TY - JOUR
T1 - Global Excision of Severe Heterotopic Ossification of the Shoulder
T2 - A Case Report
AU - Polfer, Elizabeth M.
AU - Nappo, Kyle E.
AU - Giuliani, Jeffrey R.
AU - Nesti, Leon J.
N1 - Publisher Copyright:
© 2020 by the Journal of Bone and Joint Surgery, Incorporated.
PY - 2020/2/19
Y1 - 2020/2/19
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85082597405&partnerID=8YFLogxK
U2 - 10.2106/JBJS.CC.18.00080
DO - 10.2106/JBJS.CC.18.00080
M3 - Article
C2 - 32224653
AN - SCOPUS:85082597405
SN - 2160-3251
VL - 10
SP - E0080
JO - JBJS Case Connector
JF - JBJS Case Connector
IS - 1
ER -