Elbow Heterotopic Ossification Excision in Patients with Worker’s Compensation Claims
Journal Title: Journal of Orthopedics & Rheumatology - Year 2018, Vol 5, Issue 1
Abstract
The effect of worker’s compensation claims following the surgical management of symptomatic heterotopic ossification (HO) about the elbow has not previously been evaluated. The purpose of this study is to report on a consecutive series of patients with HO about the elbow, and to compare the results of surgical treatment and a standardized postoperative rehabilitation regimen, with regards to the presence of a worker’s compensation claim. A retrospective review of all patients treated operatively for HO of the elbow at a single institution was performed. Forty-six elbows with HO treated surgically were identified. Seventeen of the 46 elbows (37%) had workers’ compensation claims at the time of surgery. Other than gender (p=0.007), there was no statistical difference in patient demographics or medical history. There was no statistical difference in postoperative flexion-extension arc between the two groups (p>0.05). There was a 17% (8/46) postoperative complication rate, however there was no difference in frequency of complications between groups (Worker’s Comp: 18% vs. Non-Worker’s Comp: 17%; p=0.97). Surgical management combined with postoperative HO prophylaxis and a regimented rehabilitation program is an effective treatment for patients with heterotopic ossification of the elbow and workers compensation claims did not adversely affect the postoperative range of motion arc or complications.
Authors and Affiliations
Dane Salazar
Attempt to replicate the published osteoarthritis associated genetic variants in the Newfoundland & Labrador Population
Objective: Over 200 genes have been reported to be associated with osteoarthritis (OA), but most of them have not been replicated in an independent sample. Using the newly collected cohort from a genetically isolated pop...
Hospital of the University of Pennsylvania
Background/Aim: Meniscal injuries commonly occur in conjunction with ACL tears. This study was conducted to determine the patterns of meniscus damage associated with ACL rupture and identify the commonest type of meniscu...
Femoroacetabular Impingement and Labral Tear Management: Review of Current Literature and Techniques
The incidence of hip pain in the adult is fairly common, accounting for roughly 10% of visits to sports medicine physicians annually, and the origin of the pain is often elusive. For the active patient, femoroacetabular...
Painful Patellar Partita Complicated with Intraarticular Ganglion
Painful patellar partita complicated with intraarticular ganglion cysts arising from the cruciate ligament is difficult to diagnose from the symptoms alone. In the patient reported here, knee pain was caused by patellar...
Adipofascial Posterior Interosseous Reverse Flap for Soft Tissue Loss on Dorsal Aspect of the Hand
Soft tissue defects of hand should be carefully evaluated to determine the most appropriate alternative for coverage. Thirteen patients with soft tissue loss on dorsum of the hand were managed by reversed septo fascial P...