Antegrade intramedullary nailing of the humerus complicated by heterotopic ossification of the deltoid: a case report.
A case of antegrade nailing of the humeral shaft in a polytrauma patient was complicated by heterotopic ossification of the lateral deltoid muscle and severe loss of shoulder motion. The patient did not respond to physiotherapy alone and was successfully managed by excision of the heterotopic bone and adjunctive radiation therapy.
Schmidt
A H
AH
Department of Orthopaedics, Hennepin County Medical Center, Minneapolis, Minnesota 55415, USA. schmi115@tc.umn.edu
Templeman
D C
DC
Grabowski
C M
CM
D000060:Accidents, Aviation; D000328:Adult; D001858:Bone Nails; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects* / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery*; D018482:Muscle, Skeletal / Q000473:pathology; D009999:Ossification, Heterotopic / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D016059:Range of Motion, Articular; D012785:Shoulder Joint