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Comprehensive Management of Bilateral Upper Limb Multijoint Stiffness Due to Heterotopic Ossification: A Case Study

This case report and literature review details a rare case of heterotopic ossification affecting both upper limbs, interfering with daily activities. Surgical excision and rehabilitation proved successful in restoring range of motion. The study addresses the controversies surrounding HO management for multijoint stiffness.

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Comprehensive Management of Bilateral Upper Limb Multijoint Stiffness Due to Heterotopic Ossification: A Case Study

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  1. Management of multijoint stiffness of bilateral upper limbs secondary to heterotopic ossification: Case report and literature review Hong-wei Min, MD; Ke-min Liu, MD; Xin-zuo Han, MD; Rui Gu, MD

  2. Aim • Describe rare case of heterotopic ossification (HO) that affected both upper limbs and severely interfered with activities of daily living. • Relevance • HO management is controversial. • Although some reports have investigated assess-ment and surgical resection techniques for HO of ≥1 joints, multijoint stiffness secondary to HO is rare.

  3. Method • 32-year-old male: • Had HO in 5 upper-limb joints. • Underwent 5 operations. • Completed active and passive range of motion exercises.

  4. Results • Last follow-up 12 mo postoperation showed no recurrence of HO.

  5. Conclusion • Comprehensive rehabilitation management for multijoint stiffness secondary to HO includes surgical excision and therapist-assisted gentle exercises.

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