JBJS | Idiopathic Heterotopic Ossification Within the Tibial Nerve : A Case Report

The Journal of Bone & Joint Surgery, Volume 84, Issue 8

Case Reports | August 01, 2002

Idiopathic Heterotopic Ossification Within the Tibial Nerve : A Case Report

Seiji Yoshida, MD, PhD; Hirofumi Taira, MD; Masashi Kataoka, MD, PhD; Chikahiro Takita, MD; Hiroshi Tsumura, MD, PhD

The Journal of Bone & Joint Surgery. 2002; 84:1442-1444

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Extract

Heterotopic ossification has been reported to occur following burns, musculoskeletal trauma, and tetanus and in association with metabolic and neurologic disorders. Heterotopic ossification is found most commonly in the muscles, and histopathologically identical lesions have been described in tendons, subcutaneous fat, ligaments, fasciae, aponeuroses, and joint capsules ¹ . Heterotopic ossification can also cause clinically relevant peripheral nerve entrapment ^2-4 . Heterotopic ossification or calcification within a peripheral nerve is a rare lesion and may arise in association with neurofibroma ⁵ , leprosy ⁶ , CREST syndrome (calcinosis, Raynaud phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia) ⁷ , diabetic neuropathy8-10, and chronic renal failure11.

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heterotopic ossification ; tibial nerve

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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