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

Russian Federation

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

Russian Federation

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

Russian Federation

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

Russian Federation

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

Russian Federation

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

Russian Federation

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

Russian Federation

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