Resection of heterotopic ossification around the hip after trauma
| العنوان: | Resection of heterotopic ossification around the hip after trauma |
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| المؤلفون: | L. Gatin, Nicolas de l’Escalopier, Marjorie Salga, Philippe Denormandie, François Genêt |
| المصدر: | EFORT Open Reviews |
| بيانات النشر: | Bioscientifica, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Instructional Lecture: Hip, Physical examination, Sitting, Trauma, Resection, 03 medical and health sciences, 0302 clinical medicine, Medicine, Orthopedics and Sports Medicine, Close contact, Spinal cord injury, Osteoma, 030222 orthopedics, Hip, Neurogenic Heterotopic Ossification, medicine.diagnostic_test, business.industry, Partial resection, medicine.disease, Surgery, Heterotopic ossification, business, 030217 neurology & neurosurgery |
| الوصف: | Traumatic neurological lesions may lead to development of heterotopic ossification. These cases are classified as ‘neurogenic heterotopic ossifications’ (NHOs). The associated neurological lesions can be caused by cranial trauma or spinal cord injury and may sometimes include a local trauma. NHOs that form around the hip joints are of particular interest because they often cause the patient to avoid the sitting position or the resumption of walking. Whilst NHO can involve the knee, shoulder and elbow joints, hip-involving NHOs are more numerous, and sometimes develop in close contact with vascular or neurological structures. Multi-disciplinary clinical examination is fundamental to evaluate patients for surgical intervention and to define the objectives of the surgery. The best investigation to define an NHO mass is a computerized tomography (CT) scan. Resection is performed to liberate a fused joint to provide functionality, and this need not be exhaustive if it is not necessary to increase the range of motion. While recurrence does occur post-surgery, a partial resection does not pose a greater risk of recurrence and there are no adjuvant treatments available to reduce this risk. The greatest risks associated with NHO surgical resection are infection and haematoma; these risks are very high and must be considered when evaluating patients for surgery. Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180098 |
| تدمد: | 2058-5241 2396-7544 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::aeed0aae259fdde120e4cbdd08df01e4Test https://doi.org/10.1302/2058-5241.4.180098Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....aeed0aae259fdde120e4cbdd08df01e4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20585241 23967544 |
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