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The Journal of Bone and Joint Surgery, Vol 62, Issue 7 1143-1146, Copyright © 1980 by Journal of Bone and Joint Surgery, Inc
Periarticular heterotopic ossification in head-injured adults. Incidence and location
DE Garland, CE Blum and RL Waters
The records of 496 adult patients who sustained severe injuries to the head
were reviewed retrospectively in order to reveal the incidence and location
of heterotopic ossification. All traumatized joints were excluded from the
study. Clinically significant heterotopic bone causing pain and a decrease
in the range of motion of the adjacent joint was identified in 100 joints
in fifty-seven patients (11 per cent). All fifty-seven patients had some
residual spasticity, although the spasticity was not always present about
the involved joint. Twenty-seven patients had monoarticular involvement
while thirty patients had involvement of more than one joint. Forty-four
hips, twenty-seven shoulders, twenty-six elbows, and three knees had
heterotopic ossification. Complete ankylosis (16 per cent of all joints)
developed in eight elbows, six hips, and two shoulders.
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