Heterotopic Ossification of Bilateral Hips Post–COVID-19 and Prolonged Immobilization A Case Report

Olaf N. van de Langerijt; Olivier Q. Groot; Michiel M.A. Janssen

doi:10.2106/JBJS.CC.23.00761

Heterotopic Ossification of Bilateral Hips Post–COVID-19 and Prolonged Immobilization A Case Report

Olaf N. van de Langerijt
, Olivier Q. Groot
, Michiel M.A. Janssen

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

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.

Original language	English
Article number	e2300761
Journal	JBJS Case Connector
Volume	14
Issue number	1
DOIs	https://doi.org/10.2106/JBJS.CC.23.00761
Publication status	Published - 14 Mar 2024

Keywords

case report
COVID-19
heterotopic ossification
surgical management

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heterotopic_ossification_of_bilateral_hips.44Final published version, 1.03 MBLicence: CC BY

Cite this

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title = "Heterotopic Ossification of Bilateral Hips Post–COVID-19 and Prolonged Immobilization A Case Report",

abstract = "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.",

keywords = "case report, COVID-19, heterotopic ossification, surgical management",

author = "\{van de Langerijt\}, \{Olaf N.\} and Groot, \{Olivier Q.\} and Janssen, \{Michiel M.A.\}",

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doi = "10.2106/JBJS.CC.23.00761",

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T1 - Heterotopic Ossification of Bilateral Hips Post–COVID-19 and Prolonged Immobilization A Case Report

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AU - Groot, Olivier Q.

AU - Janssen, Michiel M.A.

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.

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KW - heterotopic ossification

KW - surgical management

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Heterotopic Ossification of Bilateral Hips Post–COVID-19 and Prolonged Immobilization A Case Report

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