Jessen Malik, Gerhardt Christian, Lehmann Lars-Johannes, Schmalzl Jonas
Department of Traumatology and Hand Surgery, St. Vincentius Clinic, ViDia Clinics, Teaching Hospital of the Albert-Ludwigs-University Freiburg, Suedendstraße 32, 76137 Karlsruhe, Germany.
Case Rep Orthop. 2020 Oct 3;2020:8883758. doi: 10.1155/2020/8883758. eCollection 2020.
Heterotopic ossifications (HO) in the shoulder are rare. The effectiveness of conservative treatment is limited, and therefore, symptomatic cases are usually treated surgically. However, there are no guidelines for the surgical treatment of HO. Herein, we report the case of a 45-year-old man with severe HO and proximal entrapment of the ulnar nerve following primary anterior shoulder dislocation without concomitant injuries (e.g., fracture and rotator cuff tears). Surgical intervention was indicated, including resection of HO and neurolysis of the brachial plexus. Nine months after surgery, the patient presented with restored shoulder function, pain relief, and good patient satisfaction. The case shows that the ulnar nerve can also be impaired due to HO following shoulder dislocation.
肩部异位骨化（HO）较为罕见。保守治疗效果有限，因此，有症状的病例通常采用手术治疗。然而，目前尚无HO手术治疗的指南。在此，我们报告一例45岁男性患者，该患者在原发性肩关节前脱位后出现严重HO及尺神经近端卡压，且无合并损伤（如骨折和肩袖撕裂）。手术干预包括切除HO及臂丛神经松解术。术后9个月，患者肩部功能恢复，疼痛缓解，患者满意度良好。该病例表明，肩关节脱位后HO也可导致尺神经受损。
