Three-View Radiographic Assessment of Heterotopic Ossification after Acetabular Fracture Surgery

Correlation with Hip Motion in 100 Cases

Berton R. Moed, Scott Smith

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Summary: A random sample of 100 patients who had operative treatment for a fracture of the acetabulum, an otherwise normal appearing hip joint, and at least one year of follow-up were analyzed to assess heterotopic ossification (HO) and its relationship to hip motion. The extent of HO was graded in a blinded fashion according to the Brooker classification, which relies solely on the anteroposterior (AP) view, as well as a modified classification using three radiographic views (AP pelvis, internal, and external Judet oblique views). For each patient, range of motion of the affected hip was compared with that of the contralateral normal limb. There were 16 cases with disagreement between the two methods. As opposed to the Brooker method, the modified classification provided an accurate correlation with the actual hip range of motion.

Original languageEnglish (US)
Pages (from-to)93-98
Number of pages6
JournalJournal of Orthopaedic Trauma
Volume10
Issue number2
DOIs
StatePublished - Jan 1 1996
Externally publishedYes

Fingerprint

Heterotopic Ossification
Hip
Articular Range of Motion
Acetabulum
Hip Joint
Pelvis
Extremities
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

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abstract = "Summary: A random sample of 100 patients who had operative treatment for a fracture of the acetabulum, an otherwise normal appearing hip joint, and at least one year of follow-up were analyzed to assess heterotopic ossification (HO) and its relationship to hip motion. The extent of HO was graded in a blinded fashion according to the Brooker classification, which relies solely on the anteroposterior (AP) view, as well as a modified classification using three radiographic views (AP pelvis, internal, and external Judet oblique views). For each patient, range of motion of the affected hip was compared with that of the contralateral normal limb. There were 16 cases with disagreement between the two methods. As opposed to the Brooker method, the modified classification provided an accurate correlation with the actual hip range of motion.",
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AB - Summary: A random sample of 100 patients who had operative treatment for a fracture of the acetabulum, an otherwise normal appearing hip joint, and at least one year of follow-up were analyzed to assess heterotopic ossification (HO) and its relationship to hip motion. The extent of HO was graded in a blinded fashion according to the Brooker classification, which relies solely on the anteroposterior (AP) view, as well as a modified classification using three radiographic views (AP pelvis, internal, and external Judet oblique views). For each patient, range of motion of the affected hip was compared with that of the contralateral normal limb. There were 16 cases with disagreement between the two methods. As opposed to the Brooker method, the modified classification provided an accurate correlation with the actual hip range of motion.

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