Summary
A case of bilateral ankylosis of the hip in a 3-year-old child due to heterotopic ossification of the iliopsoas following a long period of coma is presented. A review of the literature has failed to reveal a similar case with such extensive heterotopic ossification. The patient was treated successfully by surgical excision of the heterotopic bone which was extra-articular and extra-capsular and involved only the iliopsoas muscles.
Résumé
Présentation d'un cas d'ankylose bilatérale de la hanche chez un enfant de 3 ans, par ossification hétérotopique du psoas-iliaque, consécutive à un coma prolongé. Une revue de la littérature n'a pas permis de trouver de cas similaires, comportant de telles ossifications. Cet enfant a été traité chirurgicalement avec succès par excision de l'os hétérotopique. Celui-ci était extra-articulaire, extra-capsulaire, ne siégeant qu'au niveau du muscle psoas-iliaque.
Similar content being viewed by others
References
Calandruccio RA (1979) Arthroplasty of hip. Campbell's operative orthopaedics, 7th edn. Mosby, St Louis, 1456–1458
Damanski M (1961) Heterotopic ossification in paraplegia. A clinical study. J Bone Joint Surg [Br] 43: 286–299
Garland DE, Blum CE, Waters RL (1980) Peri-articular heterotopic ossification in head injured adults. Incidence and location. J Bone Joint Surg [Am] 62: 1143–1146
Hardy AG, Dickson JW (1963) Pathological ossification in traumatic paraplegia. J Bone Joint Surg [Br] 45: 76–81
Hoffer MM, Carrett A, Brink J, Perry J, Hale W, Nickel VL (1971) The orthopaedic management of brain injured children. J Bone Joint Surg [Am] 53: 567–577
Roberts JB, Pankratz DG (1979) The surgical treatment of heterotopic ossification at the elbow following long term coma. J Bone Joint Surg [Am] 61: 760–763
Roberts PH (1968) Heterotopic ossification complicating paralysis of intracranial origin. J Bone Joint Surg [Br] 50: 70–77
Thomas BJ, Amstutz HC (1985) Results of the administration of diphosphonate for the prevention of heterotopic ossification after total hip replacement. J Bone Joint Surg [Am] 67: 400–403
Wenner MW (1986) Heterotopic ossification of shoulder following head injury. A case report. Clin Orthop Relat Res 212: 231–236
Wharton GW, Morgan TH (1970) Ankylosis in the paralysed patient. J Bone Joint Surg [Am] 52: 105–112
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Khan, F.A. Bilateral ankylosis of the hips following heterotopic ossification of the ilio-psoas in a child. International Orthopaedics 16, 202–204 (1992). https://doi.org/10.1007/BF00180219
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF00180219