J Korean Soc Surg Hand.  2016 Mar;21(1):45-49. 10.12790/jkssh.2016.21.1.45.

Heterotopic Ossification in Post-Burn Scar Contracture of the Wrist

• Kim JH
• Do SB
• Chung CH

• KMID: 2161163
• DOI: http://doi.org/10.12790/jkssh.2016.21.1.45

Abstract

Heterotopic ossification is one of the well known complications related to burn and mainly involves major joints and lower extremity, but heterotopic ossification of the hand has been rarely reported. The authors experienced treatment of heterotopic ossification in post-burn scar contracture of the wrist by wide excision with full thickness skin graft and there was no complication such as recurrence. As heterotopic ossification with ulceration is hard to cure with conservative treatment, it must be removed completely by surgical treatment. If ulceration in burn scar of the hand doesn't heal with the conservative treatment, differential diagnosis of heterotopic ossification will be made first.

Keyword

Heterotopic ossification; Hand; Burn

MeSH Terms

Burns
Cicatrix*
Contracture*
Diagnosis, Differential
Hand
Joints
Lower Extremity
Ossification, Heterotopic*
Recurrence
Skin
Transplants
Ulcer
Wrist*

Figure

• 

  Fig. 1. Preoperative photograph shows multiple ulceration about 1-2 cm in diameter accompanying inflammation and hard scars around the ulceration.

• 

  Fig. 2. Preoperative plan radiograph shows multiple calcification widely distributed in the subcutaneous region of the forearm and wrist.

• 

  Fig. 3. Photograph of excised soft tissue containing heterotopic ossified tissue.

• 

  Fig. 4. Different stages of dermal dense sclerosis area, dense calcification area and ossification area and scattered osteoblasts found at ossifying area (H&E, x100).

• 

  Fig. 5. Postoperative photograph 1 year 9 months after the surgery.

• 

  Fig. 6. Postoperative plan radiograph 1 year 9 months after the surgery shows no calcification in the subcutaneous region of the forearm and wrist.

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