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  #1  
Old 12-02-2009
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X Ray Football Player Arm X ray

A football player presented with initially painful later painless hard mass in his upper arm.
X ray showed the following;
Football Player Arm X ray-extraskel.jpg

What is the usual treatment?

a-radiotherapy
b-radiotherapy + chemotherapy + excision
c-simple excision
d-no treatment needed
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  #2  
Old 12-03-2009
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is this myositis ossificans?
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Old 12-03-2009
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I bet it is
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  #4  
Old 12-03-2009
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Correct
It's myositis ossificans and the clue is that he's a football player (trauma)
the treatment is simple excision
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Old 12-03-2009
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lol i got it correct! wasnt very sure as im not working for usmle at the moment..going to start from feb..
but i dint understand ur clue..explain a bit pls
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  #6  
Old 12-03-2009
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Quote:
Originally Posted by syedaanaqvi View Post
lol i got it correct! wasnt very sure as im not working for usmle at the moment..going to start from feb..
but i dint understand ur clue..explain a bit pls
Myositis ossificans is caused after muscular strains and trauma usually seen in aggressive sports players such as American football players. Return to activity before complete healing of muscle strains has been deemed the reason why these muscles get ossified.
If they don't show the X ray they will probably say this in the question stem "Flocculent radiodensities surrounding a radiolucent central area".
It's important to differentiate this simple myositis ossificans from the more severe genetic disease called Fibrodysplasia Ossificans Progressiva see this emedicine article.
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Musculoskeletal-, Pathology-, Radiographs-

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