pain during treatment. A patient with essential hypertension treated with labetalol 600 mg daily complained of muscle pains, particularly in the legs. No neurological abnormality was found, but the activity of muscle enzymes in the blood was high. Findings on electromyography were compatible with myositis and electron microscopical findings suggested toxic myopathy. Labetalol was stopped for 10 days, and the muscle pain disappeared and enzyme activity returned to normal. When labetalol was restarted the pain returned and enzyme activities rose. Myopathy should be considered in patients experiencing muscle pain after treatment with labetalol.
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PMID:Labetalol-induced toxic myopathy. 678 36

A 13-year-old girl incurred gas gangrene after intramuscular injection of adrenaline to the buttock. Clinical evidence of very severe pain at the site of injection with septicemia and collapse within 24 to 48 hours should arouse the suspicion of clostridial myositis rather than pyogenic infection. Early diagnosis and treatment by adequate excision of necrotic muscle (with a wide margin of normal-appearing muscle) can prevent loss of life or limb in these patients.
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PMID:Gas gangrene after intramuscular injection of adrenaline. 683 5

Of 12 consecutive patients (nine women and three men ranging in age from 18 to 70 years) with orbital myositis, four had histories of ocular or systemic autoimmune disease. Five patients treated within two weeks of developing acute orbital pain and extraocular muscle dysfunction were classified as having acute myositis. They responded to corticosteroids within 72 hours although three had single recurrences during six- to 16-month follow-up periods. No patients were heterotropic or proptotic at the final examination. Seven patients with less severe or atypical symptoms who had delays of two or more months between onset and treatment were classified as having subacute myositis. All had recurrences with five having two or more. Three required supplemental radiation therapy during seven- to 20-month follow-up periods. At the final examinations, six patients had motility defects and one had proptosis, indicating that delays in treatment may lead to recurrences, extraocular muscle dysfunction, and proptosis.
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PMID:Acute and subacute orbital myositis. 688 Dec 44

Idiopathic orbital myositis, a subgroup of inflammatory orbital pseudotumor, occurred in six patients with acute onset periorbital pain, diplopia, and in most cases, eyelid swelling. Proptosis, ductional restrictions, and responsiveness to oral prednisone administration were characteristic. Computed tomography and orbital ultrasonography showed enlargement of one or more extraocular muscles, with sparing of other orbital soft tissues. One patient had involvement of all recti muscles in both orbits. The distinction of orbital myositis from Graves' ophthalmopathy is made on clinical grounds, with acute orbital pain and corticosteroid responsiveness being uncharacteristic of the latter. The possibility of orbital myositis being an immune-mediated process is discussed.
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PMID:Idiopathic orbital myositis: report of six cases. 689 37

Circumscribed heterotopic new-bone formation without a history of trauma is termed pseudomalignant myositis ossificans due to the diagnostic confusion of this benign lesion with malignant lesions. In 20 per cent of the published cases in which there were diagnostic problems, the patient underwent a radical procedure. Roentgenographically, pseudomalignant myositis ossificans is a circumscribed, radiopaque lesion with a central lucent zone that is separated from the underlying cortex by a radiolucent line. Histologically, a characteristic zoning pattern of peripheral maturation is present, the central proliferating zone usually causing the diagnostic problems. The ultrastructure of the lesion shows a regular mineralization front but an abnormal collagen periodicity of 300 angstroms. Excision is indicated for diagnosis and for relief of mechanical block or pain.
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PMID:Pseudomalignant myositis ossificans: heterotopic new-bone formation without a history of trauma. 693 74

Diagnosis of localised myositis ossificans is difficult in the initial stage. A history of trauma is frequently missing. Clinical symptoms point in the direction of osteomyelitis or soft tissue abscess. Sonotomography is useful for localisation and delineation of the lesion. Biopsy is the only reliable method to establish the diagnosis. Conservative treatment is recommended until the process is inactive. Radiographic follow-up will demonstrate the expected massive calcification and scintigraphic follow-up at 6-monthly intervals will eventually prove the metabolic inactivity of the lesion necessary for successful operation. Surgical removal of the calcified tumor will become necessary in cases of continued pain or significant functional limitations of the involved extremity.
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PMID:[Diagnostic and therapeutic aspects of myositis ossificans (author's transl)]. 710 2

An adult female presenting with clinical impressions of cervical myositis with radiculopathy which began three days earlier following a motor vehicle accident, was referred for dental consultation because of tenderness over the left temporomandibular joint; response of the cervical spine pain to manipulation and physical therapy, including transcutaneous electrical nerve stimulation (TENS), was minimal. Dental examination revealed a malocclusion and following treatment with an intraoral orthotic device, along with chiropractic care, the patient's cervical spine pain was completely relieved. It was concluded that cervical spine pain of this nature may be interrelated with temporomandibular joint syndrome due to malocclusion and that when such cervical spine pain is not satisfactorily responsive to routine chiropractic care, dental examination may be indicated.
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PMID:Treatment of temporomandibular joint syndrome for relief of cervical spine pain: case report. 711 96

Two cases of isolated unilateral extraocular muscle myositis after antecedent upper respiratory tract infections are reported. Pain, inflammation over the involved muscle, restricted motility, and an enlarged muscle on computerized axial tomography scan are the findings. This is differentiated from conjunctival inflammatory disease and neurologic disorders. The treatment is orally administered steroids.
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PMID:Orbital myositis after upper respiratory tract infection. 721 61

Myositis ossificans is a benign condition resulting from severe muscular contusion manifested by heterotrophic bone formation. The process is common in the anterior thigh but the literature dealing with myositis ossificans in the upper arm is limited. Ten cases of the condition in the upper arm were seen in our practice. All 10 were the result of football injuries and exhibited one or more of the triad of local pain, a hard palpable mass in the muscle, and a flexion contracture of the elbow. Seven of the cases (70%) were asymptomatic or signficantly improved in less than 3 months with conservative nonoperative management. Three patients (30%) underwent surgery because the painful mass persisted. In two (66%) of the surgically managed cases, there was clinical and radiographic evidence of recurrence postoperatively in spite of delaying excision until radiographic parameters of maturation were present.
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PMID:Myositis ossificans of the upper arm. 743 59


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