Massive Hip Heterotopic Ossification in a Polytrauma Patient: A Case Report

Reza  Zandi; Shahin  Talebi; Farnam  Behroo; Saeed  Nodeh; Akbar  Ehsani

doi:10.18502/jost.v11i2.18887

Reza Zandi Associate Professor, Department of Orthopedic Surgery, Taleghani Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Musculoskeletal Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Shahin Talebi Associate Professor, Department of Orthopedic Surgery, Taleghani Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Musculoskeletal Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Farnam Behroo Intern, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Saeed Nodeh Resident, Musculoskeletal Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Akbar Ehsani Orthopedic Surgeon, Musculoskeletal Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jost.v11i2.18887

Keywords: Hip; Heterotopic Ossification; Surgical Resection; Case Reports; Multiple Trauma

Abstract

Background: Heterotopic ossification (HO) around the hip joint is correlated with a dramatic reduction in hip range of motion (ROM) and quality of life (QOL).

Case Report: We report on a 45-year-old man with a massive right hip HO with intensive reduction in his right hip ROM. He underwent surgical resection via Smith-Petersen approach by an experienced hip surgeon, as well as a vascular surgeon. Neurovascular bundle was explored and protected. The mass was excised as much as possible. The ROM increased instantly to near full. After surgery, we used indomethacin in order to hinder the HO relapse.

Conclusion: The surgical resection of hip HO is a feasible treatment option; however, it is challenging.