Heterotopic Ossification of the Elbow Treated With Surgical Resection: Risk Factors, Bony Ankylosis, and Complications

Salazar, Dane; Golz, Andrew; Israel, Heidi; Marra, Guido

doi:10.1007/s11999-014-3591-0

Cited by 74 publications

(43 citation statements)

References 19 publications

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“…Previously, Salazar D et al evaluated the same patients included in this study for modifiable risk factors associated with improved ROM after surgery, compared the ROM gains between patients with complete ankylosis and partially restricted ROM, and to characterize the complications treated with this surgical management and rehabilitation program [20]. In the previously published report, the authors found only hypertension; obesity and transposition of the ulnar artery were associated with worse outcomes.…”

Section: Discussionmentioning

confidence: 97%

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Elbow Heterotopic Ossification Excision in Patients with Worker’s Compensation Claims

2018

J Orthopedics Rheumatol

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The effect of worker's compensation claims following the surgical management of symptomatic heterotopic ossification (HO) about the elbow has not previously been evaluated. The purpose of this study is to report on a consecutive series of patients with HO about the elbow, and to compare the results of surgical treatment and a standardized postoperative rehabilitation regimen, with regards to the presence of a worker's compensation claim. A retrospective review of all patients treated operatively for HO of the elbow at a single institution was performed. Forty-six elbows with HO treated surgically were identified. Seventeen of the 46 elbows (37%) had workers' compensation claims at the time of surgery. Other than gender (p=0.007), there was no statistical difference in patient demographics or medical history. There was no statistical difference in postoperative flexion-extension arc between the two groups (p>0.05). There was a 17% (8/46) postoperative complication rate, however there was no difference in frequency of complications between groups (Worker's Comp: 18% vs. Non-Worker's Comp: 17%; p=0.97). Surgical management combined with postoperative HO prophylaxis and a regimented rehabilitation program is an effective treatment for patients with heterotopic ossification of the elbow and workers compensation claims did not adversely affect the postoperative range of motion arc or complications.

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Section: Discussionmentioning

confidence: 97%

“…These patients included in this study have previously been reviewed but not specifically evaluated for the effects of workers compensation claims in a previously published study [20].…”

Section: Page -02mentioning

confidence: 99%

Elbow Heterotopic Ossification Excision in Patients with Worker’s Compensation Claims

2018

J Orthopedics Rheumatol

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“…His radial nerve palsy recovered but deep infection required repeated surgical procedures. Salazar et al in a retrospective study of 46 elbows which underwent surgical excision of HO reported adverse outcomes in preoperative to the final arc of motion of the elbow joint in patients with hypertension, obesity, and absence of peroperative anterior transposition of the ulnar nerve 9 . They reported an average of 17 %( 8 of 46 cases) postoperative complications associated with HO excision.…”

Section: Discussionmentioning

confidence: 99%

“…Various studies have recommended the choice of surgical approach, and the technique for excision of HO 8,9,16,17 . We routinely transposed ulnar nerve in all of our cases.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2017

MOJ

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Introduction: Treatment of heterotopic ossification (HO) of the elbow is challenging and fraught with complications. Patients who sustain direct trauma to the elbow joint, the central nervous system, and thermal burns are at increased risk for development of HO. There is a paucity of studies and reports on patient's self-evaluation after the excision of the heterotopic ossification. Materials and Methods: This retrospective study assessed outcomes after excision of heterotopic ossification around the elbow in a cohort of ten patients operated from 2012 to 2015. The outcome assessment was done by the Mayo Elbow Performance index (MEPI) and the American Shoulder and Elbow Surgeons-Elbow score (ASES-E scores). Results: The mean follow-up was 18.11 months after the operation. The Mayo Elbow Performance Score was excellent in two elbows, good in six and fair in two. The mean gain in flexion-extension arc after excision of HO was 80 degrees. All of the patients had residual flexion deformity postoperatively. Eight of the nine patients were able to do activities requiring flexion at final follow-up. Conclusion: Excision of HO around the elbow is associated with satisfactory patient-rated outcomes in spite of failure to regain full range of motion.

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“…Nowadays, although surgical treatment of HO is technically demanding and accompanied by high complication rates, there are studies which report good results after surgical treatment of elbow stiffness due to HO [4,[22][23][24]. Accordingly, there are studies that demonstrate better results for the HO group in comparison with the capsular contracture group after surgical treatment 7.…”

Section: Discussionmentioning

confidence: 99%

Management of Heterotopic Ossification of the Elbow in Patients with Elbow and Brain Injury a Retrospective Study

Psychoyios¹

2017

OPROJ

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The elbow is a highly constrained hinge joint with a high propensity for stiffness after bony or soft tissue injury, and heterotopic ossification (HO) after brain injury is considered one of the most debilitating causes resulting in severe limitation of motion and everyday activities.The purpose of the present retrospective study was to report the results of surgical treatment for post-traumatic elbow stiffness caused by HO in patients with elbow trauma and brain injury necessitating admission to intensive care unit.Although surgical treatment of HO is technically demanding and accompanied by high complication rates, reasonable outcome can be expected regardless of preoperative ROM or the type of brain injury, provided that upper limb does not a have any neurological deficit. While some loss of motion from what significantly gained intra-operatively can be expected, a majority of patients who actively participate in their post-operative physical therapy program will achieve an optimal outcome by preserving a functional arc of motion.

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Heterotopic Ossification of the Elbow Treated With Surgical Resection: Risk Factors, Bony Ankylosis, and Complications

Cited by 74 publications

References 19 publications

Elbow Heterotopic Ossification Excision in Patients with Worker’s Compensation Claims

Elbow Heterotopic Ossification Excision in Patients with Worker’s Compensation Claims

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Management of Heterotopic Ossification of the Elbow in Patients with Elbow and Brain Injury a Retrospective Study

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