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- Preoperative arterial embolization of heterotopic ossification around the hip joint
- Jin Hyeok Kim, Chankue Park, Seung Min Son, Won Chul Shin, Joo Yeon Jang, Hee Seok Jeong, In Sook Lee, Tae Young Moon
- Yeungnam Univ J Med. 2018;35(1):130-134. Published online June 30, 2018
- DOI: https://doi.org/10.12701/yujm.2018.35.1.130
- 5,225 View
- 31 Download
- 4 Crossref
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Abstract
PDF - Heterotopic ossification (HO) around the hip joint is not uncommon following neurological injury. Often, surgical treatment is performed in patients with restricted motion and/or refractory pain due to grade III or IV HO according to Brooker classification. The major complication that occurs as a result of surgical HO removal is perioperative bleeding due to hyper-vascularization of the lesion. Here, we report a case of preoperative embolization in a 51-year-old male patient presenting with restricted bilateral hip range of motion (ROM) due to HO following a spinal cord injury. In the right hip without preoperative arterial embolization, massive bleeding occurred during surgical removal of HO. Thus, the patient received a transfusion postoperatively due to decreased serum hemoglobin levels. For surgery of the left hip, preoperative embolization of the arteries supplying HO was performed. Surgical treatment was completed without bleeding complications, and the patient recovered without a postoperative transfusion. This case highlights that, while completing surgical removal for ROM improvements, orthopedic surgeons should consider preoperative arterial embolization in patients with hip HO.
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- Embolization followed by resection of the heterotopic hip joint ossification with spinal cord injury
Takahiro Igei, Satoshi Nakasone, Masato Ishihara, Masamichi Onaga, Kotaro Nishida
Journal of Orthopaedic Science.2024; 29(1): 454. CrossRef - Preoperative Arterial Embolization for Heterotopic Ossification of the Hip
Nicolas Papalexis, Giuliano Peta, Costantino Errani, Marco Miceli, Giancarlo Facchini
Journal of Vascular and Interventional Radiology.2023; 34(4): 608. CrossRef - Neurogenic heterotopic ossification: A review. Part 2
Vladimir A. Novikov, Alina M. Khodorovskaya, Valery V. Umnov, Evgenii V. Melchenko, Dmitry V. Umnov
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery.2023; 11(4): 557. CrossRef - ENDOVASCULAR TREATMENT BEFORE OPERATIONS IN CLINIC OF TRAUMATOLOGY AND ORTHOPAEDICS
S. Prozorov, P. Ivanov, N. Zadneprovsky
Vrach.2023; : 21. CrossRef
- Embolization followed by resection of the heterotopic hip joint ossification with spinal cord injury
- Heterotopic bone formation in normal gastric cardiac mucosa.
- Seok Hyeon Eom, Chang Hwan Park, Duk Won Chung, Sang Hyeok Lee, Ji Young Seo, Yeong Sung Kim, Dong Hyup Kwak, Jung Hee Kim
- Yeungnam Univ J Med. 2016;33(2):146-149. Published online December 31, 2016
- DOI: https://doi.org/10.12701/yujm.2016.33.2.146
- 2,122 View
- 8 Download
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Abstract
PDF
- Heterotopic bone formation in the gastrointestinal tract is a rare phenomenon. Most reported cases were associated with benign and malignant neoplasms, except for a case in which heterotopic bone formation was found in a patient with Barrett's esophagus. The exact pathogenesis of the disease has not yet been established. However, most heterotopic bones found in the gastrointestinal tract were associated with mucinproducing tumors of the appendix, colon, and rectum. Inflammation may also play a role in osseous metaplasia in a case with bone formation at the base of an ulcer in Barrett's esophagus. Here, we report on a patient with heterotopic bone formation in normal gastric cardiac mucosa. A 50-year-old female visited our hospital for a routine health examination. She had no gastrointestinal symptoms, and her physical examination, blood test, X-ray, urine, and stool examination results were normal. A 0.3 cm sized polypoid lesion located just below the squamocolumnar junction was observed on upper gastrointestinal endoscopy. A piece of biopsy was taken. Histologically, a lamella bone trabecula and chronic inflammatory cells were observed in the gastric cardiac mucosa. The follow-up endoscopy performed one month later showed no residual lesion.
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