Journal of Medical Ultrasound (Dec 2014)

Ultrasonography in Early Diagnosis of Heterotopic Ossification

  • Shan-Hui Lin,
  • Chen-Liang Chou,
  • Hong-Jen Chiou

DOI
https://doi.org/10.1016/j.jmu.2014.10.004
Journal volume & issue
Vol. 22, no. 4
pp. 222 – 227

Abstract

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We report here the case of a 32-year-old man with a history of traumatic brain injury who presented with swelling of his right thigh. Soft tissue ultrasonography performed 3 days after the onset of symptoms showed a heterogeneous hyperechoic lesion with the formation of cysts and hypervascularity in the right iliopsoas abutting the surface of the femoral bone. This became a diffuse echogenic plaque with a posterior acoustic shadowing 12 days later. A diagnosis of heterotopic ossification was made on the basis of the presence of typical ultrasonographic findings and was confirmed by pathology. We emphasize that an early diagnosis of heterotopic ossification can be made with ultrasonography and can lead to early treatment.

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