A Study on Ectopic Ossification in the Upper and Lower Limbs.
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This report describes the clinical courses of cases of ectopic ossification (E. O.) diagnosed by roentgenogram on 25 sites on the upper and lower limbs of 18 patients (13 males and 5 females). The average age at the time of diagnosis was 43 years, ranging from 3 to 75. These cases were classified into three groups by etiology. There were 8 cases of traumatic E. O., 7 cases of paralytic E. O., and 3 cases of idiopathic E. O..Six out of 12 patients who received blood examination (50%) had a slightly elevated level of serum alkaline phosphatase (ALP). ALP, which was examined periodically in the 2 cases of paralytic E. O., began to rise before the appearance of clinical manifestations, after which the patients were diagnosed by roentgenorgram. The clinical characteristics are the following. The traumatic E. O. includes a solitary lesion, limited range of motion, pain, swelling and local heat. The paralytic E. O. includes multiple lesions and were located in the paralytic big joints. The idiopathic E. O. includes a solitary lesion. Conservative therapy was performed in 9 cases, and the operation was performed in 9 cases. Clinical results were evaluated in 13 cases, which had a follow-up period of more than 6 months. With coservative therapy ossification was reduced in 3 cases and was constant in 3 cases. The reduced section of E. O. was opaque by roentgenogram. The operation was effective in 3 while 4 cases sufferd recurrence, 3 of which received the operation again.At present the etiology and clinical courses of E. O. are unknown. We think that it is useful for early detection of E. O. to measure ALP periodically and that the section of E. O. which is opaque by roentgenogram can be reduced.
- 中国・四国整形外科学会の論文
中国・四国整形外科学会 | 論文
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