Pre-surgical CT-assessment of neurogenic myositis ossificans of the hip and risk factors of recurrence: a series of 101 consecutive patients

BMC Musculoskeletal Disorders, 2016 · DOI: 10.1186/s12891-016-1294-2 · Published: October 11, 2016

Neurology Medical Imaging Musculoskeletal Medicine

Simple Explanation

Neurogenic Myositis Ossificans (NMO) is a rare condition where bone forms in the soft tissues around joints after a severe nerve injury. This study uses CT scans to look at the bone formations (osteomas) in the hip before surgery to remove them. The goal is to improve surgical planning and reduce complications like nerve or vessel damage and recurrence of the bone growth.

Study Duration

2006 to 2012

Participants

101 consecutive patients with hip NMO

Evidence Level

Not specified

Key Findings

1
CT scans accurately show the relationship between the abnormal bone and important structures like blood vessels and nerves.
2
Close contact or disruption of joint capsule, joint space narrowing, and bone demineralization increase the risk of the NMO returning after surgery.
3
Early surgery may decrease the risk of recurrence.

Research Summary

This retrospective study analyzed 101 patients with hip NMO using CT scans to assess osteomas and their relationship with surrounding tissues before surgery. The study found a strong correlation between CT findings and surgical observations, particularly regarding blood vessels and nerves. Recurrence of NMO was associated with joint capsule involvement, joint space narrowing, and bone demineralization, suggesting that CT assessment can help prevent complications and recurrence.

Practical Implications

Improved Surgical Planning

Enhanced CT imaging enables surgeons to better plan the removal of heterotopic ossifications, minimizing the risk of damaging nearby vessels and nerves.

Reduced Recurrence

Identifying risk factors for NMO recurrence, such as joint capsule involvement and bone demineralization, allows for targeted post-operative management.

Optimized Timing of Surgery

The study suggests that earlier surgical intervention may decrease the likelihood of NMO recurrence.

Pre-surgical CT-assessment of neurogenic myositis ossificans of the hip and risk factors of recurrence: a series of 101 consecutive patients

Simple Explanation

Key Findings

Research Summary

Practical Implications

Improved Surgical Planning

Reduced Recurrence

Optimized Timing of Surgery

Study Limitations

Your Feedback

Was this summary helpful?

Pre-surgical CT-assessment of neurogenic myositis ossificans of the hip and risk factors of recurrence: a series of 101 consecutive patients

Simple Explanation

Key Findings

Research Summary

Practical Implications

Improved Surgical Planning

Reduced Recurrence

Optimized Timing of Surgery

Study Limitations

Your Feedback

Was this summary helpful?