Hip & pelvis

  • 제30권2호
  • /
  • Pages.86-91
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  • 2018
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  • 2287-3260(pISSN)
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  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
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DOI QR코드

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Ankylosing Neurogenic Myositis Ossificans of the Hip: A Case Series and Review of Literature

  • Yoon, Byung-Ho (Department of Orthopaedic Surgery, Inje University Seoul Paik Hospital, Inje University College of Medicine) ;
  • Park, In Keun (Department of Orthopaedic Surgery, Inje University Seoul Paik Hospital, Inje University College of Medicine) ;
  • Sung, Yerl-Bo (Department of Orthopaedic Surgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine)
  • 투고 : 2018.03.14
  • 심사 : 2018.05.09
  • 발행 : 2018.06.30
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: Neurogenic myositis ossificans (NMO) in patients with traumatic spinal cord or brain injuries can cause severe joint ankylosis or compromise neurovascularture. The purpose of this study was to evaluate the clinical and radiological outcomes of and review considerations relevant to surgical resection of NMO of the hip joint. Materials and Methods: Six patients (9 hips) underwent periarticular NMO resection between 2015 and 2017. The medical records of these patients were retrospectively reviewed. Preoperative computed tomography including angiography was performed to determine osteoma location and size. Improvement in hip motion allowing sitting was considered the sole indicator of a successful surgery. The anterior approach was used in all patients. The ranges of motion (ROM) before and after surgery were compared. Results: The mean time from accident to surgery was 3.6 years. Average ROM improved from $24.3^{\circ}$(flexion and extension) to $98.5^{\circ}$(flexion and extension) after surgery, and improvement was maintained at the last follow-up. No commom complications (e.g., deep infection, severe hematoma, deep vein thrombosis) occurred in any patient. Improvement in ROM in one hip in which surgical resection was performed 10 years after the accident was not satisfactory owing to the pathologic changes in the joint. Conclusion: Surgical excision of periarticular NMO of the hip joint can yield satisfactory results, provided that appropriate preoperative evaluation is performed. Early surgical intervention yields satisfactory results and may prevent the development of intra-articular pathology.

키워드

참고문헌

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피인용 문헌

  1. The role of preoperative vascular imaging and embolisation for the surgical resection of bilateral hip heterotopic ossification vol.12, pp.8, 2018, https://doi.org/10.1136/bcr-2019-230964