Preoperative arterial embolization of heterotopic ossification around the hip joint
10.12701/yujm.2018.35.1.130
- Author:
Jin Hyeok KIM
1
;
Chankue PARK
;
Seung Min SON
;
Won Chul SHIN
;
Joo Yeon JANG
;
Hee Seok JEONG
;
In Sook LEE
;
Tae Young MOON
Author Information
1. Department of Radiology, Pusan National University Yangsan Hospital, Yangsan, Korea. chankue.park@gmail.com
- Publication Type:Case Report
- Keywords:
Hip;
Heterotopic ossification;
Arterial embolization;
Gelatin sponge
- MeSH:
Arteries;
Classification;
Hemorrhage;
Hip Joint;
Hip;
Humans;
Male;
Middle Aged;
Orthopedics;
Ossification, Heterotopic;
Pain, Intractable;
Range of Motion, Articular;
Spinal Cord Injuries;
Surgeons
- From:Yeungnam University Journal of Medicine
2018;35(1):130-134
- CountryRepublic of Korea
- Language:English
-
Abstract:
Heterotopic ossification (HO) around the hip joint is not uncommon following neurological injury. Often, surgical treatment is performed in patients with restricted motion and/or refractory pain due to grade III or IV HO according to Brooker classification. The major complication that occurs as a result of surgical HO removal is perioperative bleeding due to hyper-vascularization of the lesion. Here, we report a case of preoperative embolization in a 51-year-old male patient presenting with restricted bilateral hip range of motion (ROM) due to HO following a spinal cord injury. In the right hip without preoperative arterial embolization, massive bleeding occurred during surgical removal of HO. Thus, the patient received a transfusion postoperatively due to decreased serum hemoglobin levels. For surgery of the left hip, preoperative embolization of the arteries supplying HO was performed. Surgical treatment was completed without bleeding complications, and the patient recovered without a postoperative transfusion. This case highlights that, while completing surgical removal for ROM improvements, orthopedic surgeons should consider preoperative arterial embolization in patients with hip HO.
