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Портал Begell Электронная Бибилиотека e-Книги Журналы Справочники и Сборники статей Коллекции
Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.17

ISSN Печать: 0896-2960
ISSN Онлайн: 2162-6553

Выпуски:
Том 31, 2019 Том 30, 2018 Том 29, 2017 Том 28, 2016 Том 27, 2015 Том 26, 2014 Том 25, 2013 Том 24, 2012 Том 23, 2011 Том 22, 2010 Том 21, 2009 Том 20, 2008 Том 19, 2007 Том 18, 2006 Том 17, 2005 Том 16, 2004 Том 15, 2003 Том 14, 2002 Том 13, 2001 Том 12, 2000 Том 11, 1999 Том 10, 1998 Том 9, 1997 Том 8, 1996 Том 7, 1995

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.2016015696
pages 123-133

Heterotopic Ossification: A Review of Etiology, Diagnosis, and Clinical Management

Justice Otchere
Loma Linda University Medical Center, Physical Medicine and Rehabilitation, Loma Linda, CA 92354
Donald Hamby
Loma Linda University Medical Center, Physical Medicine and Rehabilitation, Loma Linda, CA 92354
Scott Strum
Loma Linda University Medical Center, Physical Medicine and Rehabilitation, Loma Linda, CA 92354; Loma Linda University Medical Center, Center for Pain Management, Loma Linda, CA 92354

Краткое описание

Heterotopic ossification (HO) is the formation of ectopic bone outside of skeletal tissue that is usually periarticular in nature. Often, but not always, it is associated with upper motor neuron lesions such as traumatic brain injury, spinal cord injury, and stroke but has been observed after major surgeries such as total hip arthroplasty and complicated elbow fractures requiring surgical intervention. Complications that can arise from HO include neurovascular impingement, compromised range of motion (ROM) of a joint, predisposition to infection, complex regional pain syndrome, and predisposition to pressure ulcer formation. Functional implications of decreased ROM of joints in rehabilitation can result in impairment of the following transfers: mobility, gait, activities of daily living, and hygienic maintenance. The primary goal of treatment focuses on halting progression, reducing caregiver burden, and maximizing joint function. Nonsurgical treatment is indicated when the disease process is diagnosed early and the affected joint is not significantly compromised. Surgical indications for HO include reduction in ROM that compromises functionality and hygienic maintenance.