•  
  •  
 

Rehabilitation Practice and Science

Translated Title

異位性獲化合併血管壓迫－病例報告

Abstract

A 32 year-old male patient fell down from 4th floor and T12 paraplegia developped. Three months after injury, right thigh swelling and pain were noted. Range of motion of right hip joint was also limited. X-ray of right hip joint didn't reveal any abnormal finding. But Tc 99m-methylene diphosphonate (MDP) three phase bone scan showed estra-osseous accumulation anterior-medial to greater trochancter of right femur bone. The serum alkaline phosphatase was also increased. Indomethacin 25 mg Tid was given and passive range of motion exercises were performed. Ten days later, theX-ray demonstrated abnormal calcification around right hip. Two more weeks later, swelling extended to right lower leg and X-ray revealed advanced ossification. MRI of proximal thighs revealed compression and effacement of right femur vein. Venography of right leg showed that right femur vein was compressed by the mass of heterotopic ossification with no evidence of deep vein thrombosis. Indomethacin 25 mg Tid was given and passive range of motion exercises were performed continuously. The swelling of right leg subsided and the range of motion of right hip joint was improved (table 1). After 4 month admission, the patient was discharged. Range of motion exercises and X-ray follow-up were continued at our OPD.

Language

Traditional Chinese

First Page

201

Last Page

205

Download

Share

COinS