MASSIVE POSTTRAUMATIC HETEROTOPIC OSSIFICATION OF KNEE JOINT (CASE REPORT)

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Abstract

Heterotopic ossification is characterized by bone tissue formation in soft tissues that possess no osteogenic properties. The authors present a clinical case of a female patient with massive heterotopic ossification in anteromedial aspect of the right knee joint with 10 years history before admission for treatment. An abrupt knee hyperextension became a trigger mechanism for the present lesion. MR tomography demonstrated af ormation pushing off the healthy tissues along the anteromedial surface of the right joint. Computer tomography visualized a massive calcination of soft tissues. During the arthroscopic procedure the authors observed a formation of a dense consistency with round borders which demonstrated minor cohesion with surrounding tissues. The formation wasremoved. Diagnosis was confirmed by histological findings. Control x-rays in 6 months after the procedure verified absence of new areas of heterotopic ossification. Removal of ossificational lowed to obtain a good clinical outcome.

About the authors

M. S. Ryazantsev

ECSTO, European Clinic of Sports Traumatology and Orthopaedics; Peoples Friendship University of Russia

Author for correspondence.
Email: mryazantsev@emcmos.ru

Mikhail S. Ryazantsev — Orthopaedics Surgeon ECSTO; Postgraduate Student, Department of Traumatology, Orthopaedics and Arthrology PFUR.

7, Orlovskii per., Moscow, 129110; 6, ul. Miklukho-Maklaya, Moscow, 117198

Россия

N. Magnitskaya

ECSTO, European Clinic of Sports Traumatology and Orthopaedics; Peoples Friendship University of Russia

Email: fake@neicon.ru

Nina E. Magnitskaya — Orthopaedics Surgeon ECSTO; Postgraduate Student, Department of Traumatology, Orthopaedics PFUR.

7, Orlovskii per., Moscow, 129110; 6, ul. Miklukho-Maklaya, Moscow, 117198

Россия

A. P. Afanasyev

ECSTO, European Clinic of Sports Traumatology and Orthopaedics

Email: fake@neicon.ru

Aleksei P. Afanasyev — Cand. Sci. (Med.) Orthopedic Surgeon ECSTO.

7, Orlovskii per., Moscow, 129110

Россия

D. O. Ilʼin

ECSTO, European Clinic of Sports Traumatology and Orthopaedics

Email: fake@neicon.ru

Dmitrii O. Ilʼin — Cand. Sci. (Med.), Orthopaedics Surgeon ECSTO.

7, Orlovskii per., Moscow, 129110

Россия

A. N. Logvinov

ECSTO, European Clinic of Sports Traumatology and Orthopaedics; Peoples Friendship University of Russia

Email: fake@neicon.ru

Aleksei N. Logvinov — Orthopaedics Surgeon ECSTO; Postgraduate Student, Department of Traumatology, Orthopaedics PFUR.

7, Orlovskii per., Moscow, 129110; 6, ul. Miklukho-Maklaya, Moscow, 117198

Россия

A. V. Frolov

ECSTO, European Clinic of Sports Traumatology and Orthopaedics; Peoples Friendship University of Russia

Email: fake@neicon.ru

Aleksandr V. Frolov — Cand. Sci. (Med.), Orthopaedics Surgeon ECSTO, assistant professor of Department of Traumatology and Orthopaedics PFUR.

7, Orlovskii per., Moscow, 129110; 6, ul. Miklukho-Maklaya, Moscow, 117198

Россия

А. V. Korolev

ECSTO, European Clinic of Sports Traumatology and Orthopaedics; Peoples Friendship University of Russia

Email: fake@neicon.ru

Andrey V. Korolev — Dr. Sci. (Med.), Chief Doctor and Medical Director ECSTO; Professor of Department of Traumatology and Orthopaedics PFUR.

7, Orlovskii per., Moscow, 129110; 6, ul. Miklukho-Maklaya, Moscow, 117198

Россия

References

  1. Dejerine A., Ceillier A. Para-osteo-arthropathies des paraplegiques par lesion medullaire; etude clinique et radiographique. Ann Med. 1918;5:497.
  2. Zeckey C., Hildebrand F., Frink M., Krettek C. Heterotopic ossifications following implant surgery — epidemiology, therapeutical approaches and current concepts. Semin Immunopathol. 2011;33(3):273-286. doi: 10.1007/s00281-011-0240-5.
  3. Hsu J.E., Keenan M.A. Current review of heterotopic ossification. Univer Pennsylvania Orthop J. 2010;20:126-130.
  4. Кесян Г.А. Уразгильдеев Р.З., Дан И.М., Арсеньев И.Г. Гетеротопическая оссификация крупных суставов при травмах и заболеваниях центральной нервной системы (обзор литературы). Кремлевская медицина. Клинический вестник. 2015;(4):78-83. Kesyan G.A., Urazgildeev R.Z., Dan I.M., Arsenjev I.G. [Heterotopic ossification of large joints in injuries and in pathologies of the central nervous system (a literature review)]. Kremljovskaya medicina. Clinichesky vestnik [Kremlin medicine Journal]. 2015;(4):78-83. (in Russian).
  5. Eлфимов С.В., Кузнецова Н.Л., Cолодовников А.Г. Прогнозирование гетеротопической оссификации после операций и травм тазобедренного сустава. Политравма. 2011;(2):14-19. Elfimov S.V., Kuznetsova N.L., Solodovnikov A.G. [Prognosing of heterotopic ossification after operations and injuries of hip joint]. Politravma [Polytrauma]. 2011;(2):14-19. (in Russian).
  6. Корж А.А., Дедух Н.В. Гетеротопическая оссификация (взгляд на проблему). Ортопедия, травматология и протезирование. 2004;4:89-93. Korzh A.A., Dedukh N.V. [Heterotopic ossification (view of the problem)]. Ortopediya, travmatologiya i protezirovanie [Orthopedics, traumatology and prosthetics]. 2004;4: 89-93. (in Russian).
  7. Mavrogenis A.F., Soucacos P.N., Papagelopoulos P.J. Heterotopic ossification revisited. Orthopedics. 2011; 34(3):177. doi: 10.3928/01477447-20110124-08.
  8. Bauer A.S., Lawson B.K., Bliss R.L., Dyer G.S. Risk factors for posttraumatic heterotopic ossification of the elbow: case-control study. J Hand Surg Am. 2012;37(7):1422-1429. e6. DOI: 0363-5023/12/37A07-0019$36.00/0.
  9. Iorio R., Healy W.L. Heterotopic ossification after hip and knee arthroplasty: risk factors, prevention, and treatment. J Am Acad Orthop Surg. 2002;10(6):409-416.
  10. Bhandary B., Shetty S., Bangera V.V., Kassim M.S., Alva K., Bhandary S. To study the incidence of heterotopic ossification after anterior cruciate ligament reconstruction. J Clin Diagn Res. 2013;7(5):888-891. doi: 10.7860/JCDR/2013/5348.2970.
  11. Mills W.J., Tejwani N. Heterotopic ossification after knee dislocation: the predictive value of the injury severity score. J Orthop Trauma. 2003;17(5):338-345.
  12. Patton W.C., Tew W.M. Periarticular heterotopic ossification after multiple knee ligament reconstructions a report of three cases. Am J Sports Med. 2000;28(3):398-401. DOI: 0363-5465/100/2828-0398$02.00/0.
  13. Baird E.O., Kang Q.K. Prophylaxis of heterotopic ossification – an updated review. J Orthop Surg. 2009;4:12. doi: 10.1186/1749-799X-4-12.
  14. Edwards D.S., Clasper J.C. Heterotopic ossification: a systematic review. J R Army Med Corps. 2015; 161(4):315-321. doi: 10.1136/jramc-2014-000277.
  15. Edwards D.S., Kuhn K.M., Potter B.K., Forsberg J.A. Heterotopic ossification: a review of current understanding, treatment, and future. J Orthop Trauma. 2016;30:S27-30. doi: 10.1097/BOT.0000000000000666.
  16. Tyler P., Saifuddin A. The imaging of myositis ossificans. Semin Musculoskelet Radiol. 2010;14(2):201-216. doi: 10.1055/s-0030-1253161.
  17. Зимина О.Г., Кочергина Н.В., Соловьев Ю.Н., Токарева З.И., Габуния Р.И., Горлова Н.В. Случай гетеротопической оссификации. Радиология – практика. 2002;(1):36-38. Zimina O.G., Kochergina N.V., Solov’ev Yu.N., Tokareva Z.I., Gabuniya R.I., Gorlova N.V. [Case of heterotopi ossification]. Radiologiya — praktika [Radiology — Practice]. 2002;(1):36-38. (in Russian).
  18. Nauth A., Giles E., Potter B.K., Nesti L.J., O’Brien F.P., Bosse M.J. [et al.]. Heterotopic ossification in orthopaedic trauma. J Orthop Trauma. 2012;26(12):684-688. doi: 10.1097/BOT.0b013e3182724624.

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