What is the most appropriate next step in the treatment of a 16 year - ProProfs Discuss
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What is the most appropriate next step in the treatment of a 16-year-old male presents with a firm, moderately tender mass in the lateral distal right upper arm and he was HIT in the same area about two weeks ago during football practice? Initially, his coach noticed prominent hematology in the same area.  Does evidence of a calcified mass lightly separated from the humeral shaft?

What is the most appropriate next step in the treatment of a 16-year-old male presents with a firm, moderately tender mass in the lateral distal right upper arm and he was HIT in the same area about two weeks ago during football practice? Initially, his coach noticed prominent hematology in the same area.  Does evidence of a calcified mass lightly separated from the humeral shaft?

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This question is part of orthopedics

Asked by Anthony, Last updated: Jan 04, 2021

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2 Answers

Dr.AHMED zAYED

Dr.AHMED zAYED

Orthopedic consultant

Dr.AHMED zAYED
Dr.AHMED zAYED, Malaysia

Answered Feb 09, 2018

IN early stages of calciffied hematoma,only conservative ttt. in the only what needed

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John Smith

John Smith

John Smith
John Smith

Answered Sep 08, 2016

Avoidance of activity until resolution of pain-the patient in this vignette has myositis ossificans of the brachialis muscle. following blunt trauma, a hematoma develops that gradually becomes increasingly bony as tenderness subsides. calcification then develops within the hematoma, forming mature-appearing bone. the bony mass is always slightly separated from the humeral shaft, which helps to differentiate this condition from osteosarcoma. treatment is rest with avoidance of both active and passive range of motion exercises until pain is absent. resection during the active stage of formation is contraindicated because new bone formation will quickly recur. resection of ectopic bone is usually not indicated once new bone formation is complete unless range of motion is adversely affected. board testing point: recognize the signs and symptoms of myositis ossificans and determine the most appropriate next step in the treatment of the patient.
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