Heterotopic ossification following total wrist arthroplasty: a case report
Abstract Background Total wrist arthroplasty as a procedure in patients with advanced osteoarthritis has gained more popularity in recent years. As early implants had high rates of complications and newer implants have only slowly gained traction, some sequelae have not been reported yet. Case prese...
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| Format: | Article |
| Language: | English |
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BMC
2025-05-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-025-05258-3 |
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| author | Sonja Verena Schmidt Jannik Hinzmann Maximilian Völlmecke Christoph Wallner Marcus Lehnhardt Patrick Stefan Harenberg |
| author_facet | Sonja Verena Schmidt Jannik Hinzmann Maximilian Völlmecke Christoph Wallner Marcus Lehnhardt Patrick Stefan Harenberg |
| author_sort | Sonja Verena Schmidt |
| collection | DOAJ |
| description | Abstract Background Total wrist arthroplasty as a procedure in patients with advanced osteoarthritis has gained more popularity in recent years. As early implants had high rates of complications and newer implants have only slowly gained traction, some sequelae have not been reported yet. Case presentation This study presents the case of a male German patient, 57 years old, with advanced osteoarthritis who received arthroplasty and presented with severely restricted range of motion 6 weeks after surgery. Radiographs revealed signs of heterotopic ossification that could be confirmed during the revision surgery. Intraoperatively, ossifications were removed and the mobile parts of the implant were changed. In the further course of the healing process, no further signs of ossifications have been reported for 1 year, but range of motion remains reduced. Conclusion This is the first reported case of heterotopic ossification of the wrist following arthroplasty. Heterotopic ossification should be taken into consideration in cases of restricted range of motion after arthroplasty to be able to handle this complication adequately. |
| format | Article |
| id | doaj-art-ff8b76747aa24a598a21518c53e7cf2f |
| institution | Kabale University |
| issn | 1752-1947 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj-art-ff8b76747aa24a598a21518c53e7cf2f2025-08-24T11:31:32ZengBMCJournal of Medical Case Reports1752-19472025-05-011911610.1186/s13256-025-05258-3Heterotopic ossification following total wrist arthroplasty: a case reportSonja Verena Schmidt0Jannik Hinzmann1Maximilian Völlmecke2Christoph Wallner3Marcus Lehnhardt4Patrick Stefan Harenberg5Department of Plastic Surgery and Hand Surgery, Burn Centre, Sarcoma Centre, BG University Hospital Bergmannsheil Bochum, Ruhr-University BochumDepartment of Plastic Surgery and Hand Surgery, Burn Centre, Sarcoma Centre, BG University Hospital Bergmannsheil Bochum, Ruhr-University BochumDepartment of Plastic Surgery and Hand Surgery, Burn Centre, Sarcoma Centre, BG University Hospital Bergmannsheil Bochum, Ruhr-University BochumDepartment of Plastic Surgery and Hand Surgery, Burn Centre, Sarcoma Centre, BG University Hospital Bergmannsheil Bochum, Ruhr-University BochumDepartment of Plastic Surgery and Hand Surgery, Burn Centre, Sarcoma Centre, BG University Hospital Bergmannsheil Bochum, Ruhr-University BochumDepartment of Plastic Surgery and Hand Surgery, Burn Centre, Sarcoma Centre, BG University Hospital Bergmannsheil Bochum, Ruhr-University BochumAbstract Background Total wrist arthroplasty as a procedure in patients with advanced osteoarthritis has gained more popularity in recent years. As early implants had high rates of complications and newer implants have only slowly gained traction, some sequelae have not been reported yet. Case presentation This study presents the case of a male German patient, 57 years old, with advanced osteoarthritis who received arthroplasty and presented with severely restricted range of motion 6 weeks after surgery. Radiographs revealed signs of heterotopic ossification that could be confirmed during the revision surgery. Intraoperatively, ossifications were removed and the mobile parts of the implant were changed. In the further course of the healing process, no further signs of ossifications have been reported for 1 year, but range of motion remains reduced. Conclusion This is the first reported case of heterotopic ossification of the wrist following arthroplasty. Heterotopic ossification should be taken into consideration in cases of restricted range of motion after arthroplasty to be able to handle this complication adequately.https://doi.org/10.1186/s13256-025-05258-3Total wrist arthroplastyHeterotopic ossificationRadiocarpal arthrosis |
| spellingShingle | Sonja Verena Schmidt Jannik Hinzmann Maximilian Völlmecke Christoph Wallner Marcus Lehnhardt Patrick Stefan Harenberg Heterotopic ossification following total wrist arthroplasty: a case report Journal of Medical Case Reports Total wrist arthroplasty Heterotopic ossification Radiocarpal arthrosis |
| title | Heterotopic ossification following total wrist arthroplasty: a case report |
| title_full | Heterotopic ossification following total wrist arthroplasty: a case report |
| title_fullStr | Heterotopic ossification following total wrist arthroplasty: a case report |
| title_full_unstemmed | Heterotopic ossification following total wrist arthroplasty: a case report |
| title_short | Heterotopic ossification following total wrist arthroplasty: a case report |
| title_sort | heterotopic ossification following total wrist arthroplasty a case report |
| topic | Total wrist arthroplasty Heterotopic ossification Radiocarpal arthrosis |
| url | https://doi.org/10.1186/s13256-025-05258-3 |
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