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Common Peroneal Nerve Compression and Heterotopic Ossification Resulting from Severe Burn InjuryA Case Report
Ahmet Bozkurt, MD, PhD1; Gerrit Grieb, MD1; Dan mon O'Dey, MD1; Paul Fuchs, MD1; Till Waberski, PhD, MD1; Gabriele Krombach, PhD, MD1; Norbert Pallua, PhD, MD1
1 Burn Center, Department of Plastic, Reconstructive, and Hand Surgery (A.B., G.G., D.m.O'D., P.F., and N.P.), and Departments of Neurology (T.W.) and Diagnostic Radiology (G.K.), RWTH Aachen University Hospital, Pauwelsstrasse 30, 52074 Aachen, Germany. E-mail address for A. Bozkurt: abozkurt77@gmx.de
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at the Burn Center, Department of Plastic, Reconstructive, and Hand Surgery, and the Departments of Neurology and Diagnostic Radiology, RWTH Aachen University Hospital, Aachen, Germany

Copyright ©2010 American Society for Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Apr 01;92(4):978-983. doi: 10.2106/JBJS.I.00187
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Heterotopic ossification is defined as the abnormal location of lamellar bone within soft tissue, where bone normally does not exist1. Despite various theories, the exact mechanism (etiology and pathogenesis) of heterotopic ossification remains uncertain2. Johnson first described heterotopic ossification in patients with burn injuries in 19573, but thermal injury has been reported to be one of the least common causes of heterotopic ossification, with an estimated prevalence of 1% to 3% of all patients with burn injuries1,4-6. The most common location of heterotopic ossification in patients who have sustained a burn injury appears to be the elbow, leading to stiffness and contracture; far lower rates have been reported in other regions5,7-13. Lesions of peripheral nerves as a complication of heterotopic ossification are a relatively rare phenomenon and mainly consist of compression of the ulnar nerve in the elbow region4,5,14,15.
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