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Abstract

RÉSUMÉ
Les auteurs rapportent un cas d’ossification hétérotopique de l’hémi bassin droit révélée par une lombalgie chronique, chez une patiente de 32 ans, sans antécédents particuliers, admise en consultation au service de Médecine Physique et Réadaptation de l’Hopital Général de Référence de Niamey. La radiographie du bassin a mis en évidence une ossification linéaire se projetant entre l’os iliaque et le grand trochanter droits. Le scanner du bassin a confirmé les images radiographiques et objectivé la présence de l’ossification dans le muscle petit fessier droit. La prise en charge a consisté à l’exérèse chirurgicale de l’ossification, suivie d’une rééducation fonctionnelle. Les suites thérapeutiques étaient favorables. Le recul était à 1 mois sans douleur et une reprise normale de des activités socio-professionnelles.
ABSTRACT
The authors report a clinical case of heterotopic ossification in the right hemipelvis revealed by a chronic low back pain, in a 32-year-old patient, with any particular medical history, admitted for consultation to the Physical Medicine and Rehabilitation Department of the General Reference Hospital of Niamey. The Pelvic X-ray revealed linear ossification projecting between the right iliac bone and greater trochanter. The CT scan of the pelvis confirmed the radiographic images and objectified the presence of ossification in the right gluteus minimus muscle. Treatment consisted of surgical excision of the ossification, followed by functional rehabilitation. The therapeutic follow-up was favorable. The follow-up was at 1 month, without pain and a normal resumption of socio-professional activities.

Keywords

Heterotopic ossification, chronic low-backpain, Physical medicine and rehabilitation, Niamey. : Ossification hétérotopique, Lombalgie chronique, Médecine physique et réadaptation, Niamey.

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How to Cite
Alfari AA, Ibrahim Idé A, Bako Inoussa D, Abarchi Boubé H, & Illé S. (2023). Idiopathic Heterotopic Ossification of the Right Hemipelvis, Revealed by Chronic Low Back Pain: A Case Report. HEALTH SCIENCES AND DISEASE, 24(10). https://doi.org/10.5281/hsd.v24i10.4876
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References

  1. -Zagarella A, Impellizzeri E, Maiolino R, Attolini R and Castoldi M.C. Pelvic heterotopic ossification : when CT comes to the aid of MR imaging. Insights Imaging 2013 ; 4 :595-603.
  2. DOI 10.1007/s13244-013-0265-5
  3. -Felix-Ilemhenbhio F, Pickering G A E, Kiss-Toth E, Wilkinson J M. Pathophysiology and Emerging Molecular Therapeutic Targets in Heterotopic Ossification. Int. J. Mol. Sci 2022 ; 23: 6983.
  4. Doi : 10.3390/ijms23136983
  5. -Andre A A, Christina C L, and Gene D E. Bony Cubital Tunnel Syndrome. A Case Report of Heterotopic Ossification Causing Circumferential Ulnar Nerve Encasement at the Elbow and Review of Current Management. Annals of Plastic Surgery 2023 ; 90(1): 41-46.
  6. DOI: 10.1097/SAP.0000000000003337
  7. -Sun Z, Liu W, Liu H, Li J, Hu Y, Tu B and al. A new prognostic nomogram for heterotopic ossification formation after elbow trauma. Bone Joint J 2022; 104-B(8): 963-971
  8. -Meyers C, Lisiecki J, Miller S, Levin A, Fayad L, Ding C and al. Heterotopic Ossification: A Comprehensive Review. JBMR1 Plus 2019 ; 3(4): e10172.
  9. DOI: 10.1002/jbm4.10172
  10. -Aprato A, Cambursano S, Artiaco S, Bevilacqua S, Catalani P and Massè A. Heterotopic ossifcation in primary total hip arthroplasty: risk factor analysis. European Journal of Orthopaedic Surgery & Traumatology 2023; 33:1037-1041
  11. Doi:10.1007/s00590-022-03244-9
  12. -Lawand J, Loeffelholz Z, Khurshid B, Barcak E. Heterotopic Ossification after Trauma. Orthop Clin N Am 2023 ; 54 : 37-46.
  13. Doi : 10.1016/j.jcot.2021.03.005
  14. -Economou G, Wolde-Semait H T, Spentzouris G, Agrawal N A. A multidisciplinary approach to the surgical resection of severe heterotopic ossification: A case-report. Orthoplastic Surgery 2023 ; 11 : 16-19.
  15. Doi:10.1016/j.orthop.2023.03.002
  16. -Cao G, Zhang S, Wang Y, Quan S, Yue C, Yao J and al. Pathogenesis of acquired heterotopic ossification: Risk factors, cellular mechanisms, and therapeutic implications. Bone 2023 ; 168: 116655.
  17. Doi : 10.1016/j.bone.2022.116655
  18. -Bohner M, Maazouz Y, Ginebra M P, Habibovic P, Schoenecker J G, Seeherman H, and al. Sustained local ionic homeostatic imbalance caused by calcification modulates inflammation to trigger heterotopic ossification. Acta Biomaterialia 2022 ; 145 : 1-24.
  19. Doi : 10.1016/j.actbio.2022.03.057
  20. -Suzanne F M. Van Wijck, Mathieu M E. Surgical strategy for treating multiple symptomatic rib fracture malunions with bridging heterotopic ossifications: A case report. Trauma Case Reports 2023 ; 45 : 100825.
  21. Doi:10.1016/j.tcr.2023.100825
  22. -Greiffenstein P, Adams E, Scheuermann A, and Rogers C. Treatment of symptomatic intercostal heterotopic ossification after surgical stabilization of rib fractures: report of two cases and review of the literature. J Thorac Dis 2019; 11(8): S1106-S1112.
  23. Doi: 10.21037/jtd.2019.01.37
  24. -Van Kuijk A A, Geurts A C H, van Kuppevelt H J M. Neurogenic heterotopic ossification in spinal cord injury. Spinal Cord. 2002;40:313-26.
  25. -Jin Q, Chang Y, Lu C, Chen L and Wang Y. Referred pain: characteristics, possible mechanisms, and clinical management. Front. Neurol 2023 ; 14:1104817.
  26. Doi: 10.3389/fneur.2023.1104817
  27. -Fu J, Zhang J, Jiang T, Ao X, Li P, Lian Z and al. mTORC1 coordinates NF-κB signaling pathway to promote chondrogenic different. Bone 2022 ; 163 : 116507.
  28. Doi: 10.1016/j.bone.2022.116507

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