Unforeseen consequence: heterotopic ossification following traumatic brain injury and acetabulum fracture-a case report


  • Kartik Samria Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India
  • Krati Bhardwaj Department of Anatomy, AIIMS, Patna, Bihar, India
  • Dheeraj D. Shekar Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India
  • Ravindra K. Lamoria Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India




HO, Neurological injury, Acetabulum fracture


Heterotopic ossification (HO) is a rare pathological condition characterized by the formation of bone in soft tissues outside the normal skeletal system. HO can result in restricted joint mobility, nerve compression, and pain. We present a case report of a 34-year-old male who developed HO. There is a history of neurological injury and fracture acetabulum (left). Imaging studies revealed extensive HO with complete bony bridging of the hip joint, leading to severe functional impairment and chronic pain. The patient had previously undergone multiple medical treatments with non-steroidal anti-inflammatory drugs, and physiotherapy with limited success. Ultimately, he underwent a complex surgical intervention involving resection of HO, release of joint contractures, resulting in significant improvement in joint mobility and pain control. Here we discuss a rare and debilitating presentation of HO and the treatment options available for such patients. Clinicians should be aware of this challenging condition and manage patients through a multidisciplinary approach.


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