Global Excision of Severe Heterotopic Ossification of the Shoulder: A Case Report

Elizabeth M. Polfer, Kyle E. Nappo*, Jeffrey R. Giuliani, Leon J. Nesti

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Case:A 21-year-old man sustained a closed glenohumeral fracture/dislocation as a pedestrian struck by a motor vehicle. He was treated nonoperatively and developed severe post-traumatic heterotopic ossification (HO) with near-complete shoulder ankylosis. We present our technique for safe surgical excision.Conclusions:Excision led to improvements in motion and quality of life at 1 year postoperatively. Recommendations for successful HO excision around the shoulder include excision after at least 180 days, appropriate preoperative imaging to include cross-sectional imaging and a 3D model, intraoperative fluoroscopy, well-serviced instruments, preparation for iatrogenic fracture and/or neurovascular injury, meticulous hemostasis, postoperative HO prophylaxis, immediate postoperative therapy, and involvement of a multidisciplinary team.

Original languageEnglish
Pages (from-to)E0080
JournalJBJS Case Connector
Issue number1
StatePublished - 19 Feb 2020
Externally publishedYes


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