Indian Journal of Orthopaedics Surgery

Innovative Education and Scientific Research Foundation

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Registered Under Government of India NGO – Indian Trust Act 1882

A case report of heterotopic ossification as rare complication in both affected and unaffected side of hemiplegia following stroke

Article : Open access

Article type : Case Report

Volume : 6

Issue : 2

Year : 2020

Author : NVSR Krishna, Prathyush Ch, Ch Kishore Kumar, Ch Rohita

Page no : 140-143

Abstract : Background: New bone formation in the periarticular regions of large joints is the main character of Heterotopic ossification (HO), most commonly seen in or after spinal cord injury, traumatic injury to brain, burn. It is rare as the complication incidence is less than 1% or less. Case Reports: This study reports an unusual presentations of HO in a 50 year-old male with right hemiplegia due to subarachnoid bleeding developed HO on all the major joints bilaterally both in effected and non effected side after 7 months. In this case spasticity around hip flexors, adductors along with knee extensors, along with reduced range of motion associated with pain was present. Evaluation was done with Xray and CT. After rehabilitation, the joints motion improved upto 10?. Conclusions: Keeping in mind by seeing the present case, HO should always be kept in mind as a differential diagnosis in all the stroke patients who present with spontaneous joint pains. Both affected and unaffected sides may develop which has to be always kept in mind and proper early treatment has to be given. Keywords: Heterotopic ossification.