Abstract
Complex elbow trauma, severe burn, or a closed head injury render patients at risk for developing heterotopic ossification around the elbow. When heterotopic ossification restricts elbow motion, some patients request surgical resection. We performed a systematic review of the literature to analyze improvement in elbow motion after resection of heterotopic ossification around the elbow. We found that, on average, etiology had little impact on outcome after resection of heterotopic ossification. Resection of heterotopic bone generally leads to improvement of elbow function.
Highlights
Heterotopic bone formation of the elbow joint has been described to occur with complex fractures and dislocations of the elbow, burns, and closed head injury or coma [1,2,3,4,5]
We reviewed the range of motion after resection of heterotopic bone around the elbow caused by trauma, burn injury, or head injury
The results achieved in the individual studies of patients with ankylosis, and patients with partial restriction of motion are visualized in two graphs
Summary
Heterotopic bone formation of the elbow joint has been described to occur with complex fractures and dislocations of the elbow, burns, and closed head injury or coma [1,2,3,4,5]. Numerous theories have been published, the exact etiopathogenesis of this heterotopic ossification is unclear [6,7,8]. If elbow motion remains limited in spite of non-operative treatment (i.e., exercises or a static progressive or dynamic splinting program), open or arthroscopic surgical removal of heterotopic ossifications is a widely accepted treatment when a patient requests surgery to regain elbow
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