Document Type: RESEARCH PAPER
Orthopaedic Hand and Upper Extremity Service,
Massachusetts General Hospital, Boston, MA
This study addresses the null hypothesis that there is no expansion of heterotopic ossification (HO) in the
elbow beyond what can be seen early on.
The area of HO was measured on lateral radiographs of 38 consecutive patients that had operative treatment of HO between 2000 and 2013. Measurements from radiographs obtained between 3 to 7 weeks were compared to measurements from radiographs made 3 months or more after injury.
There was no significant difference between the average area of HO on the first (median 2.8 square centimeters, Q1: 1.5, Q3: 5.1) and later radiographs (median of 2.8 square centimeters, Q1: 1.4, Q3: 5.0) (P = 0.99).
Discussion: According to our results the area of HO does not expand beyond what can be seen early in the disease process.