Heterotopic Ossification in Post-Burn Scar Contracture of the Wrist

Jae Hyun Kim; Su Bin Do; Chul Hoon Chung

doi:10.12790/jkssh.2016.21.1.45

Journal List > J Korean Soc Surg Hand > v.21(1) > 1106546

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Kim, Do, and Chung: Heterotopic Ossification in Post-Burn Scar Contracture of the Wrist

CASE REPORT

J Korean Soc Surg Hand 2016;21(1):45-49.

Published online: 11 March 2016

DOI: https://doi.org/10.12790/jkssh.2016.21.1.45

Heterotopic Ossification in Post-Burn Scar Contracture of the Wrist

Jae Hyun Kim, Su Bin Do, Chul Hoon Chung

Department of Plastic and Reconstructive Surgery, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea

Correspondence to: Jae Hyun Kim, Department of Plastic and Reconstructive Surgery, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, 150 Seongan-ro, Gangdong-gu, Seoul 05355, Korea, TEL: +82-2-2224-2246, FAX: +82-2-488-0114, E-mail: jaykay0219@naver.com

Received 20 November 201526 December 2015 Accepted 7 January 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Heterotopic ossification is one of the well known complications related to burn and mainly involves major joints and lower extremity, but heterotopic ossification of the hand has been rarely reported. The authors experienced treatment of heterotopic ossification in post-burn scar contracture of the wrist by wide excision with full thickness skin graft and there was no complication such as recurrence. As heterotopic ossification with ulceration is hard to cure with conservative treatment, it must be removed completely by surgical treatment. If ulceration in burn scar of the hand doesn't heal with the conservative treatment, differential diagnosis of heterotopic ossification will be made first.

Keywords: Heterotopic ossification, Hand, Burn

REFERENCES

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Fig. 1.

Preoperative photograph shows multiple ulceration about 1-2 cm in diameter accompanying inflammation and hard scars around the ulceration.

Fig. 2.

Preoperative plan radiograph shows multiple calcification widely distributed in the subcutaneous region of the forearm and wrist.

Fig. 3.

Photograph of excised soft tissue containing heterotopic ossified tissue.

Fig. 4.

Different stages of dermal dense sclerosis area, dense calcification area and ossification area and scattered osteoblasts found at ossifying area (H&E, x100).

Fig. 5.

Postoperative photograph 1 year 9 months after the surgery.

Fig. 6.

Postoperative plan radiograph 1 year 9 months after the surgery shows no calcification in the subcutaneous region of the forearm and wrist.

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