Preoperative arterial embolization of heterotopic ossification around the hip joint
Heterotopic ossification (HO) around the hip joint is not uncommon following neurological injury. Often, surgical treatment is performed in patients with restricted motion and/or refractory pain due to grade III or IV HO according to Brooker classification. The major complication that occurs as a re...
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| Format: | Article |
| Language: | English |
| Published: |
Yeungnam University College of Medicine
2018-06-01
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| Series: | Yeungnam University Journal of Medicine |
| Subjects: | |
| Online Access: | http://yujm.yu.ac.kr/upload/pdf/yujm-35-130.pdf |
| _version_ | 1818902584907268096 |
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| author | Jin Hyeok Kim Chankue Park Seung Min Son Won Chul Shin Joo Yeon Jang Hee Seok Jeong In Sook Lee Tae Young Moon |
| author_facet | Jin Hyeok Kim Chankue Park Seung Min Son Won Chul Shin Joo Yeon Jang Hee Seok Jeong In Sook Lee Tae Young Moon |
| author_sort | Jin Hyeok Kim |
| collection | DOAJ |
| description | Heterotopic ossification (HO) around the hip joint is not uncommon following neurological injury. Often, surgical treatment is performed in patients with restricted motion and/or refractory pain due to grade III or IV HO according to Brooker classification. The major complication that occurs as a result of surgical HO removal is perioperative bleeding due to hyper-vascularization of the lesion. Here, we report a case of preoperative embolization in a 51-year-old male patient presenting with restricted bilateral hip range of motion (ROM) due to HO following a spinal cord injury. In the right hip without preoperative arterial embolization, massive bleeding occurred during surgical removal of HO. Thus, the patient received a transfusion postoperatively due to decreased serum hemoglobin levels. For surgery of the left hip, preoperative embolization of the arteries supplying HO was performed. Surgical treatment was completed without bleeding complications, and the patient recovered without a postoperative transfusion. This case highlights that, while completing surgical removal for ROM improvements, orthopedic surgeons should consider preoperative arterial embolization in patients with hip HO. |
| first_indexed | 2024-12-19T20:37:59Z |
| format | Article |
| id | doaj.art-b3a15184ab544bb990f5bb9620056c05 |
| institution | Directory Open Access Journal |
| issn | 2384-0293 |
| language | English |
| last_indexed | 2024-12-19T20:37:59Z |
| publishDate | 2018-06-01 |
| publisher | Yeungnam University College of Medicine |
| record_format | Article |
| series | Yeungnam University Journal of Medicine |
| spelling | doaj.art-b3a15184ab544bb990f5bb9620056c052022-12-21T20:06:28ZengYeungnam University College of MedicineYeungnam University Journal of Medicine2384-02932018-06-0135113013410.12701/yujm.2018.35.1.1301885Preoperative arterial embolization of heterotopic ossification around the hip jointJin Hyeok Kim0Chankue Park1Seung Min Son2Won Chul Shin3Joo Yeon Jang4Hee Seok Jeong5In Sook Lee6Tae Young Moon7 Department of Radiology, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Radiology, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Radiology, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Radiology, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Radiology, Pusan National University Hospital, Busan, Korea Department of Radiology, Pusan National University Yangsan Hospital, Yangsan, KoreaHeterotopic ossification (HO) around the hip joint is not uncommon following neurological injury. Often, surgical treatment is performed in patients with restricted motion and/or refractory pain due to grade III or IV HO according to Brooker classification. The major complication that occurs as a result of surgical HO removal is perioperative bleeding due to hyper-vascularization of the lesion. Here, we report a case of preoperative embolization in a 51-year-old male patient presenting with restricted bilateral hip range of motion (ROM) due to HO following a spinal cord injury. In the right hip without preoperative arterial embolization, massive bleeding occurred during surgical removal of HO. Thus, the patient received a transfusion postoperatively due to decreased serum hemoglobin levels. For surgery of the left hip, preoperative embolization of the arteries supplying HO was performed. Surgical treatment was completed without bleeding complications, and the patient recovered without a postoperative transfusion. This case highlights that, while completing surgical removal for ROM improvements, orthopedic surgeons should consider preoperative arterial embolization in patients with hip HO.http://yujm.yu.ac.kr/upload/pdf/yujm-35-130.pdfHipHeterotopic ossificationArterial embolizationGelatin sponge |
| spellingShingle | Jin Hyeok Kim Chankue Park Seung Min Son Won Chul Shin Joo Yeon Jang Hee Seok Jeong In Sook Lee Tae Young Moon Preoperative arterial embolization of heterotopic ossification around the hip joint Yeungnam University Journal of Medicine Hip Heterotopic ossification Arterial embolization Gelatin sponge |
| title | Preoperative arterial embolization of heterotopic ossification around the hip joint |
| title_full | Preoperative arterial embolization of heterotopic ossification around the hip joint |
| title_fullStr | Preoperative arterial embolization of heterotopic ossification around the hip joint |
| title_full_unstemmed | Preoperative arterial embolization of heterotopic ossification around the hip joint |
| title_short | Preoperative arterial embolization of heterotopic ossification around the hip joint |
| title_sort | preoperative arterial embolization of heterotopic ossification around the hip joint |
| topic | Hip Heterotopic ossification Arterial embolization Gelatin sponge |
| url | http://yujm.yu.ac.kr/upload/pdf/yujm-35-130.pdf |
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