Operative treatment of anterior heterotopic bone formation of the elbow in a patient with severe haemophilia A.
There is no statistical data on the incidence of heterotopic ossification among patients with haemophilia, and a few reports documenting this entity in haemophilia are available. Although post-traumatic heterotopic ossification about the elbow is a well-recognized complication, we are not aware of any previously reported case in haemophiliacs. An 8-year-old boy with severe haemophilia A presented with fixed elbow in 80 degrees of flexion. Radiographs disclosed a mature anterior heterotopic ossification in the form of complete ulnohumeral bony bridge. Surgical excision of the heterotopic bone was performed. A full elbow range of motion was obtained after long-term physiotherapy. We conclude that this surgery is safe and successful in haemophilic patients, if performed at the right time under optimal situation.
Mortazavi
S M J
SM
Department of Orthopedic Sugery, Imam Hospital Haemophilia Centre, Tehran University of Medical Sciences, Tehran, Iran. smjmort@yahoo.com
Asadollahi
S
S
Motamedi
M
M
D002648:Child; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000502:physiology / Q000601:surgery*; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D008297:Male; D009999:Ossification, Heterotopic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome