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Os aparelhos gessados são dispositivos rígidos de imobilização externa que envolvem uma região do corpo, de forma a mantê-la numa posição adequada. Estudo mecânico comparativo entre aparelhos gessados clássicos e de material sintético. JDMBA Rossi, FAS Caffali, TP Leivas, LA Menezes Filho, AA Quintela. Avaliação do aparelho gessado cruro-podálico articulado como complementação do tratamento cirúrgico do “genu valgum.” Front Cover. Hélio Lúcio de Souza.

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Patient 2 years after treatment, now able to walk. Treatment of heterotopic ossification of the hip with use of a plaster cast: That is, remaining osteoblastic cells would be responsible for recurrence, similarly to what is observed in cases of incomplete neoplasia resection.

Treatment of heterotopic ossification of the hip with use of a plaster cast: case report

HO presents with elevated serum alkaline phosphatase AP levels, and a transient decrease in serum calcium levels preceding the first event. Improvement of extension, abduction, and adduction of the right hip. Clin Orthop Relat Res. The right and left hips presented, respectively, flexion: Hip contracture before treatment, more significant on the right; the hip is in flexion, abduction, gessavos external rotation.

A wedge was made in the cast 5 days later, and the patient was discharged on July 17, Any treatment option that improves the quality of life of the patient mitigates the negative impact of this disease. In some cases, it can present moderate fever, severe spasticity, and even ankylosis in more advanced stages of the disease. Thus, surgical excision must be carefully and individually considered and reserved for fully matured HO cases in patients with severe functional joint impairment.

The cast was used for 9 months.

Ortopedia e Traumatologia by Jéssica Gabriela on Prezi

This pathology usually has a benign course, but it can cause a reduction in the range of joint apadelhos and hamper the rehabilitation process. The patient was able to improve the movements of extension, abduction, and adduction of the right hip, which allowed gait without the risks of resection surgery.

Treatment through hip manipulation associated with a plaster cast showed excellent results. The clinical picture of the patient enhanced, as the functional aspect of the hip improved; despite the gesados, a previously bedridden patient was able to walk again Fig. An anteroposterior view radiograph of the hip showed areas of periarticular hip ossification, bilaterally, and the diagnosis of HO was made Fig. After 2 weeks, the patient returned to the outpatient clinic to change the cast; and had no complaints.


Still, the best treatment is prevention.

Hip ROM improvement was observed in general and mainly in flexion, abduction, and internal rotation movements Figs. Shortly after its removal, the patient began walking with crutches for short distances and later, after several physical ggessados sessions, without crutches. On physical examination, he was in good general condition and was afebrile. The role of radiotherapy for prevention of heterotopic ossification after major hip surgery. Exercises are recommended to maintain joint mobility.

Rev Col Bras Cir. Computed tomography Alarelhos can also be used.


Rehabilitation medicine plays an important role in approaching these patients by addressing the symptoms and improving the function of the affected body areas, allowing family, social, and occupational reintegration of these patients.

It should only be performed in cases with hip movement restrictions, in order apafelhos release the ankylosed joints and entrapped nerves. The diagnosis is made through conventional radiography. Surgical resection often leads to increased aggression and, gesdados, to new areas of tissue ossification. The initial clinical manifestations of HO include pain and limitation of joint movement, heat, edema, local flushing, and, in some cases, moderate fever and severe spasticity. Risk factors of heterotopic ossification in traumatic spinal cord injury.

Heterotopic ossification can be defined as the formation of bone in tissues that have no ossification properties, such as in muscles and connective tissue of a periarticular region, without invasion of the joint capsule. In patients with spinal cord injury, early HO diagnosis is of utmost importance so that adequate treatment can be initiated and the chance of progression to ankylosis of the joint reduced.

Jorge Joanfer Email & Phone# | técnico de aparelho gessado @ hospital semiu – ContactOut

Increased AP is also observed in the presence of fractures and liver diseases. The etiology of HO is still uncertain. It may involve one or more joints in the same patient; in this case, the aprelhos is usually bilateral.

The treatment of HO is often conservative and prevention is the most appropriate conduct; however, surgical intervention may be necessary.

In this case, the full leg plaster cast allowed the patient to walk, despite the ROM limitation. A year-old male patient was treated in at the orthopedic outpatient clinic of a public university hospital, complaining of pain and progressive limitation of movement in the hips, as well as loss of right lower limb RLL muscle strength after suffering physical aggression approximately 8 months earlier.


However, surgical HO resection is usually not indicated for patients classified as Brooker grade I and II, and sometimes as grade III lesions, because of the low functional impact since they do not present active movement of the lower limbs, with risk of complications and relapses. Appearance 2 years after treatment.

Heterotopic ossification HO is a process of abnormal osteogenesis in non-skeletal tissues, due to an initial metaplastic and inflammatory process, through bone neoformation in soft tissues; it is not considered a neoplasia. Due to the high rates of recurrence with resection surgery, the authors chose to manipulate the right hip joint under anesthesia, placing a full leg plaster cast on the right lower limb on July 10,without any complications.

Two years after the manipulation, the following right hip ROM values were registered: A clinical perspective on common forms of acquired heterotopic ossification.

After the aggression, he evolved with TBI and was bedridden due to a bilateral hip contracture Fig. Among gessadox clinical manifestations, it may present pain and limitation of joint movement, heat, edema, and local flushing. The objective of this report is to describe a case of heterotopic ossification in the hip after traumatic brain injury, presenting the clinical manifestations and discussing the treatment instituted with a long leg plaster cast.

Furthermore, resection can cause excessive bleeding particularly in the femurand lead to increased morbidity and mortality, and if it is performed before bone maturity, there are high chances of relapse.

Treatment is based on resection of the ossification, with adjuvant measures such as non-steroidal anti-inflammatory drugs, bisphosphonate, radiotherapy, and aparephos therapy. Immediately after the manipulation, in the operation room, the right hip’s range of motion ROM was measured: Thus, surgery should be performed months after the end of the active stage of the injury.

Leite NM, Faloppa F. None of these methods currently have a precise recommendation regarding dose, quantity, or well-established protocols. Bisphosphonates can be used prophylactically to prevent recurrence of surgically excised heterotopic bones.