RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0040-1712114
A Rare Case of Heterotopic Ossification of the Patella Tendon in an Adolescent Presenting with Tendon Rupture
Abstract
Heterotopic ossification is the abnormal formation of mature, lamellar bone in nonosseous tissue such as tendons, ligaments, muscles, and soft tissue. We discuss a rare case of a young adolescent with patellar tendon rupture postheterotopic ossification. A 13-year-old male presented to us with knee pain and inability to extend for 6 weeks following trivial trauma. Preliminary radiological investigations revealed a high riding patella with ossification in the patella tendon. The magnetic resonance scan confirmed the same with patellar tendon disruption and heterogeneous ossification. He underwent surgery with patella tendon repair, augmentation with autograft, and had complete recovery at 6 months' follow-up.
Publikationsverlauf
Eingereicht: 20. Januar 2020
Angenommen: 13. April 2020
Artikel online veröffentlicht:
26. Mai 2020
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Stuttgart · New York
-
References
- 1 Balboni TA, Gobezie R, Mamon HJ. Heterotopic ossification: pathophysiology, clinical features, and the role of radiotherapy for prophylaxis. Int J Radiat Oncol Biol Phys 2006; 65 (05) 1289-1299
- 2 Al-Zahrawi. Albucasis on Surgery and Instruments. Berkeley: University of California Press; 1972
- 3 Mujtaba B, Taher A, Fiala MJ. et al. Heterotopic ossification: radiological and pathological review. Radiol Oncol 2019; 53 (03) 275-284
- 4 Cakici H, Hapa O, Ozturan K, Guven M, Yucel I. Patellar tendon ossification after partial patellectomy: a case report. J Med Case Reports 2010; 4: 47
- 5 Meyers C, Lisiecki J, Miller S. et al. Heterotopic ossification: a comprehensive review. JBMR Plus 2019; 3 (04) e10172
- 6 Zagarella A, Impellizzeri E, Maiolino R, Attolini R, Castoldi MC. Pelvic heterotopic ossification: when CT comes to the aid of MR imaging. Insights Imaging 2013; 4 (05) 595-603
- 7 Cocks M, Mohan A, Meyers CA. et al. Vascular patterning in human heterotopic ossification. Hum Pathol 2017; 63: 165-170
- 8 Vaishya R, Maduka CO, Agarwal AK, Vijay V, Vaish A. Heterotopic ossification of tendo achilles: an uncommon clinical entity. J Orthop Case Rep 2019; 9 (02) 45-47
- 9 Ritter MA, Sieber JM. Prophylactic indomethacin for the prevention of heterotopic bone formation following total hip arthroplasty. Clin Orthop Relat Res 1985; (196) 217-225