Excellence in Education

 
     
 
Home About Us Contact Us News Testimonials Patient Information FAQ Hand Courses Login
 
     
 

Free Content -
Case Studies
 
     
 
Newsletters
Case Studies
Quiz Corner
Classifieds
Movie Tips

Case studies are posted regularly and the moderators response follows a few days after a case is posted. Please feel free to post your ideas we may find you have a better answer than the moderator!

Return to list of case studies.
Elbow Fun - 11/15/2010
This patient presented 5 weeks post olecranon fracture ORIF with limited elbow ROM and pain. In addition, he has swelling and tenderness, which can mimic a low-grade infection but there is no infection. What can be going on?

Moderators Response:
Heterotopic ossification is defined as bone formation in nonosseous tissues. Heterotopic ossification usually occurs in trauma such as fractures and surgical procedures. Heterotopic bone can occur at sites other than the hip, including the elbow, knee, shoulder, and temporomandibular join Heterotopic ossification also is seen in neurologic disorders such as spinal cord and brain injury.
As such, in high-risk patients, prophylaxis with NSAIDs or radiation is recommended. Once heterotopic ossification develops, surgical removal is the only effective treatment, followed by radiation or NSAIDs to prevent recurrence.

Therapy role is to be aware of this condition. High risk patients do not perform PASSIVE ROM or aggressive AA/AROM, monitor them and report to MD ASAP with any concerns.
 
Name:
Comment:
 
11/15/2010
Anonymous
Possible loose bodies.
11/16/2010
Anonymous
HO
11/16/2010
Anonymous
Heterotopic bone ossification
11/16/2010
Anonymous
acute bursitis
11/16/2010
Anonymous
Hetertrophic ossification
11/17/2010
Anonymous
Heterotrophic ossification
11/17/2010
Anonymous
HO forming in joint
1/12/2011
Anonymous
Post traumatic arthritis
2/3/2011
Anonymous
HO
7/8/2011
Anonymous
heterotopic ossificans
11/12/2011
Anonymous
lack of mobility and edema
 
     
   
  Copyright 2017 | Exploring Hand Therapy Company | All Rights Reserved | Terms & Conditions