Ossification of coracoclavicular ligament in complete paraplegia: a case report

This case report discusses a rare instance of bone formation in the coracoclavicular ligament of a man with paraplegia. This ossification, or hardening, of the ligament limited his shoulder movement and ability to perform daily tasks. The patient had a previous clavicle fracture that was treated without surgery. The unusual bone growth, called heterotopic ossification (HO), occurred above the level of his spinal cord injury, which is uncommon. The study suggests that even fractures above the spinal cord injury level should be monitored for HO, especially in patients who heavily rely on their upper bodies. Early detection can help prevent further complications.

• 1
  The patient exhibited ossification of the coracoclavicular ligament, leading to synostosis between the clavicle and scapula, a rare occurrence in paraplegia patients.
• 2
  The ossification restricted the patient's shoulder range of motion, impacting his ability to perform activities of daily living, transfers, and wheelchair mobility.
• 3
  Conservative management, including pain management and shoulder conservation techniques, improved the patient's independence in daily activities, although long-distance wheelchair propulsion remained limited.