A Case Report of Symptomatic Gluteal Subcutaneous Heterotopic Ossifications with Persistent Sciatic Pain

Gronki F1,2*, Strulak L1 , Wahl P2 and Alfieri A1,3

1 Division of Neurosurgery, Cantonal Hospital Winterthur, Switzerland 2 Division of Orthopedics and Traumatology, Cantonal Hospital Winterthur, Switzerland 3 Department of Neurosurgery, Brandenburg University of Technology, Germany

^*Correspondance to: Ferda Gronki 

 PDF  Full Text DOI: 10.25107/2474-1647.3106

Abstract

Heterotopic Ossification (HO) is ectopic bone formation within extra-osseous soft tissues. Its two major etiologies include genetic and acquired, the latter of which is more common and often associated with tissue trauma. Although the majority of cases are clinically insignificant and asymptomatic, severe HO may be associated with debilitating clinical consequences, including restricted range of motion, impingement, and pain. It can be a challenging condition to diagnose and manage, especially in patients with multiple co-morbidities and risk factors, and particularly as HO may recur after excision. We report a case of subcutaneous gluteal HO with acute irradiating pain, as well as its successful management. Uncharacteristically, HO had formed within the subcutaneous tissue, away from any surgical field. Our aim is to bring an awareness of atypical HO along with associated risk factors and various management options to help optimize patient care.

Keywords

Heterotopic ossification; Subcutaneous; Atypical; Pain

Cite the article

Gronki F, Strulak L, Wahl P, Alfieri A. A Case Report of Symptomatic Gluteal Subcutaneous Heterotopic Ossifications with Persistent Sciatic Pain. Clin Surg. 2021; 6: 3106..