SciELO - Scientific Electronic Library Online

 
vol.14 número1Cervical corpectomy and anterior standalone plate stabilisation in sub-axial cervical spine trauma: a retrospective review of the radiological outcomesChondromyxoid fibroma: a case series and radiological review índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Artigo

Indicadores

Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Em processo de indexaçãoSimilares em Google

Compartilhar


SA Orthopaedic Journal

versão On-line ISSN 2309-8309
versão impressa ISSN 1681-150X

Resumo

YOGESWARAN, C  e  OROKO, PK. Early excision of heterotopic ossification for pain control: A case report. SA orthop. j. [online]. 2015, vol.14, n.1, pp.52-55. ISSN 2309-8309.

BACKGROUND: Heterotopic ossification rarely presents with pain as the primary symptom CASE: A 31-year-old soldier presented with severe right hip pain 2.5 months after a craniectomy following a penetrating brain injury. Examination revealed a right-sided hemiplegia and a stiff hip with the patient resisting any passive movements due to severe pain. A hip X-ray confirmed massive heterotopic ossification of the right hip. Pain was so severe that he required management by the pain control team who administered analgesics including the use of several epidural catheters and femoral nerve blocks. There was also significant restriction in activity, including physiotherapy, due to pain. Exploration and excision of the heterotopic bone at the right hip 2.5 months after diagnosis revealed significant compression and stretching of the sciatic nerve by the heterotopic bone. The massive heterotopic bone was excised followed by radiotherapy using 800 cGy within 24 hours of surgery. Post-operatively pain control was significantly improved with only simple analgesics being required CONCLUSION: Heterotopic ossification at the hip can be associated with significant pain when compression of the sciatic nerve is involved. Early surgical excision is indicated, instead of waiting until maturity of heterotopic bone, for the main purpose of achieving pain control

Palavras-chave : heterotopic ossification; traumatic brain injury; hip; nerve entrapment.

        · texto em Inglês     · Inglês ( pdf )

 

Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons