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Heterotopic Ossification Following Hip Arthroscopy.

Matt Barth, Gilbert M Willett, Kimberly Oliphant

The Journal of Orthopaedic and Sports Physical Therapy

|April 3, 2018

Summary

Early physical therapy after hip surgery may lead to complications. A young woman experienced worsening symptoms and developed heterotopic ossification, a condition of abnormal bone growth, after starting rehabilitation soon post-operation.

Keywords:

computed tomography hip hip arthroscopy radiography

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Area of Science:

Orthopedic Surgery
Sports Medicine
Physical Therapy

Background:

Hip arthroscopy with labrum debridement and osteochondroplasty is a common procedure for hip joint pathology.
Postoperative rehabilitation is crucial for optimal recovery and return to function.
The timing and intensity of initiating physical therapy can influence patient outcomes.

Observation:

A 21-year-old female patient began physical therapy 4 days after hip arthroscopic labrum debridement and osteochondroplasty.
The patient demonstrated a regression in status during the postoperative rehabilitation period.
Persistent symptoms prompted further investigation.

Findings:

A computed tomography scan and radiographs confirmed the development of heterotopic ossification at 10 weeks postsurgery.
Heterotopic ossification represents abnormal bone formation in soft tissues, potentially hindering recovery.

Implications:

This case highlights a potential risk associated with early initiation of physical therapy following hip arthroscopic procedures.
Clinicians should consider the potential for heterotopic ossification when managing patients post-hip surgery.
Further research may be warranted to determine optimal timing and protocols for physical therapy after hip labral debridement and osteochondroplasty.