Neurogenic heterotopic ossificans of hips in a case of expanded dengue syndrome following critical illness polyneuropathy.

Autor:	Hegde A; Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, MAHE, Manipal, Karnataka, India., Mane PP; Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, MAHE, Manipal, Karnataka, India., Shetty CB; Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, MAHE, Manipal, Karnataka, India., Thakkar SA; Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, MAHE, Manipal, Karnataka, India dr.samarththakkar@gmail.com.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2022 Mar 09; Vol. 15 (3). Date of Electronic Publication: 2022 Mar 09.
DOI:	10.1136/bcr-2021-246186
Abstrakt:	We present a case of 71-year-old man with bilateral hip neurogenic heterotopic ossificans following critical illness polyneuropathy as a complication of expanded dengue syndrome. His left hip was stiff and showed a circumferential ossific mass. After initial medical management, the patient underwent excision of ossific mass using posterior approach. For adequate excision, femoral head and neck were resected and a hybrid total hip arthroplasty was performed. The patient was followed up for 2 years and showed good clinical outcome without recurrence of heterotopic ossification. This case highlights the rare aetiology of neurogenic heterotopic ossification which is critical illness polyneuropathy following expanded dengue syndrome. It highlights that adequate resection and a total hip arthroplasty can be a viable option in selected cases of circumferential heterotopic ossification in old individuals. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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