Evaluating and managing muscle contusions and myositis ossificans.


Journal Article

Muscle contusions almost always completely heal, but sometimes they give rise to hematomas or myositis ossificans. Warning signs of severe quadriceps contusion include marked decreased knee range of motion and a sympathetic knee effusion. Management consists of rest, cooling, compression, and elevation. Corticosteroids should be avoided, but nonsteroidal anti-inflammatory drugs may reduce edema and the risk of myositis ossificans. Rehabilitation protocols that include early flexion exercise can hasten recovery and decrease the likelihood of myositis ossificans. Asymptomatic myositis ossificans needs no treatment, but when it is associated with decreased range of motion, muscle atrophy, and continued pain, lesions may be excised after they mature.

Full Text

Duke Authors

Cited Authors

  • Larson, CM; Almekinders, LC; Karas, SG; Garrett, WE

Published Date

  • February 2002

Published In

Volume / Issue

  • 30 / 2

Start / End Page

  • 41 - 50

PubMed ID

  • 20086513

Pubmed Central ID

  • 20086513

International Standard Serial Number (ISSN)

  • 0091-3847

Digital Object Identifier (DOI)

  • 10.3810/psm.2002.02.174


  • eng

Conference Location

  • England