Article

The study was designed as a case report.The objective of
this study was to report an unusual case of bilateral neurogenic heterotopic
ossification of the hands in a patient with spinal cord injury.Setting:Physical
Medicine and Rehabilitation department in Sale, Morocco.Methods:A 47-year-old
male patient with C5 quadriparesis was admitted in our department for
rehabilitation. He had severe spasticity, characterized by extensors predominance
in the upper extremities, and an aspect of pudgy fingers at the proximal
phalanges in both hands.Results:A plain radiograph of hands demonstrated
ossification parallel to the proximal phalanx of the third and fourth digits on
the right and of the second and third digits on the left. Serum alkaline
phosphatase rate was increased. The diagnosis of heterotopic ossification of
hands was retained.Conclusion:Neurogenic heterotopic ossification of hands can
occur in quadriplegic patients. Finger extensors spasticity might help toward its
development.

Langue : ANGLAIS