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
Keywords
Related Articles
- EP ID EP488146
- DOI 10.13188/2334-2846.1000035
- Views 88
- Downloads 0
Lumbar Epidural Injections: Review of Efficacy and Discussion of Practice Options
Background: In the United States, low back pain remains a common problem and a number one reason to see a physician in the outpatient setting. Etiology is complex and likely multifactorial and includes; degenerative disc...
Topical Phytotherapy is the Nobel Approach for Revision of Total Knee Replacement: A Unique Case Study
Knee-osteoarthritis (KOA) can only be treated by total knee replacement (TKR), which is a well-known surgical intervention in the globe. But in some cases, TKR failed in the operated knee-joint as well as non-operated kn...
Distal Radioulnar Joint Synovial Osteochondromatosis - A Case Report and Review of Literature
Synovial chondromatosis is a rare benign clinical condition, with a rare location in the wrist. This study presents a case of synovial chondromatosis in the distal radioulnar joint (DRUJ) treated successfully with surgic...
Musculoskeletal Hospital Admission and Surgical Procedure Rates among Patients Treated for Rheumatoid Arthritis in the Netherlands 1999-2012
Objectives: To assess trends in hospitalizations among patients receiving rheumatoid arthritis (RA)-treatment in a 14-year period compared with population references. Methods: Patients treated for RA with any disease-mo...
Efficacy of Platelet-Rich Plasma for Arthroscopic Treatment of Chronic Shoulder Impingement Syndrome: A Retrospective Study with a Minimum of 3 Years of Follow-Up
Aim: This study aimed to determine whether PRP in adjunction of arthroscopic acromioplasty was effective for rotator cuff tendinopathie (RCT). Materials and Methods: Patients (age range, 23 to 73 years) were considered...