Clin Should Elbow.  2019 Sep;22(3):154-158. 10.5397/cise.2019.22.3.154.

Total Ankylosis by Heterotopic Ossification in an Adolescent Anterior Trans-olecranon Fracture Dislocation: A Case Report

• Kim BS
• Song KS
• Bae KC
• Lee SW
• Um SH
• Cho CH

• KMID: 2457213
• DOI: http://doi.org/10.5397/cise.2019.22.3.154

Abstract

The incidence of heterotopic ossification in adolescents appears to be lower than in adults. There exist very few reports of heterotopic ossification with total bony ankylosis in child or adolescent populations. We describe a case of total bony ankylosis of the elbow secondary to heterotopic ossification, in a 14-year-old female. Total ankylosis of the elbow at 45 degrees of flexion was noted 6 months post-surgery, and complete surgical excision of the heterotopic mass was performed. After an additional one-time dose of radiation therapy and nonsteroidal anti-inflammatory drug medication, full range of motion was obtained without any recurrence or other complications, up to the last follow-up of 30 months.

Keyword

Adolescent; Heterotopic ossification; Elbow; Ankylosis; Bone fractures

MeSH Terms

Adolescent*
Adult
Ankylosis*
Child
Dislocations*
Elbow
Female
Follow-Up Studies
Fractures, Bone
Humans
Incidence
Ossification, Heterotopic*
Range of Motion, Articular
Recurrence