Excision of Intra-articular Knee Heterotopic Ossification Using a 70° Arthroscope
Heterotopic ossification is ectopic lamellar bone formation within soft tissue and can result in significant functional limitations. There are multiple underlying etiologies of HO including musculoskeletal trauma and traumatic brain injury. Intra-articular HO of the knee is rare and is typically loc...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2024/9998388 |
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| author | Alexander J. Hoffer Eugenia A. Lin Maziyar A. Kalani Mark K. Lyons Meghan Richardson |
| author_facet | Alexander J. Hoffer Eugenia A. Lin Maziyar A. Kalani Mark K. Lyons Meghan Richardson |
| author_sort | Alexander J. Hoffer |
| collection | DOAJ |
| description | Heterotopic ossification is ectopic lamellar bone formation within soft tissue and can result in significant functional limitations. There are multiple underlying etiologies of HO including musculoskeletal trauma and traumatic brain injury. Intra-articular HO of the knee is rare and is typically located within the cruciate ligaments. We report a case of a 24-year-old female who presented with worsening right knee pain and limited knee extension two and a half years after a motor vehicle crash with multiple lower extremity fractures. Physical examination of the knee revealed anterior pain, limited extension, and a palpable infrapatellar prominence. Imaging showed a retropatellar tendon, intra-articular excrescence of bone proximal to the anterior tibial plateau. Diagnostic arthroscopy with a 70° arthroscope identified HO at the proximal anterior tibial plateau, which was excised with a high-speed burr under direct visualization. At the three-month follow-up, the patient remained asymptomatic and returned to sport. Retropatellar tendon, intra-articular anterior knee HO is a rare but debilitating clinical entity that can be successfully and safely managed with excision under direct visualization using a 70° arthroscope. |
| format | Article |
| id | doaj-art-54ec4344fbee4189b779ab23488f11e3 |
| institution | Kabale University |
| issn | 2090-6757 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-54ec4344fbee4189b779ab23488f11e32025-02-03T01:06:28ZengWileyCase Reports in Orthopedics2090-67572024-01-01202410.1155/2024/9998388Excision of Intra-articular Knee Heterotopic Ossification Using a 70° ArthroscopeAlexander J. Hoffer0Eugenia A. Lin1Maziyar A. Kalani2Mark K. Lyons3Meghan Richardson4Department of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryHeterotopic ossification is ectopic lamellar bone formation within soft tissue and can result in significant functional limitations. There are multiple underlying etiologies of HO including musculoskeletal trauma and traumatic brain injury. Intra-articular HO of the knee is rare and is typically located within the cruciate ligaments. We report a case of a 24-year-old female who presented with worsening right knee pain and limited knee extension two and a half years after a motor vehicle crash with multiple lower extremity fractures. Physical examination of the knee revealed anterior pain, limited extension, and a palpable infrapatellar prominence. Imaging showed a retropatellar tendon, intra-articular excrescence of bone proximal to the anterior tibial plateau. Diagnostic arthroscopy with a 70° arthroscope identified HO at the proximal anterior tibial plateau, which was excised with a high-speed burr under direct visualization. At the three-month follow-up, the patient remained asymptomatic and returned to sport. Retropatellar tendon, intra-articular anterior knee HO is a rare but debilitating clinical entity that can be successfully and safely managed with excision under direct visualization using a 70° arthroscope.http://dx.doi.org/10.1155/2024/9998388 |
| spellingShingle | Alexander J. Hoffer Eugenia A. Lin Maziyar A. Kalani Mark K. Lyons Meghan Richardson Excision of Intra-articular Knee Heterotopic Ossification Using a 70° Arthroscope Case Reports in Orthopedics |
| title | Excision of Intra-articular Knee Heterotopic Ossification Using a 70° Arthroscope |
| title_full | Excision of Intra-articular Knee Heterotopic Ossification Using a 70° Arthroscope |
| title_fullStr | Excision of Intra-articular Knee Heterotopic Ossification Using a 70° Arthroscope |
| title_full_unstemmed | Excision of Intra-articular Knee Heterotopic Ossification Using a 70° Arthroscope |
| title_short | Excision of Intra-articular Knee Heterotopic Ossification Using a 70° Arthroscope |
| title_sort | excision of intra articular knee heterotopic ossification using a 70° arthroscope |
| url | http://dx.doi.org/10.1155/2024/9998388 |
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