Disease aggravation following surgery in a rare patient suspected to Fibrodysplasia (Myositis) ossificans progressiva: a case report

J Med Case Rep. 2023 Dec 4;17(1):500. doi: 10.1186/s13256-023-04253-w.

Abstract

Background: Fibrodysplasia ossificans progressiva (FOP) as a rare and heritable disorder with the infrequent genetic transmission of the condition is a catastrophic disorder of heterotopic ossification (HO) and a cause of extraskeletal bone formation in humans. Given the lack of effective treatment for this disease, the important point is to avoid aggravating factors such as bone biopsy, surgery, and intramuscular injection.

Case presentation: In this report, we present a 52-year-old female patient, Kurdish ethnic, suspected to FOP who had a surgical intervention on the second toe of the right foot, which subsequently, it caused further deterioration of the disease in the person including necrosis and amputation of the distal phalanx of the second toe.

Conclusions: Although, based on our investigation and the available scientific evidence, surgery may a cause for faster progression and worsening of the FOP disorder, but its proof requires further studies.

Keywords: Ectopic ossification; Fibrodysplasia ossificans progressiva; Hypoplastic hallux valgus; Myositis ossificans progressiva.

Publication types

  • Case Reports

MeSH terms

  • Bone and Bones / pathology
  • Female
  • Humans
  • Middle Aged
  • Myositis Ossificans* / diagnosis
  • Myositis Ossificans* / surgery
  • Ossification, Heterotopic* / etiology
  • Ossification, Heterotopic* / pathology
  • Toes / pathology