Clinical Pain

Korean Association of Pain Medicine (대한임상통증학회)
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Extracorporeal Shock Wave Therapy for Painful Heterotopic Ossification after Traumatic Transtibial Amputation

외상성 하퇴 절단지에 발생한 이소성 골화증에 대한 체외충격파 치료

  • Jeon, Hyun Min (Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center) ;
  • Yang, Hee Seung (Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center) ;
  • Seo, Jin Seok (Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center) ;
  • Han, Seok Cheol (Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center) ;
  • Kim, Wan Tae (Department of Radiology, Veterans Health Service Medical Center)
  • 전현민 (중앙보훈병원 재활의학과) ;
  • 양희승 (중앙보훈병원 재활의학과) ;
  • 서진석 (중앙보훈병원 재활의학과) ;
  • 한석철 (중앙보훈병원 재활의학과) ;
  • 김완태 (중앙보훈병원 영상의학과)
  • Received : 2019.07.18
  • Accepted : 2019.10.04
  • Published : 2020.06.30
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Abstract

The incidence of heterotopic ossification (HO) was reported to be higher in combat-injured patients than in civilian trauma patients. HO is often considered a possible cause of residual limbs pain in amputee. Here, we report the case of a 21-year-old male, who underwent a traumatic right transfemoral and left transtibial amputation with two segments of painful HO around his left amputation site. We report the effect of extracorporeal shock wave therapy (ESWT) on size and pain associated with HO. After ESWT, the visual analog scale score decreased from 5~6 to 0~1 and the size of two masses decreased from 13.1 × 6.7 mm and 12.5 mm to 11.9 × 4.7 mm and 12.2 mm, respectively. To the best of our knowledge, this is the first case that has reported on the treatment of HO using ESWT for a traumatic transtibial amputation patient. The case suggests that ESWT could serve as a complementary treatment for HO in traumatic amputation patient.

Keywords

References

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