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Heterotopic ossification formation after fractures about the elbow.

Publication ,  Journal Article
Wahl, EP; Casey, PM; Risoli, T; Green, CL; Richard, MJ; Ruch, DS
Published in: Eur J Orthop Surg Traumatol
August 2021

INTRODUCTION: Heterotopic ossification (HO) is a well-known sequela after an elbow injury and is widely studied given the associated morbidity. The anatomic location of HO development for specific elbow injuries has not been reported. The purpose of this study was to describe the precise, anatomic location of HO development after different peri-articular elbow injuries. METHODS: A retrospective chart review was performed for patients with peri-articular elbow fracture and/or dislocation who underwent an elbow contracture release. The injuries were grouped into coronal shear distal humerus/AO 13.B3 (CSDH), distal humerus/AO 13.A, 13.B1, B2 or 13.C (DH), olecranon/AO 21.B1 (OL), radial head/AO 21.B2 (RH), extra-articular proximal radius and ulna/AO 21.A (EAPRU) fractures and elbow dislocations (DL). The HO location was determined by reviewing elbow radiographs and CT scans and were classified as anterior capsule, medial or lateral collateral ligaments, and posterior capsule/triceps insertion. RESULTS: The study consisted of 49 patients, such as 6 CSDH, 13 DH, 6 OL, 21 RH, 4 EAPRU fractures and 20 elbow DL. All CSDH and RH fractures and 19/20 elbow DL developed HO in the collateral ligaments, while 12/13 DH fractures developed an anterior capsule HO. All 6 OL fractures developed HO posteriorly, and 3/4 EAPRU fractures developed a proximal radioulnar synostosis. CONCLUSIONS: Our findings suggest that the location of HO development is specific to the injury type and is influenced by the soft tissues involved. This is consistent with the understanding that HO is the abnormal ossification of normal structures.

Duke Scholars

Published In

Eur J Orthop Surg Traumatol

DOI

EISSN

1432-1068

Publication Date

August 2021

Volume

31

Issue

6

Start / End Page

1061 / 1067

Location

France

Related Subject Headings

  • Retrospective Studies
  • Range of Motion, Articular
  • Radius Fractures
  • Ossification, Heterotopic
  • Orthopedics
  • Humans
  • Fractures, Bone
  • Elbow Joint
  • Elbow
  • 3202 Clinical sciences
 

Citation

APA
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ICMJE
MLA
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Wahl, E. P., Casey, P. M., Risoli, T., Green, C. L., Richard, M. J., & Ruch, D. S. (2021). Heterotopic ossification formation after fractures about the elbow. Eur J Orthop Surg Traumatol, 31(6), 1061–1067. https://doi.org/10.1007/s00590-020-02855-4
Wahl, Elizabeth P., Peter M. Casey, Thomas Risoli, Cynthia L. Green, Marc J. Richard, and David S. Ruch. “Heterotopic ossification formation after fractures about the elbow.Eur J Orthop Surg Traumatol 31, no. 6 (August 2021): 1061–67. https://doi.org/10.1007/s00590-020-02855-4.
Wahl EP, Casey PM, Risoli T, Green CL, Richard MJ, Ruch DS. Heterotopic ossification formation after fractures about the elbow. Eur J Orthop Surg Traumatol. 2021 Aug;31(6):1061–7.
Wahl, Elizabeth P., et al. “Heterotopic ossification formation after fractures about the elbow.Eur J Orthop Surg Traumatol, vol. 31, no. 6, Aug. 2021, pp. 1061–67. Pubmed, doi:10.1007/s00590-020-02855-4.
Wahl EP, Casey PM, Risoli T, Green CL, Richard MJ, Ruch DS. Heterotopic ossification formation after fractures about the elbow. Eur J Orthop Surg Traumatol. 2021 Aug;31(6):1061–1067.
Journal cover image

Published In

Eur J Orthop Surg Traumatol

DOI

EISSN

1432-1068

Publication Date

August 2021

Volume

31

Issue

6

Start / End Page

1061 / 1067

Location

France

Related Subject Headings

  • Retrospective Studies
  • Range of Motion, Articular
  • Radius Fractures
  • Ossification, Heterotopic
  • Orthopedics
  • Humans
  • Fractures, Bone
  • Elbow Joint
  • Elbow
  • 3202 Clinical sciences