title: [Heterotopic ossifications of 5 large body joints after 105 days of intensive care with 72 days of artificial ventilation].
abstract: A 37-year-old woman had intensive care for 105 days and artificial ventilation for 72 days because of a lung transplantation and multiple postoperative complications. She developed severe heterotopic ossification of both shoulders, the right elbow and both hip joints. Owing to complete joint stiffness, she was immobilized and unable to eat or drink without help. Operative treatment was performed in two procedures. The right shoulder and right elbow were operated on first; the right hip and later the left hip were operated on after recovery from the previous surgical procedures. After 22 months, there was a good functional result; the patient took part in all activities of daily life and was pain-free. The present knowledge on heterotopic ossifications is summarized, as well as possible prophylactic measurements.
authors.forename: M
authors.initials: M
authors.lastname: Schulze
authors.forename: H P
authors.initials: HP
authors.lastname: Lobenhoffer
mesh_terms: D000328:Adult; D003422:Critical Care; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D006976:Hypertension, Pulmonary / Q000601:surgery*; D007091:Image Processing, Computer-Assisted; D016040:Lung Transplantation; D009999:Ossification, Heterotopic / Q000000981:diagnostic imaging* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000601:surgery*; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed