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KMID : 0948920140130010037
Clinical Pain
2014 Volume.13 No. 1 p.37 ~ p.41
Early Diagnosis and Management to Minimize Heterotopic Ossification Under a Clinical Pathway- A Case Report-
Kim Jeong-Gil

Lee Yoo-Kyung
Lim Jae-Young
Abstract
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)
KEYWORD
Heterotopic Ossification, Clinical pathway, Biomarkers
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