Vaishya Raju, Singh Amit Kumar, Agarwal Amit Kumar, Vijay Vipul
Department of Orthopaedics, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi - 110076, India.
J Orthop Case Rep. 2018 Sep-Oct;8(5):43-46. doi: 10.13107/jocr.2250-0685.1204.
Ankylosis of a joint could be intra-articular or extra-articular. Intra-articular ankylosis may be fibrous or bony. Soft tissue contracture and heterotopic ossification area common finding in patients with a deep burn around the joints. Intra-articular bony ankylosis after burn is uncommon, but a possible complication and we present a rare case with bilateral elbow involvement.
A 35-year-old female presented to us with contracture of both the elbows. She had a history of severe accidental thermal burn involving mainly the front of both the upper limbs 6months back. She developed burn contracture of both elbows. X-rays of both elbows showed bony fusion.
Spontaneous bony fusion occurs in various pathologies, some are well known, but some are rare and unusual. Development of soft tissue contracture in deep burn is quite typical, followed by extra-articular ankylosis, but true spontaneous bony fusion can also occur. The possibility of spontaneous bony fusion in deep burn injuries around the joint should be kept in mind by both plastic surgeons and orthopedic surgeons.
关节强直可分为关节内强直和关节外强直。关节内强直可能是纤维性或骨性的。软组织挛缩和异位骨化是关节周围深度烧伤患者的常见表现。烧伤后关节内骨性强直并不常见，但却是一种可能的并发症，我们在此报告一例双侧肘关节受累的罕见病例。
一名35岁女性因双侧肘关节挛缩前来就诊。她6个月前有严重意外热烧伤病史，主要累及双上肢前部。她出现了双侧肘关节烧伤挛缩。双侧肘关节X线显示骨性融合。
自发性骨性融合发生于多种病理情况，有些是众所周知的，但有些则罕见且不寻常。深度烧伤中软组织挛缩的发展相当典型，随后出现关节外强直，但真正的自发性骨性融合也可能发生。整形外科医生和骨科医生都应牢记关节周围深度烧伤损伤中自发性骨性融合的可能性。
