Loss of pronation-supination in patients with heterotopic ossification around the elbow

Vasileiadis, G.; Ramazanian, Taghi; Kamaci, Saygın; Bachman, Daniel R.; Park, Sang Eun; Thaveepunsan, Sutee; Fitzsimmons, James S.; O’Driscoll, Shawn W.

doi:10.1016/j.jse.2018.10.029

Cited by 12 publications

(5 citation statements)

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“…A cam effect can result in levering and subluxation of the joint. Additionally, heterotopic ossification frequently occurs in the elbow following trauma [6], and if affecting the PRUJ, may be an additional bony source of rotational stiffness. Arthroscopically, both soft tissue contractures and bony abnormalities in the PRUJ can be addressed.…”

Section: Surgical Anatomymentioning

confidence: 99%

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Arthroscopic Releases of the Proximal Radioulnar Joint

Wang

2021

Arthroscopy and Endoscopy of the Elbow, Wrist and Hand

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Section: Surgical Anatomymentioning

confidence: 99%

“…Loss of rotational range of motion most commonly occurs following injuries around the proximal radioulnar joint (PRUJ). While efforts at managing elbow stiffness have invariably addressed sagittal plane motion, there is limited literature on the outcomes on the specific surgical management of rotational stiffness of the elbow [4,6,7].…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic Releases of the Proximal Radioulnar Joint

Wang

2021

Arthroscopy and Endoscopy of the Elbow, Wrist and Hand

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“…New lamellar bone is formed in soft tissue, which can occur due to an accompanying inflammatory reaction to a trauma [1][2][3]. Severe forms in the joint area can lead to considerable functional restrictions [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Classification and Incidence of Heterotopic Ossifications in Relation to NSAID Prophylaxis after Elbow Trauma

Leyder,

Döbele,

Konrads

et al. 2024

JCM

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Heterotopic ossification (HO) after elbow trauma can be responsible for significant motion restrictions. The study’s primary aim was to develop a new X-ray-based classification for HO of the elbow. This retrospective study analyzed elbow injury radiographs from 138 patients aged 6–85 years (mean 45.9 ± 18) who underwent operative treatment. The new classification was applied at 6 weeks, 12 weeks, and 6 months postoperatively. The severity of HO was graded from 0 to 4 and localization was defined as r (radial), p (posterior), u (ulnar) or a (anterior) by two observers. The patients were categorized based on injury location and use of non-steroidal anti-inflammatory drugs (NSAIDs) for HO prophylaxis. The correlations between the generated data sets were analyzed using Chi-square tests (χ2) with a significance level of p < 0.05. The inter- and intraobserver reliability was assessed using Cohen’s Kappa. In 50.7% of the evaluated X-rays, the formation of HO could be detected after 12 weeks, and in 60% after 6 months. The analysis showed a significant correlation between the injury’s location and the HO’s location after 12 weeks (p = 0.003). The use of an NSAID prophylaxis did not show a significant correlation with the severity of HO. The classification showed nearly perfect inter- (κ = 0.951, p < 0.001) and intrareliability (κ = 0.946, p < 0.001) according to the criteria of Landis and Koch. Based on the presented classification, the dimension and localization of HO in the X-ray image can be described in more detail compared to previously established classifications and, thus, can increase the comparability of results across studies.

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“…However, HO can be divided into two categories: clinically relevant HO and clinically irrelevant HO according to its severity. While clinically relevant HO may greatly impact the extremity function of patients or may even cause disability, clinically irrelevant HO lesions rarely disturb patients [ [4] , [5] , [6] , [7] ]. The severity of tHO is mainly depend on the volume of the ectopic bone.…”

Section: Introductionmentioning

confidence: 99%