Heterotopic ossification on the elbow in a hemiplegic patient: A Case Report

Abstract

Heterotopic ossification (HO) is characterized by a lamellar new bone formation particularly developing between muscle and joint capsule. HO mostly occurs on and around the hip joint. Shoulder and elbow are the other common-affected joints. There are three well-known etiologies of HO as of traumatic, neurogenic, and genetic. But, HO is a rare clinical entity in hemiplegic patients. HO is a condition that affects the patient’s mobility, self-care, and independence. In hemiplegic patients, especially in case of joint-related pain, local tenderness, increased temperature, and swelling HO should be considered in the differential diagnosis. The treatment options of HO are preserving the affected joint’s range of motion, pharmacological treatment (etidronate, nonsteroid anti-inflammatory drugs), radiotherapy, and surgical excision of the mature bone tissue in the advanced cases. This report presents a case with HO developed on the left elbow 2 months after the stroke due to a hemorrhagic cerebrovascular event.

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