Berg E E, Ciullo J V, Oglesby J W
Department of Orthopaedics, University of South Carolina School of Medicine, Columbia 29203.
Arthroscopy. 1994 Apr;10(2):158-61. doi: 10.1016/s0749-8063(05)80086-6.
Heterotopic ossification is a well-recognized complication of musculoskeletal trauma and elective orthopaedic surgery. A series of 10 cases of arthroscopic subacromial decompressions developed postoperative heterotopic bone. In eight, the ectopic bone caused recurrent shoulder impingement. These are the first reported cases in which heterotopic ossification compromised the results of an arthroscopic procedure. It is recommended that the patient at risk (e.g., with active spondolytic arthropathy or a profile of hypertrophic pulmonary osteoarthropathy--obesity, diabetes with a history of chronic pulmonary disease) be considered for heterotopic ossification prophylaxis.
异位骨化是肌肉骨骼创伤和择期骨科手术中一种广为人知的并发症。在一组10例关节镜下肩峰下减压手术的病例中出现了术后异位骨化。其中8例，异位骨导致复发性肩部撞击。这些是首次报道的异位骨化影响关节镜手术效果的病例。建议对有风险的患者（如有活动性脊椎关节病或肥厚性肺性骨关节病特征——肥胖、有慢性肺部疾病史的糖尿病患者）考虑进行异位骨化预防。
