Severe heterotopic ossifications after Rockwood type II XXXX : a case report.

@entity1 @entity79 @entity158 @entity2736 @entity130
INTRODUCTION: @entity2736 ( @entity2736 ) is a benign condition of @entity79 in soft tissue. It is frequently asymptomatic, though it manifests as decreased range of motion in the affected joints that may occur in the shoulder after a substantial @entity130 and can complicate the functional outcome of the affected upper extremity. However, severe @entity2736 is an extremely rare event following acromioclavicular joint (ACJ) injury. MATERIALS AND METHODS: We are presenting a case of a 29-year-old male @entity1 who had a @entity130 with resultant Rockwood @entity130 . He subsequently complained of left @entity158 with decreased range of motion 3  years later. @entity2736 was diagnosed after X-rays and the severity was assessed with a computerized tomography scan and magnetic resonance imaging. The @entity1 was treated with a combination of pre-operative radiotherapy, surgical excision, mobilization under anesthesia, non-steroidal anti-inflammatory drug (NSAID) therapy and physiotherapy. RESULTS: At 6-month follow-up, excellent clinical and radiological outcomes were achieved with a Constant score of 92 points, DASH score of 24  %, and ASES score 100  %, with a full range of motion of the left shoulder. Furthermore, there was no more radiological evidence of @entity2736 on plain radiographs. CONCLUSION: Severe @entity2736 after a Rockwood type II ACJ injury in this case was successfully treated with combination of pre-operative radiotherapy, surgical excision and manipulation under anesthesia as well as NSAID therapy and physiotherapy.
