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Clinics in Orthopedic Surgery
Article . 2016 . Peer-reviewed
License: CC BY NC
Data sources: Crossref
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Clinics in Orthopedic Surgery
Article
License: CC BY NC
Data sources: UnpayWall
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PubMed Central
Other literature type . 2016
License: CC BY NC
Data sources: PubMed Central
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Bilateral Scapulohumeral Ankylosis after Prolonged Mechanical Ventilation

Authors: van Lotten, Manon L.; Schreinemakers, J. Rieneke; van Noort, Arthur; Rademakers, Maarten V.;

Bilateral Scapulohumeral Ankylosis after Prolonged Mechanical Ventilation

Abstract

This case demonstrates a rarely reported bilateral scapulohumeral bony ankylosis. A young woman developed extensive heterotopic ossifications (HOs) in both shoulder joints after being mechanically ventilated for several months at the intensive care unit in a comatose status. She presented with a severe movement restriction of both shoulder joints. Surgical resection of the bony bridges was performed in 2 separate sessions with a significant improvement of shoulder function afterwards. No postoperative complications, pain, or recurrence of HOs were noted at 1-year follow-up. Mechanical ventilation, immobilization, neuromuscular blockage, and prolonged sedation are known risk factors for the development of HOs in the shoulder joints. Relatively early surgical resection of the HOs can be performed safely in contrary to earlier belief. Afterwards, nonsteroidal anti-inflammatory drugs and/or radiation therapy can be possible treatment modalities to prevent recurrence of HOs.

Related Organizations
Keywords

Adult, Shoulder Joint, Ankylosis, Case Report, Magnetic Resonance Imaging, Respiration, Artificial, Humans, Female, Range of Motion, Articular, Tomography, X-Ray Computed

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    6
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
6
Top 10%
Average
Average
Green
gold