Zeng Lin-Ru, Luo Gan, Zhu Fang-Bing, Wang Jian-Yue, Hou Qiao, Yue Zhen-Shuang, Yan Shi-Gui, Quan Ren-Fu, Zhang Ying-Liang
Department of Foot and Ankle Surgery, Xiaoshan District Hospital of TCM, Affiliated Jiangnan Hospital of Zhejiang Chinese Medicine University, Hangzhou 311201, Zhejiang, China.
Zhongguo Gu Shang. 2020 Mar 25;33(3):283-7. doi: 10.12200/j.issn.1003-0034.2020.03.021.
Heterotopic ossification is the formation of pathological bone in non-skeletal tissues (including muscles, tendons or other soft tissues), and the pathogenesis is not completely clear. It is often caused by musculoskeletal trauma, postoperative bone and joint surgery, or damage of the nervous system, the clinical manifestations are joint swelling, pain, and movement disorders, which often occur around the hips, knees, and elbows. At present, the prevention of heterotopic ossification mainly includes drugs, radiotherapy, molecular biological mechanism intervention, and Chinese medicine-related measures. Among them, drugs and radiotherapy are more effective methods to prevent heterotopic ossification. The intervention of molecular biology mechanism to prevent heterotopic ossification has become a new research direction and focus of attention inrecent years, and is basically at the experimental research stage. The treatment of heterotopic ossification includes various methods such as drugs, physical therapy, and surgery. Among them, surgery is recognized as the most effective treatment, however there are still some controversies and disagreements about the choice of operation time and surgical methods.
异位骨化是指在非骨骼组织(包括肌肉、肌腱或其他软组织)中形成病理性骨,其发病机制尚不完全清楚。它常由肌肉骨骼创伤、术后骨关节手术或神经系统损伤引起,临床表现为关节肿胀、疼痛和活动障碍,常见于髋部、膝部和肘部周围。目前,异位骨化的预防主要包括药物、放疗、分子生物学机制干预以及中医相关措施。其中,药物和放疗是预防异位骨化较为有效的方法。近年来,通过分子生物学机制干预预防异位骨化已成为新的研究方向和关注焦点,且基本处于实验研究阶段。异位骨化的治疗包括药物治疗、物理治疗和手术等多种方法。其中,手术被认为是最有效的治疗方法,但在手术时机和手术方式的选择上仍存在一些争议和分歧。