[Progress on prevention and treatment of heterotopic ossification]

Zhongguo Gu Shang. 2020 Mar 25;33(3):283-7. doi: 10.12200/j.issn.1003-0034.2020.03.021.
[Article in Chinese]

Abstract

Heterotopic ossification is the formation of pathological bone in non-skeletal tissues (including muscles, tendons or other soft tissues), and the pathogenesis is not completely clear. It is often caused by musculoskeletal trauma, postoperative bone and joint surgery, or damage of the nervous system, the clinical manifestations are joint swelling, pain, and movement disorders, which often occur around the hips, knees, and elbows. At present, the prevention of heterotopic ossification mainly includes drugs, radiotherapy, molecular biological mechanism intervention, and Chinese medicine-related measures. Among them, drugs and radiotherapy are more effective methods to prevent heterotopic ossification. The intervention of molecular biology mechanism to prevent heterotopic ossification has become a new research direction and focus of attention inrecent years, and is basically at the experimental research stage. The treatment of heterotopic ossification includes various methods such as drugs, physical therapy, and surgery. Among them, surgery is recognized as the most effective treatment, however there are still some controversies and disagreements about the choice of operation time and surgical methods.

Keywords: Heterotopic ossification; Prevention; Review; Treatment.

MeSH terms

  • Elbow
  • Elbow Joint*
  • Humans
  • Joint Diseases*
  • Ossification, Heterotopic* / prevention & control
  • Ossification, Heterotopic* / therapy
  • Treatment Outcome