How is heterotopic ossification treated?
Usually, treatment will include gentle range of motion of the joints and some physical therapy. Your doctor may also prescribe medications to slow down or stop the abnormal growth of bone. When HO severely affects your movement or causes excruciating pain, surgery may be needed.
What doctor treats heterotopic ossification?
When heterotopic ossification (HO) is severe or problematic and causes pain, or affects a patient’s mobility and function, it should be managed by an orthopaedic surgeon. Occasionally, that involves surgery or a revision procedure to resolve the problem.
Which joint is the most common site for heterotopic ossification in burn patients?
By far the most common sites affected are the elbows resulting in marked reduction in ROM and function, often associated with ulnar nerve compression. Involvement of other joints including shoulders, hips, knees, forearms15 and the tempromandibular joints (TMJ)16 have been documented.
What is the most sensitive test to diagnose heterotopic ossification in the early phase?
Bone scintigraphy is highly sensitive in the early diagnosis of HO. This is the most commonly used diagnostic study for HO.
Where does heterotopic ossification occur?
HO occurs with the highest frequency at the elbow, followed by the shoulder, and subsequently the hip. Owing to its location around joints, those patients with burn injury–induced HO often have a restriction in the range of motion as an early manifestation of the ossification.
What is HO surgery?
Surgical Therapy Heterotopic ossification (HO) is seldom excised, because pain relief is often inadequate and improvement in range of motion (ROM) may not last. In established cases of HO following total hip arthroplasty (THA), excision may be performed. The results of this procedure are varied.
Can ossification be cured?
Management and Treatment Physical therapy to increase range of motion and decrease pain. Surgery to remove heterotopic ossification that causes severe pain or restrictions in your daily function. These surgeries are often a last resort, as there is a chance that the HO can form again.
Can physical therapy help heterotopic ossification?
Physical therapy has been shown to benefit patients suffering from heterotopic ossification. Pre-operative PT can be used to help preserve the structures around the lesion. ROM exercises (PROM, AAROM, AROM) and strengthening will help prevent muscle atrophy and preserve joint motion.
Who is at risk for heterotopic ossification?
Heterotopic Ossification
| Risk Factors for Heterotopic Ossification | ||
|---|---|---|
| Injury severity score (ISS) | High ISS is a risk | 11% |
| Burns | Both locally under burn and remotely. More common with >20% body surface area | |
| Decubitus ulcers | Worse with concomitant decubitus ulcers and SCI or TBI | 70% (with concomitant SCI) |
What causes heterotopic ossification?
Heterotopic ossification (HO) occurs when bone tissue develops in your soft tissues. Often, people get HO after an injury or major surgery. Genetic HO is rarer and more severe. In HO, you develop a bony, painful lump underneath your skin.
What is a heterotopic hip?
What is hip heterotopic ossification? Heterotopic ossification (HO) is an abnormal growth of bone in the soft tissue of the hip. The abnormal HO bone growth occurs at three-times the rate of normal bone growth. Heterotopic ossification can occur in the hip, knee, shoulder, thigh, elbow and even in the entire leg.
What is HO orthopedics?
Heterotopic ossification (HO) can be defined as the pathological formation of bone in extra-skeletal tissues. There has been a substantial amount of recent research on the pathophysiology, prophylaxis and treatment of HO and traumatic conditions associated with the development of HO.