Ultrasonography in Early Diagnosis of Heterotopic Ossification

We report here the case of a 32-year-old man with a history of traumatic brain injury who presented with swelling of his right thigh. Soft tissue ultrasonography performed 3 days after the onset of symptoms showed a heterogeneous hyperechoic lesion with the formation of cysts and hypervascularity in...

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Main Authors: Shan-Hui Lin, Chen-Liang Chou, Hong-Jen Chiou
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-12-01
Series:Journal of Medical Ultrasound
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S092964411400160X
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author Shan-Hui Lin
Chen-Liang Chou
Hong-Jen Chiou
author_facet Shan-Hui Lin
Chen-Liang Chou
Hong-Jen Chiou
author_sort Shan-Hui Lin
collection DOAJ
description We report here the case of a 32-year-old man with a history of traumatic brain injury who presented with swelling of his right thigh. Soft tissue ultrasonography performed 3 days after the onset of symptoms showed a heterogeneous hyperechoic lesion with the formation of cysts and hypervascularity in the right iliopsoas abutting the surface of the femoral bone. This became a diffuse echogenic plaque with a posterior acoustic shadowing 12 days later. A diagnosis of heterotopic ossification was made on the basis of the presence of typical ultrasonographic findings and was confirmed by pathology. We emphasize that an early diagnosis of heterotopic ossification can be made with ultrasonography and can lead to early treatment.
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spelling doaj.art-1a202223c057460ba2bfe9c97a6c1beb2022-12-21T20:05:48ZengWolters Kluwer Medknow PublicationsJournal of Medical Ultrasound0929-64412014-12-0122422222710.1016/j.jmu.2014.10.004Ultrasonography in Early Diagnosis of Heterotopic OssificationShan-Hui Lin0Chen-Liang Chou1Hong-Jen Chiou2Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Radiology, Taipei Veterans General Hospital, Taipei, TaiwanWe report here the case of a 32-year-old man with a history of traumatic brain injury who presented with swelling of his right thigh. Soft tissue ultrasonography performed 3 days after the onset of symptoms showed a heterogeneous hyperechoic lesion with the formation of cysts and hypervascularity in the right iliopsoas abutting the surface of the femoral bone. This became a diffuse echogenic plaque with a posterior acoustic shadowing 12 days later. A diagnosis of heterotopic ossification was made on the basis of the presence of typical ultrasonographic findings and was confirmed by pathology. We emphasize that an early diagnosis of heterotopic ossification can be made with ultrasonography and can lead to early treatment.http://www.sciencedirect.com/science/article/pii/S092964411400160Xheterotopic ossificationsoft tissue ultrasonographytraumatic brain injury
spellingShingle Shan-Hui Lin
Chen-Liang Chou
Hong-Jen Chiou
Ultrasonography in Early Diagnosis of Heterotopic Ossification
Journal of Medical Ultrasound
heterotopic ossification
soft tissue ultrasonography
traumatic brain injury
title Ultrasonography in Early Diagnosis of Heterotopic Ossification
title_full Ultrasonography in Early Diagnosis of Heterotopic Ossification
title_fullStr Ultrasonography in Early Diagnosis of Heterotopic Ossification
title_full_unstemmed Ultrasonography in Early Diagnosis of Heterotopic Ossification
title_short Ultrasonography in Early Diagnosis of Heterotopic Ossification
title_sort ultrasonography in early diagnosis of heterotopic ossification
topic heterotopic ossification
soft tissue ultrasonography
traumatic brain injury
url http://www.sciencedirect.com/science/article/pii/S092964411400160X
work_keys_str_mv AT shanhuilin ultrasonographyinearlydiagnosisofheterotopicossification
AT chenliangchou ultrasonographyinearlydiagnosisofheterotopicossification
AT hongjenchiou ultrasonographyinearlydiagnosisofheterotopicossification