Gurcan Serkan, Ozyurek Selahattin, Kose Ozkan, Sehirlioglu Ali
Department of Orthopaedics and Traumatology, Cag Hospital, Ankara, Turkey.
BMJ Case Rep. 2013 May 21;2013:bcr2013009983. doi: 10.1136/bcr-2013-009983.
Heterotopic ossification is a frequent complication after spinal cord injury. It usually develops around major weight bearing joints. However, ankylosing hip is a rare presentation. Various treatment methods have been reported and advocated as efficacious methods for management of heterotopic ossification. We report a case of ankylosing pelvitrochanteric heterotopic ossification treated with surgical excision before full maturation, postoperative radiation therapy and indomethacine without recurrence after 1 year. Treatment options are discussed in this particular case.
异位骨化是脊髓损伤后常见的并发症。它通常在主要负重关节周围形成。然而,髋关节强直是一种罕见的表现。已有多种治疗方法被报道并被倡导为治疗异位骨化的有效方法。我们报告一例骨盆转子间异位骨化强直患者,在骨化完全成熟前接受手术切除,术后进行放射治疗并使用消炎痛,1年后无复发。本文针对该特殊病例讨论了治疗选择。