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Heterotopic ossification in patients previously hospitalized in an intensive care unit
Affiliations- Department of Nuclear Medicine, Medical School, University Hospital of Ioannina, Greece, Ioannina, Greece
- Department of Intensive Care Unit, University Hospital of Ioannina, Ioannina, Greece
- Department of Medical Physics, University Hospital of Ioannina, Ioannina, Greece
- Department of Head and Neck surgery, University Hospital of Ioannina, Ioannina, Greece
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Abstract
BACKGROUND: Heterotopic ossification (HO) is a potential complication in patients hospitalized in an intensive care unit (ICU). In this study we examined the association of HO diagnosed with three-phase bone scan (3pBS) in association with various parameters in patients previously hospitalized in ICU.
MATERIAL AND METHODS: We retrieved patient records of the last 12 years subjected to 3pBS and diagnosed with HO from the Department of Nuclear Medicine (2004 up to 2016) and searched for a name match from ICU records.
RESULTS: We found 61 patients that had a positive 3pBS for HO of whom 17 patients were hospitalized in the ICU. Among the 17 patients, twelve fulfilled the study criteria and were included in the study. The mean age was 38 years and 92% were males. HO was unilateral in 7 and bilateral in 5 patients. Patients with unilateral HO had up to 2 joints with HO, while those with bilateral had up to 4 joints. HO was most frequently observed in lower limbs, with hip being the most common joint affected. In the upper limbs, HO occurred predominantly in bilateral joints with elbow being the most frequently involved joint. Patients with longer duration of ICU stay had more joints affected.
CONCLUSION: HO is a potential complication in patients with ICU hospitalization. Since 3pBS is an imaging method for early detection of HO, patients hospitalized in ICU should be screened with 3pBS for appropriate management.
Abstract
BACKGROUND: Heterotopic ossification (HO) is a potential complication in patients hospitalized in an intensive care unit (ICU). In this study we examined the association of HO diagnosed with three-phase bone scan (3pBS) in association with various parameters in patients previously hospitalized in ICU.
MATERIAL AND METHODS: We retrieved patient records of the last 12 years subjected to 3pBS and diagnosed with HO from the Department of Nuclear Medicine (2004 up to 2016) and searched for a name match from ICU records.
RESULTS: We found 61 patients that had a positive 3pBS for HO of whom 17 patients were hospitalized in the ICU. Among the 17 patients, twelve fulfilled the study criteria and were included in the study. The mean age was 38 years and 92% were males. HO was unilateral in 7 and bilateral in 5 patients. Patients with unilateral HO had up to 2 joints with HO, while those with bilateral had up to 4 joints. HO was most frequently observed in lower limbs, with hip being the most common joint affected. In the upper limbs, HO occurred predominantly in bilateral joints with elbow being the most frequently involved joint. Patients with longer duration of ICU stay had more joints affected.
CONCLUSION: HO is a potential complication in patients with ICU hospitalization. Since 3pBS is an imaging method for early detection of HO, patients hospitalized in ICU should be screened with 3pBS for appropriate management.
Keywords
heterotopic ossification, bone scan, intensive care unit, head injury management
About this articleTitle
Heterotopic ossification in patients previously hospitalized in an intensive care unit
Journal
Issue
Article type
Research paper
Pages
100-103
Published online
2018-07-31
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2649
Article views/downloads
850
DOI
Pubmed
Bibliographic record
Nucl. Med. Rev 2018;21(2):100-103.
Keywords
heterotopic ossification
bone scan
intensive care unit
head injury management
Authors
Chrissa Sioka
Eleonora Konstanti
Athanasios Papadopoulos
Vasilios Ragos
Konstantinos Papadimitropoulos
Vasilios Koulouras
Andreas Fotopoulos
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