PDF(Pubmed)
Abstract：
UNASSIGNED: Heterotopic ossification (HO) often arises in response to trauma, prior surgical procedures, neurological injuries, or burns. However, its presentation as a complication of shoulder arthroscopy is uncommon and can sometimes lead to functional impairment. In our study, we report a case of HO complicating rotator cuff repair, along with details of the surgical treatment and subsequent progression.
METHODS: We report the case of a 45-year-old man with no medical history, who had undergone a rotator cuff arthroscopic repair of his left shoulder. Despite initial improvements, he developed intense pain and stiffness of the operated shoulder. X-rays revealed an extensive HO. Surgical revision and excision of the ossification, followed by high-dose indomethacin in combination with proton pump inhibitors and specialized physiotherapy, resulted in remarkable improvement in shoulder function.
UNASSIGNED: Studies investigating HO in shoulder arthroplasty have unveiled a diverse range of formation rates, spanning from 15 % to 62 %. Nonetheless, it\'s noteworthy that the prevalence of HO around the shoulder remains less common in comparison to other anatomical sites, especially in the context of arthroscopic surgical procedures. The exact mechanism and pathophysiology that leads to HO formation remains unknown. It is believed to stem from a combination of multiple factors and is associated with various contributors. Arthroscopic intervention, coupled with high-dose Indomethacin, offers an effective approach for managing HO.
CONCLUSIONS: While HO remains an uncommon complication after shoulder arthroscopy, it is crucial for clinicians to consider it in patients experiencing post-surgery stiffness and pain.
METHODS: We report the case of a 45-year-old man with no medical history, who had undergone a rotator cuff arthroscopic repair of his left shoulder. Despite initial improvements, he developed intense pain and stiffness of the operated shoulder. X-rays revealed an extensive HO. Surgical revision and excision of the ossification, followed by high-dose indomethacin in combination with proton pump inhibitors and specialized physiotherapy, resulted in remarkable improvement in shoulder function.
UNASSIGNED: Studies investigating HO in shoulder arthroplasty have unveiled a diverse range of formation rates, spanning from 15 % to 62 %. Nonetheless, it\'s noteworthy that the prevalence of HO around the shoulder remains less common in comparison to other anatomical sites, especially in the context of arthroscopic surgical procedures. The exact mechanism and pathophysiology that leads to HO formation remains unknown. It is believed to stem from a combination of multiple factors and is associated with various contributors. Arthroscopic intervention, coupled with high-dose Indomethacin, offers an effective approach for managing HO.
CONCLUSIONS: While HO remains an uncommon complication after shoulder arthroscopy, it is crucial for clinicians to consider it in patients experiencing post-surgery stiffness and pain.
摘要：
■异位骨化（HO）通常是对创伤的反应，先前的外科手术,神经损伤,或烧伤。然而,它作为肩关节镜的并发症并不常见，有时会导致功能障碍。在我们的研究中,我们报告一例HO合并肩袖修补术,以及手术治疗和后续进展的细节。
方法：我们报告一例45岁无病史的男性，他的左肩接受了肩袖关节镜修复术。尽管最初的改进，他的肩膀出现了剧烈的疼痛和僵硬。X射线显示广泛的HO。骨化的手术翻修和切除，其次是高剂量吲哚美辛联合质子泵抑制剂和专门的理疗，导致肩关节功能明显改善。
■对肩关节置换术中HO的研究揭示了不同范围的形成率，从15%到62%。尽管如此，值得注意的是，与其他解剖部位相比，肩部周围HO的患病率较不常见，特别是在关节镜手术中。导致HO形成的确切机制和病理生理学仍然未知。它被认为源于多种因素的组合，并与各种贡献者相关。关节镜干预，再加上高剂量的吲哚美辛，为管理HO提供了一种有效的方法。
结论：虽然HO在肩关节镜检查后仍然是一种罕见的并发症，临床医生在经历术后僵硬和疼痛的患者中考虑这一点至关重要.
方法：我们报告一例45岁无病史的男性，他的左肩接受了肩袖关节镜修复术。尽管最初的改进，他的肩膀出现了剧烈的疼痛和僵硬。X射线显示广泛的HO。骨化的手术翻修和切除，其次是高剂量吲哚美辛联合质子泵抑制剂和专门的理疗，导致肩关节功能明显改善。
■对肩关节置换术中HO的研究揭示了不同范围的形成率，从15%到62%。尽管如此，值得注意的是，与其他解剖部位相比，肩部周围HO的患病率较不常见，特别是在关节镜手术中。导致HO形成的确切机制和病理生理学仍然未知。它被认为源于多种因素的组合，并与各种贡献者相关。关节镜干预，再加上高剂量的吲哚美辛，为管理HO提供了一种有效的方法。
结论：虽然HO在肩关节镜检查后仍然是一种罕见的并发症，临床医生在经历术后僵硬和疼痛的患者中考虑这一点至关重要.
