Heterotopic Ossification Around the Hip in an Adult Spastic Patient.
- Author:
Han Suk KO
1
;
Woo Chun LEE
;
Kang Hoon KO
;
Cheol LEE
;
Ki Heon NAM
;
Jong Deuk RHA
Author Information
1. Department of Orthopaedic Surgery, Inje University Paik Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Hip joint;
Heterotopic ossification;
Resection
- MeSH:
Adult*;
Central Nervous System;
Follow-Up Studies;
Hip Joint;
Hip*;
Humans;
Muscle Spasticity*;
Ossification, Heterotopic*;
Paralysis;
Radiography;
Range of Motion, Articular;
Recurrence
- From:The Journal of the Korean Orthopaedic Association
2001;36(6):531-536
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To review the results of resections of heterotopic ossification around the hip in patients with central nervous system injuries. MATERIALS AND METHODS: Heterotopic ossification was resected in ten hips of eight patients and followed for at least one year. Average age was 38.1 years (range, 21-56 years). We reviewed the charts and the radiographs for overall patient function, location of the lesion, radiographic evidence of maturation and any recurrence. Heterotopic ossification was resected regardless of the result of bone scan. RESULTS: All patients showed improved function. Three minimal recurrences and one moderate recurrence were identified at the last follow-up radiography, but the range of motion had not decreased due to recurrence. CONCLUSION: Severe heterotopic ossification around the hip in patients with spastic paralysis was resected, and it was found that the range of motion was improved in all patients and that the chance of recurrence was minimal, even though the bone scan showed hot uptake on the bone scan.