Treatment of heterotopic ossification of the elbow following burn injury: Recommendations for surgical excision and perioperative prophylaxis using radiation therapy

Journal of Shoulder and Elbow Surgery

Volumn 19, Issue 8, 2010, Pages 1269-1275

  Maender, Christopher ^a   Sahajpal, Deenesh ^a   Wright, Thomas W ^a  

^a UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE   (United States)

Author keywords

Arc of motion; Burn injury; Case Series; Elbow; Elbow contracture; Heterotopic ossification; Level IV; Range of motion; Treatment Study

Indexed keywords

ADULT; ARM MOVEMENT; ARTICLE; BURN; CLINICAL ARTICLE; CLINICAL PRACTICE; COMPUTER ASSISTED TOMOGRAPHY; ELBOW DISEASE; EXCISION; FOLLOW UP; FUNCTIONAL ASSESSMENT; HETEROTOPIC OSSIFICATION; HUMAN; MEDICAL RECORD REVIEW; PERIOPERATIVE PERIOD; PRACTICE GUIDELINE; PRIORITY JOURNAL; RANGE OF MOTION; RETROSPECTIVE STUDY; SCORING SYSTEM; SURGICAL APPROACH; TREATMENT OUTCOME; ULNA;

ADULT; ANKYLOSIS; BURNS; CONTRACTURE; ELBOW JOINT; FEMALE; HUMANS; MALE; MIDDLE AGED; OSSIFICATION, HETEROTOPIC; PERIOPERATIVE CARE; RANGE OF MOTION, ARTICULAR; RECURRENCE; RETROSPECTIVE STUDIES;

EID: 78149411114     PISSN: 10582746     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jse.2010.05.029     Document Type: Article

References (22)

1. Abrams R.A., Simmons B.P., Brown R.A., Botte M.J. Treatment of posttraumatic radioulnar synostosis with excision and low-dose radiation. J Hand Surg 1993, 18:703-707.
2. Ayers D.C., Pellegrini V.D., Evarts C.M. Prevention of heterotopic ossification in high risk patients by radiation therapy. Clin Orthop Relat Res 1991, 263:87-93. http://dx.doi.org/10.1097/00003086-199102000-00009.
3. Braun W. Irradiation for the prevention of heterotopic ossification following surgery of the hip and knee joint. Chirurg 1989, 60:795-800.
4. Cullen J.P., Pellegrini V.D., Miller R.J., Jones J.A. Treatment of traumatic radioulnar synostosis by excision and postoperative low-dose irradiation. J Hand Surg 1994, 19:394-401.
5. Djurickovic S., Meek R.N., Snellling C.F.T., Broekhuyse H.M., Blachut P.A., O'Brien P.J., et al. Range of motion and complications after postburn heterotopic bone excision about the elbow. J Trauma 1996, 41:825-830. http://dx.doi.org/10.1097/00005373-199611000-00010.
6. Elledge E.S., Smith A.A., McManus W.F., Pruitt B.A. Heterotopic bone formation in burned patients. J Trauma 1988, 28:684-687. http://dx.doi.org/10.1097/00005373-198805000-00023.
7. Evans E.B. Heterotopic formation in thermal burns. Clin Orthop Relat Res 1991, 263:94-101. http://dx.doi.org/10.1097/00003086-199102000-00010.
8. Evans E.B., Smith J.R. Bone and joint changes following burns: a roentgenographic study-preliminary report. J Bone J Surg Am 1959, 41A:785-799. http://www.ejbjs.org/cgi/content/abstract/41/5/785?ijkey=e97246eb8a0a335f8a1bbb58acbac84fae0d1b2a%26keytype2=tf_ipsecsha.
9. Heyd R., Strassman G., Schopohl B., Zamboglou N. Radiation therapy for the prevention of heterotopic ossification at the elbow. J Bone Joint Surg Br 2001, 83B:332-334. http://dx.doi.org/10.1302/0301-620X.83B3.11428.
10. Holguin P.H., Rico A.A., Garcia J.P., Del Rio J.L. Elbow ankylosis due to postburn heterotopic ossification. J Burn Care Rehab 1996, 17:150-154. 10.1097/00004630-199603000-00009.
11. Johnson J.T.H. Atypical myositis ossificans. J Bone Joint Surg Am 1957, 39A:189-194. http://www.ejbjs.org/cgi/reprint/39/1/189.
12. Kjaersgaard-Andersen P., Schmidt S.A. Total hip arthroplasty: the role of anti-inflammatory medications in the prevention of heterotopic ossification. Clin Orthop Relat Res 1991, 263:78-86. http://dx.doi.org/10.1097/00003086-199102000-00008.
13. Kolar J., Vrabec R. Periarticular soft-tissue changes as a late consequence of burns. J Bone Joint Surg Am 1959, 41A:103-111. http://www.ejbjs.org/cgi/reprint/41/1/103.
14. Lo T.C., Pfeifer B.A., Smiley P.M., Gumley G.J. Case report. Radiation prevention of heterotopic ossification after bone and joint surgery in sites other than hips. Br J Radiol 1996, 69:673-677. 10.1259/0007-1285-69-823-673.
15. McAuliffe J.A., Wolfson A.H. Early excision of heterotopic ossification about the elbow followed by radiation therapy. J Bone Joint Surg Am 1997, 79A:749-755. http://www.ejbjs.org/cgi/reprint/79/5/749.
16. Morrey B.F. The elbow and its disorders 1985, WB Saunders, Philadelphia, PA, p. 88-9.
17. Morrey B.F., Askew L.J., Chao E.Y. A biomechanical study of normal functional elbow motion. J Bone Joint Surg Am 1981, 63A:872-877. http://www.ejbjs.org/cgi/reprint/63/6/872.
18. Peterson S.L., Mani M.M., Crawford C.M., Neff J.R., Hibert J.M. Postburn heterotopic ossification: insights for management decision making. J Trauma 1989, 29:365-369. http://dx.doi.org/10.1097/00005373-198903000-00015.
19. Ring D., Jupiter J. Operative release of complete ankylosis of the elbow due to heterotopic bone in patients without severe injury of the central nervous system. J Bone Joint Surg Am 2003, 85A:849-857. http://www.ejbjs.org/cgi/content/full/85/5/849%23BIBL.
20. Rubenstein J.H., Salenius S.A., Blitzer P.H., Katin M.J., Dosoretz D.E. Prevention of heterotopic bone formation with low-dose radiation therapy. J Fla Med Assoc 1992, 79:828-832.
21. Tsionos I., Leclercq C., Rochet J.M. Heterotopic ossification of the elbow in patients with burns: results after early excision. J Bone J Surg Br 2004, 86B:396-403. http://dx.doi.org/10.1302/0301-620X.86B3.14480.
22. VanLacken N., Snelling C.F.T., Meck R.N., Warren R.J., Foley B. Heterotopic bone formation in the patient with burn injuries: a retrospective assessment of contributing factors and methods of investigation. J Burn Care Rehab 1989, 10:331-335. http://dx.doi.org/10.1097/00004630-198907000-00008.