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Hand & Upper Limb
intermediate
X-Type

Heterotopic Ossification of the Elbow

Elbow Complications

A 35-year-old man is seen 4 months after surgical fixation of an elbow fracture-dislocation. He complains of progressive stiffness and now has a fixed flexion arc from 60 to 90 degrees. Radiographs show mature heterotopic ossification bridging the anterior elbow joint, blocking extension. He had a prolonged ICU stay for associated injuries. His orthopaedic surgeon is planning surgical excision. Regarding heterotopic ossification (HO) of the elbow:

Mark each as TRUE or FALSE

A

Heterotopic ossification is the formation of mature lamellar bone in soft tissues where bone does no...

B

Prevention strategies include NSAIDs (indomethacin 75mg daily for 3-6 weeks) or radiation therapy (s...

C

HO is the formation of cartilage in soft tissues; the elbow is rarely affected; head injury is prote...

D

Surgical excision is indicated for significant functional limitation; historically, surgery was dela...

E

Surgical approaches depend on HO location (medial, lateral, or posterior); complete excision is the ...

Answer the questions to see explanations

Click T (True) or F (False) for each option