TY - JOUR
T1 - Heterotopic Ossification of Bilateral Hips Post–COVID-19 and Prolonged Immobilization A Case Report
AU - van de Langerijt, Olaf N.
AU - Groot, Olivier Q.
AU - Janssen, Michiel M.A.
N1 - Publisher Copyright:
COPYRIGHT © 2024 THE AUTHORS. PUBLISHED BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED. ALL RIGHTS RESERVED.
PY - 2024/3/14
Y1 - 2024/3/14
N2 - Case: A 43-year-old healthy man developed hip pain post–coronavirus disease 2019 (COVID-19) immobilization. Imaging confirmed bilateral bridging heterotopic ossification (HO) of the hips, Brooker Class IV. Bilateral HO caused functional arthrodesis (45° flexion: 220° internal rotation). Bilateral HO resection resulted in almost full mobility at 1-year follow-up (90° flexion; 30° internal rotation). Conclusion: Many cases of HO after immobilization for COVID-19 have been reported, but as far as we know, this is the first case report describing surgical intervention as an adequate treatment option for severe restricted mobility caused by HO due to COVID-19–induced prolonged immobilization. Caution and preoperative 3D planning are recommended of HO formation near neurovascular structures.
AB - Case: A 43-year-old healthy man developed hip pain post–coronavirus disease 2019 (COVID-19) immobilization. Imaging confirmed bilateral bridging heterotopic ossification (HO) of the hips, Brooker Class IV. Bilateral HO caused functional arthrodesis (45° flexion: 220° internal rotation). Bilateral HO resection resulted in almost full mobility at 1-year follow-up (90° flexion; 30° internal rotation). Conclusion: Many cases of HO after immobilization for COVID-19 have been reported, but as far as we know, this is the first case report describing surgical intervention as an adequate treatment option for severe restricted mobility caused by HO due to COVID-19–induced prolonged immobilization. Caution and preoperative 3D planning are recommended of HO formation near neurovascular structures.
KW - case report
KW - COVID-19
KW - heterotopic ossification
KW - surgical management
UR - http://www.scopus.com/inward/record.url?scp=85187814147&partnerID=8YFLogxK
U2 - 10.2106/JBJS.CC.23.00761
DO - 10.2106/JBJS.CC.23.00761
M3 - Article
C2 - 38484090
AN - SCOPUS:85187814147
SN - 2160-3251
VL - 14
JO - JBJS Case Connector
JF - JBJS Case Connector
IS - 1
M1 - e2300761
ER -