雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Efficacy of Surgery and Rehabilitation for Cervical Cord Injury with Concomitant Heterotopic Ossification around the Hip Joint on the Acquisition of Transferable Movements Takumi Obara 1 , Yoshihiro Yoshimura 2 , Ryutaro Tanaka 1 , Yoshimi Tsuchida 1 , Kenichi Takemura 3 , Chika Tanaka 2 1Department of Rehabilitation, Kumamoto Rehabilitation Hospital 2Department of Rehabilitation Medicine, Kumamoto Rehabilitation Hospital 3Department of Orthopedic Surgery, Kumamoto Rehabilitation Hospital Keyword: 異所性骨化 , heterotopic ossification , 頚髄損傷 , cervical cord injury , 関節可動域 , range of motion , 移乗 , transfer , 回復期リハビリテーション , convalescent rehabilitation pp.1435-1441
Published Date 2021/12/18
  • Abstract
  • Look Inside
  • Reference

Heterotopic ossification (HO) is one of the complications of a cervical cord injury that results in limited range of motion, which can interfere with basic movements and activities of daily living. We encountered a case of a cervical cord injury patient with limited range of motion and mobility due to HO of the hip joint who experienced improvement in both as a result of early surgery and rehabilitation. A 17-year-old boy was diagnosed with a cervical cord injury due to an anterior fracture of the sixth cervical vertebrae following a fall into a pool. It was classified as bilateral C6BII according to the Zancolli's classification for cervical cord injury. The patient presented with limited range of motion in his left hip and was diagnosed with HO four months after the injury. Eight months after the injury, his hip range of motion deteriorated further;consequently, he required continuous transfer assistance. Therefore, surgical HO removal was performed during this period of convalescent rehabilitation. The patient underwent constant post-operative rehabilitation, and the range of motion in his left hip joint improved;thus, he became independent in transfer activities. A concomitant HO after a cervical cord injury can lead to functional impairment in convalescent rehabilitation. In addition, no practice guidelines have been developed that include recommendations on when to perform surgical procedures for HO. Treatment of HO with a combination of immediate surgery and aggressive rehabilitation can be expected to restore function and maximize activity and participation in patients with cervical cord injury with concomitant HO.


Copyright © 2021, The Japanese Association of Rehabilitation Medicine. All rights reserved.

基本情報

電子版ISSN 印刷版ISSN 1881-3526 日本リハビリテーション医学会

関連文献

もっと見る

文献を共有