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From BMJ Case Reports 2011; doi:10.1136/bcr.02.2011.3869.

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My doctor thinks that the bulge on the outer side of my femur is due to bone trauma but I think it is as a result of the ossification of previous　karate low-kick induced haematomas. Since I currently have another haematoma the bulge of ossified blood shown above is likely to get bigger as my current haematoma subsides.

The Net tells me that people can have these things in their thigh for a long time without noticing (as I have), and that they can be much larger, not attached to the femur, and sometimes that they are suspected of having becoming malignant and metastasing to the lungs. The latter case report, from 1936, was inconclusive - and seems unlikely to me (I am not a doctor).

In order to avoid an increase in the size of my ossified haematoma, I suggested surgery to remove some of the blood in my thigh but my doctor was not into that idea.

I am very active and have remained active post trauma in the past. I am not a doctor but I think perhaps my high level of activity may be one of the reasons why my ossified haematoma is a nice (?) small dense bulge next to my bone rather than a larger dispersed oval mass in my thigh. With all my thigh movements the last of the congealing blood may have been squeegeed back to the region around my femur, rather than left in spaces in my thigh muscles.

Removed large, non malignant ossified haematoma (Zadek, 1969)

pubmed.ncbi.nlm.nih.gov/4975069/

Malignant (?) ossified haematoma (Butler, & Wooley, 1936)

pubs.rsna.org/doi/10.1148/26.2.236

More recent advice (Saber, & Farooq, 2021) suggests that MOT can be mistaken for malignancy and that there is no reason to suspect that post traumatic ossification ever becomes malignant.

radiopaedia.org/articles/myositis-ossificans-1?lang=us

This paper details the many types of Myositis ossificans traumatica (MOT post injury bone formation)

www.chiropractic.ca/wp-content/uploads/2014/06/jcca-v54-4...

It seems that ossification can be more of a problem if it occurs near to a joint such hip

www.researchgate.net/publication/299653749_MRI_findings_o...

ankle (Muir, 2010)

www.ncbi.nlm.nih.gov/pmc/articles/PMC2989395/

or between the fibia and tibia (Nieuwenhuizen, van Veldhoven, & van Oosterom, 2019)

casereports.bmj.com/content/13/8/e233210?rss=1&utm_ca...

The original X-ray shows my pelvis including an x-ray of my genitals, so after experimenting with mosaic, I have removed the top part of the x-ray. If anyone medical practitioner should need the larger photo, showing my pelvis etc, I'd be happy to send it.

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www.bonetumor.org/tumors-vascular-tissue/epithelioid-hema...

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www.journals.elsevier.com/epilepsy-and-behavior-case-repo...

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Published on the occasion of the exhibition Case Report, curated by Lorenzo Sandoval.

Contributors: Emanuel Almborg, Sol Calero, Ben Rivers, Özlem Altin, Christopher Kline & Jonathan Ulliel Saldanha.

Edition of 150

Printed by knust, Nijmegen, NL

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