Elzaki Mohamed A, Alamin Mohammed, Kaar Kenneth, Kelly John
Trauma and Orthopedics, University Hospital Galway, Galway, IRL.
Orthopedics and Traumatology, Sligo General Hospital, Sligo, IRL.
Cureus. 2022 Mar 10;14(3):e23015. doi: 10.7759/cureus.23015. eCollection 2022 Mar.
Heterotopic ossification (HO) is the formation of bone in surrounding soft tissue. In the literature, several causes for this phenomenon were mentioned, trauma - including surgery, burns, and traumatic brain injury. HO in a shoulder is not frequently seen after traumatic brain injury (TBI). This relationship between TBI and HO can be explained in many ways. Surgical treatment entails many complications and important anatomical structures are at risk (e.g., axillary nerve). Surgeon must weigh both, risks and benefits and counsel the patient before taking a decision of surgical excision. We present a rare case of ankylosis of the shoulder following a traumatic brain injury.
异位骨化(HO)是指在周围软组织中形成骨组织。文献中提到了这种现象的几种原因,包括创伤——如手术、烧伤和创伤性脑损伤。创伤性脑损伤(TBI)后肩部出现HO的情况并不常见。TBI与HO之间的这种关系可以从多种角度来解释。手术治疗会带来许多并发症,重要的解剖结构也面临风险(如腋神经)。外科医生在决定进行手术切除之前,必须权衡风险和益处并向患者提供咨询。我们报告一例创伤性脑损伤后肩部强直的罕见病例。