From the Department of Orthopaedic Surgery (Dr. Cheng and Dr. Wetzel) and Department of Urology (Dr. Francis and Dr. Kim), University Hospitals Cleveland Medical Center, Cleveland, OH.
J Am Acad Orthop Surg. 2018 Jun 1;26(11):e246-e248. doi: 10.5435/JAAOS-D-17-00101.
The hip is a common location for heterotopic ossification after surgical trauma, blunt trauma, or muscle injury. However, the region around the pubic rami is an unusual location for heterotopic bone formation. Here, we present a case of a young, active man in the Armed Forces Reserve with a large heterotopic bone involving the left inferior pubic ramus who underwent surgical excision through an unusual approach via the perineum. The patient had notable pain relief postoperatively and returned to his active duties 1 month after surgery without discomfort or functional limitation.
髋关节是外科创伤、钝性创伤或肌肉损伤后异位骨化的常见部位。然而,耻骨支周围区域是异位骨形成的不常见部位。在这里,我们报告了一个年轻、活跃的武装部队预备役人员的病例,他的左耻骨下支有一个大的异位骨,通过会阴的不寻常入路进行了手术切除。术后患者疼痛明显缓解,术后 1 个月返回现役,无不适或功能受限。