A Tumour for which Surgery will do more harm than good: A Case Report of Fibrodysplasia Ossificans Progressiva
1Department of Orthopaedics and Trauma, University College Hospital, Ibadan.
Aims And Objectives:
This case report is aimed at increasing awareness of fibrodysplasia ossificans progressiva, emphasizing the cardinal features comprising congenital great toe abnormality, initial soft tissue masses, eventual heterotopic ossifications with progressive limitation of joint movements and at reiterating the need to avoid unnecessary and potentially harmful surgical procedures in these patients.
Patient And Method:
We present a case report of an 11-year-old girl with characteristic heterotopic ossifications and bilateral hallux valgi deformities with previous history of biopsies. Excision of right axillary bony masses caused deterioration in her shoulder movements.
Result:
The patient was not improved by the surgical procedure.
Conclusion:
Orthopaedic surgeons and other health care workers need to be aware of this condition and avoid potentially harmful procedures like biopsies, excisions and surgical releases in these patients.
Related Concept Videos
Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone Formation by Endochondral Ossification
Bone Formation by Intramembranous Ossification
The process begins when mesenchymal cells in the embryonic skeleton gather together and differentiate into osteogenic cells, which then develop into ...
Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Bone Remodeling and Repair
Spongy Bone
Spongy bone is more porous, and less dense compared to compact bone. It is composed of concentric lamellae that are arranged irregularly to form the trabecular network. In some bones, the spaces between trabeculae contain red marrow, where...


