Case Report  |   April 2020
Painful Proximally Oriented Large Heterotopic Spur Formation in an Active Adult With a Nontraumatic Amputation
Author Notes
  • From the Department of Physical Medicine and Rehabilitation at Rutgers New Jersey Medical School in Newark (Dr Annunziato); Rowan University School of Osteopathic Medicine in Stratford, New Jersey (Student Doctor Shor); and the Kessler Institute for Rehabilitation in Saddle Brook, New Jersey (Dr Parikh). 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Jack Annunziato, DO, 90 Christopher Columbus Dr, Apt 210, Jersey City, NJ 07302-5702. Email: jannunziato19@gmail.com
     
Article Information
Neuromusculoskeletal Disorders / Pain Management/Palliative Care
Case Report   |   April 2020
Painful Proximally Oriented Large Heterotopic Spur Formation in an Active Adult With a Nontraumatic Amputation
The Journal of the American Osteopathic Association, April 2020, Vol. 120, 283-285. doi:https://doi.org/10.7556/jaoa.2020.045
The Journal of the American Osteopathic Association, April 2020, Vol. 120, 283-285. doi:https://doi.org/10.7556/jaoa.2020.045
Abstract

Heterotopic ossification (HO) is excess bone growth in soft tissues, typically juxta-articular and interfascicular, with varying incidence. This excess bone growth has been well-documented in cases of traumatic amputation but less frequently observed in cases of nontraumatic amputation. Symptomatic heterotopic ossification usually includes pain during prosthetic use with management involving prosthetic adjustments for comfort. This atypical case highlights a patient with a nontraumatic amputation and a proximal-oriented large spur formation that was not painful with ambulation but with doffing his prosthesis.

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