KMID : 0948920140130010037
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Clinical Pain 2014 Volume.13 No. 1 p.37 ~ p.41
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Early Diagnosis and Management to Minimize Heterotopic Ossification Under a Clinical Pathway- A Case Report-
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Kim Jeong-Gil
Lee Yoo-Kyung Lim Jae-Young
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Abstract
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It is crucial to diagnose heterotopic ossification (HO) at an early stage because the HO can restrict the range of joint motions and eventually result in the functional deceleration. After having a number of diagnostic confusion in the initial presentation of the HO, we established a clinical pathway for the acute swelling during the rehabilitation after hip frac-ture which is a work-up process to diagnose the HO at the earliest stage as possible, including the biomarkers plus the imaging study. A 79 year old woman who had an HO on the right hip where she had a bipolar hemiarthroplasty was managed under the clinical pathway. As a result, her HO became distinctly smaller than the HO of other similar cases that we previously experienced. In brief, an early di-agnosis and a proper management of the HO using clinical pathway can minimize the formation, and prevent its complications. (Clinical Pain 2014;13:37-41)
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KEYWORD
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Heterotopic Ossification, Clinical pathway, Biomarkers
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