• Medicine · May 2018

    Review Case Reports

    Case report: A rare case of focal myositis presenting as Sartorius muscle contracture: A case report and review of literature.

    • Jin Wang, Juyang Jiao, Guanglei Zhao, Jingsheng Shi, and Jun Xia.
    • Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
    • Medicine (Baltimore). 2018 May 1; 97 (20): e10766.

    RationaleFocal myositis (FM) is a very rare myopathy of unknown etiology characterized by focal enlargement within one single skeletal muscle. In particular, it occurs only involving the Sartorius muscle has never been reported.Patient ConcernsA 25-year-old man was admitted to the hospital with progressive restricted left hip joint extension, left thigh discomfort and gait disturbance for 6 years.DiagnosesCombining clinical manifestations with results of radiological and pathological examinations, it was consistent with the diagnosis of FM INTERVENTIONS:: The patient received a surgery under general anesthesia to release the contracted Sartorius tendon.OutcomesThe range of motion of the patient's left hip and ipsilateral knee has significantly improved as well as the discomfort of his left thigh relieved obviously after the surgery.LessonsThis case report is the first to report FM presenting as sartorius muscle contracture and the surgery is an alternative therapy for these patients.

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