Heterotopic ossification on the elbow in a hemiplegic patient: A case report

Journal of Clinical and Analytical Medicine Pub Date : 2019-03-01 DOI:10.4328/jcam.5854

E. Batur

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引用次数: 0

Abstract

DOI: 10.4328/JCAM.5854 Received: 06.04.2018 Accepted: 02.05.2018 Publihed Online: 03.05.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 247-9 Corresponding Author: Elif Balevi Batur, Dr.Arazi Medical Center, 42060, Konya, Turkey. GSM: +905386440903 F.: +90 3323538731 E-Mail: elifbalevi@hotmail.com ORCID ID: 0000-0001-8886-1144 Abstract Heterotopic ossification (HO) is characterized by a lamellar new bone formation particularly developing between muscle and joint capsule. HO mostly occurs on and around the hip joint. Shoulder and elbow are the other common-affected joints. There are three well-known etiologies of HO as of traumatic, neurogenic, and genetic. But, HO is a rare clinic entity in hemiplegic patients. HO is a condition that affects the patient’s mobility, self-care, and independence. In hemiplegic patients, especially in case of joint-related pain, local tenderness, increased temperature, and swelling HO should be considered in the differential diagnosis. The treatment options of HO are preserving the affected joint’s range of motion, pharmacological treatment (etidronate, nonsteroid anti-inflammatory drugs), radiotherapy, and surgical excision of the mature bone tissue in the advanced cases. This report presents a case with HO developed on the left elbow 2 months after the stroke due to a hemorrhagic cerebrovascular event.

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偏瘫患者肘部异位骨化1例

DOI: 10.4328 / JCAM.5854收稿日期:06.04.2018收稿日期:02.05.2018出版日期:03.05.2018印刷日期:01.03.2019 J clinical Anal Med 2019;10(2): 247-9通讯作者:Elif Balevi Batur, Dr.Arazi Medical Center, 42060, Konya, Turkey。摘要异位骨化(HO)以板层状新骨形成为特征，特别是在肌肉和关节囊之间发育。HO主要发生在髋关节及其周围。肩关节和肘关节是其他常见的受累关节。HO有三种众所周知的病因:外伤性、神经源性和遗传性。但是，在偏瘫患者中，HO是一种罕见的临床实体。HO是一种影响患者活动能力、自理能力和独立性的疾病。偏瘫患者，尤其是关节相关疼痛、局部压痛、体温升高和肿胀时，鉴别诊断时应考虑HO。HO的治疗选择包括保留受影响关节的活动范围、药物治疗(地替膦酸盐、非甾体抗炎药)、放疗和晚期成熟骨组织的手术切除。本报告报告一例脑卒中2个月后因出血性脑血管事件导致左肘部发生HO。

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Journal of Clinical and Analytical Medicine MEDICINE, GENERAL & INTERNAL-

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期刊介绍： The Annals of Clinical and Analytical Medicine is an international open-access journal containing peer-reviewed high-quality articles on clinical medicine in the areas of all research study types, reviews, and case reports. Our journal has become an important platform with the help of language support services, which make it easier for writers who have English as their second language to share their clinical experiences with the world.