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Rehabilitation Practice and Science

Translated Title

外傷性腦傷併股骨骨折之多處異位性骨化症：個案報告

Abstract

Sporadic heterotopic ossification is a common complication in patients with spinal cord injury, traumatic brain injury, electrical burns, hip fracture, elbow fracture or total hip arthroplasty. However, multiple heterotopic ossifications in a traumatic brain injury case are quite rare. We report a case of a 23 year-old female patient with traumatic brain injury and a right femoral open fracture due to a traffic accident. She started to develop local erythema, swelling, warmth and pain over the left elbow and right hip about two months after the accident. The range of motion of the affected joints decreased and this severely impeded her rehabilitation training program. The radiological findings were the presence of multiple areas of abnormal calcification, which were accompanied by clinical symptoms, signs and laboratory findings that supported a diagnosis of heterotopic ossification. Clinically, the symptoms and signs of heterotopic ossification may mimic an associated traumatic sprain, a contusion, post fracture surgery pain or paraesthesia. A diagnosis of heterotopic ossification should be considered if the patient's clinical state has not improved or a limitation of joint motion is found to exist. An early diagnosis is important because it allows more aggressive treatment and helps to reduce physical dysfunction, which are important issues worthy of attention.

Language

Traditional Chinese

First Page

195

Last Page

200

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