# Surgical Triumph Over Huge Nontraumatic Myositis Ossificans of the Gluteal Region in an Epileptic Patient With History of Stroke: A Case Report

## TL;DR

A rare case of nontraumatic bone formation in the hip was successfully treated with surgery, improving the patient's mobility and pain.

## Contribution

This case report presents a rare nontraumatic myositis ossificans case successfully treated surgically, emphasizing early diagnosis and multidisciplinary management.

## Key findings

- Surgical excision of the mass led to complete removal and improved hip function.
- Histopathological confirmation of MO was achieved with no recurrence after one year.
- The case underscores the importance of considering MO in non-traumatic hip pain cases.

## Abstract

Myositis ossificans (MO) is a benign condition where bone forms within muscles due to increased activity of the periarticular tissues. Trauma is the most common cause. Nontraumatic MO is exceedingly rare. We present a rare instance of nontraumatic MO affecting the hip in a 32-year-old patient. The patient had a known case of seizure disorder and also had a history of a cerebrovascular accident (CVA). Despite the absence of trauma or known predisposing factors, the patient developed a sizable mass in the left hip, causing pain and restricted range of motion (ROM). Surgical excision of the mass was successful, resulting in complete removal and subsequent improvement in hip function and pain relief during postoperative recovery. Histopathological examination confirmed the diagnosis of MO. The patient's ROM normalized, and there were no signs of recurrence at the one-year follow-up. This case highlights the importance of recognizing MO in hip pain cases without trauma. Timely surgery through the approach described effectively removes the mass, preventing recurrence without compromising vital structures. It showcases a successful multidisciplinary approach for rare musculoskeletal conditions, offering valuable insights into similar cases.