Sawyer Jeffrey R, Kapoor Mukesh, Gonzales Mark H, Warner William C, Canale S Terry, Beaty James H
Department of Orthopaedic Surgery, University of Tennessee-Campbell Clinic, Memphis, TN 38104, USA.
J Pediatr Orthop. 2009 Dec;29(8):865-7. doi: 10.1097/BPO.0b013e3181c1e2ce.
Heterotopic ossification is bone formation that occurs in an abnormal soft tissue location, most commonly after trauma, head injury, and surgical procedures such as joint arthroplasty. We report a rare case of severe heterotopic ossification caused by nonaccidental injury in a 3-year-old child. To our knowledge, heterotopic ossification as a result of nonaccidental injury in children has been reported in only 2 other patients. Physicians should be aware of this rare presentation of nonaccidental injury, and nonaccidental injury should be considered in the differential diagnosis in children who present with heterotopic ossification.
异位骨化是指在异常软组织部位形成骨组织,最常见于创伤、头部损伤以及关节置换术等外科手术后。我们报告了一例3岁儿童因非意外性损伤导致严重异位骨化的罕见病例。据我们所知,儿童因非意外性损伤导致异位骨化的情况仅在另外2例患者中报道过。医生应意识到这种非意外性损伤的罕见表现,对于出现异位骨化的儿童,在鉴别诊断时应考虑非意外性损伤。