Official Journal of the Italian Society of Orthopaedics and Traumatology
From: A classification method for neurogenic heterotopic ossification of the hip
Patient no. | Gender, age, plegia, treated hip | Brooker classification [1] | Authors’ classification | Follow-up (years) | ROM pre-treatment (°) | ROM post-treatment (°) | Hb pre-treatment (g/dl) | Hb post-treatment (g/dl) | Transfusion (blood units) |
---|---|---|---|---|---|---|---|---|---|
1 | M, 50, tetraplegia, left hip | Class IV | Type 1a | 2 | Flexion 10, extension 0; rotation: internal 5, external 5; abduction 0, adduction 0 | Flexion 70, extension 20; rotation: internal 30, external 25; abduction 25, adduction 15 | 15.1 | 8.9 | 2 |
2 | M, 45, paraplegia, right hip | Class IV | Type 1a | 8 | Ankylosis | Flexion 50, extension 10; rotation: internal 15, external 15; abduction 20, adduction 15 | 12.7 | 12 | – |
3 | M, 27, tetraplegia, right hip | Class IV | Type 1a | 6 | Flexion 20, extension 0; rotation: internal 5, external 5; abduction 10, adduction 0 | Flexion 80, extension 10; rotation: internal 30, external 25; abduction 25, adduction 20 | 12.8 | 10.4 | 2 |
4 | M, 63, tetraplegia, right hip | Class III | Type 1b | 5 | Flexion 30, extension 0; rotation: internal 5, external 5; abduction 10, adduction 5 | Flexion 90, extension 10; rotation: internal 30, external 30; abduction 30, adduction 25 | 13.9 | 10.6 | – |
Left hip | Class III | Type 1b | 4.5 | Flexion 30, extension 0; rotation: internal 5, external 5; abduction 10, adduction 5 | Flexion 90, extension 10; rotation: internal 25, external 25; abduction 30, adduction 25 | 13.9 | 10.8 | – | |
5 | M, 42, paraplegia, right hip | Class III | Type 2a | 2 | Flexion 40, extension 0; rotation: internal 5, external 10; abduction 0, adduction 0 | Flexion 90, extension 20; rotation: internal 15, external 25; abduction 20, adduction 10 | 12 | 9.8 | – |
6 | F, 46, paraplegia, left hip | Class IV | Type 2a | 1 | Ankylosis | Flexion 60, extension 20; rotation: internal 10, external 15; abduction 15, adduction 5 | 12 | 9.4 | 1 |
7 | F, 44, tetraplegia, right hip | Class IV | Type 2b | 1 | Ankylosis | Flexion 80, extension 15; rotation: internal 10, external 10; abduction 10, adduction 5 | 13 | 11 | – |
8 | M, 52, paraplegia, left hip | Class III | Type 2b | 1.5 | Flexion 30, extension 0; rotation: internal 5, external 5; abduction 0, adduction 0 | Flexion 75, extension 15; rotation: internal 15, external 25; abduction 20, adduction 10 | 11 | 9.6 | – |
9 | M, 45, tetraplegia, left hip | Class IV | Type 3a | 5 | Ankylosis | Flexion 80, extension 10 rotation: internal 30, external 30 abduction 30 adduction 20 | 13.9 | 9.4 | 4 |
Right hip | Class IV | Type 3a | 4 | Flexion 30, extension 0 rotation: internal 15, external 20 abduction 20 adduction 10 | Flexion 80, extension 10 rotation: internal 30, external 30 abduction 30 adduction 25 | 14 | 9 | 3 | |
10 | F, 49, paraplegia, left hip | Class III | Type 3a | 2.5 | Flexion 30, extension 0 rotation: internal 5, external 5 abduction 10, adduction 0 | Flexion 90, extension 20 rotation: internal 30, external 20 abduction 20, adduction 15 | 11.1 | 9.5 | 3 |
Right hip | Class III | Type 3a | 2 | Flexion 10, extension 0 rotation: internal 5, external 5 abduction 5, adduction 0 | Flexion 80, extension 20 rotation: internal 25, external 20 abduction 20, adduction 15 | 15 | 9.8 | 3 | |
11 | M, 29, paraplegia, right hip | Class IV | Type 3a | 1.5 | Ankylosis | Flexion 90, extension 20 rotation: internal 30, external 30 abduction 30, adduction 20 | 13.5 | 7.5 | 2 |
12 | M, 35, paraplegia, right hip | Class III | Type 3a | 3.5 | Flexion 40, extension 5 rotation: internal 10, external 10 abduction 5, adduction 0 | Flexion 80, extension 15 rotation: internal 35, external 25 abduction 25, adduction 20 | 11.5 | 10.5 | – |
Left hip | Class III | Type 3a | 3 | Flexion 20, extension 5; rotation: internal 10, external 10; abduction 5, adduction 5 | Flexion 90, extension 20; rotation: internal 35, external 25; abduction 30, adduction 25 | 11.6 | 10.2 | – | |
13 | F, 52, tetraplegia, right hip | Class III | Type 3b | 4 | Flexion 30, extension 0; rotation: internal 5, external 5; abduction 0, adduction 5 | Flexion 100, extension 20; rotation: internal 30, external 30; abduction 30, adduction 25 | 14 | 12.5 | – |
14 | M, 19, hemiplegia, right hip | Class III | Type 3b | 2.5 | Flexion 30, extension 30; rotation: internal 5, external 5; abduction 10, adduction 0 | Flexion 55, extension 30; rotation: internal 20, external 15; abduction 15, adduction 10 | 15.2 | 11.8 | 2 |
15 | M, 37, paraplegia, right hip | Class IV | Type 3b | 1 | Flexion 30, extension 30; rotation: internal 0, external 0; abduction 0, adduction 0 | Flexion 30, extension 30; rotation: internal 5, external 5; abduction 5, adduction 5 | 14.3 | 8.4 | 4 |
Left hip | Class IV | Type 3b | 1 | Flexion 30, extension 30; rotation: internal 0, external 0; abduction 0, adduction 0 | Flexion 30, extension 30; rotation: internal 5, external 5; abduction 5, adduction 5 | 14.6 | 9.2 | 3 | |
16 | F, 52, hemiplegia, left hip | Class III | Type 3b | 1.5 | Flexion 30, extension 0; rotation: internal 5, external 5; abduction 10, adduction 5 | Flexion 80, extension 15; rotation: internal 20, external 20; abduction 20, adduction 10 | 10.9 | 10 | – |
17 | F, 21, hemiplegia, left hip | Class III | Type 3b | 1.5 | Flexion 30, extension 0; rotation: internal 10, external 15; abduction 10, adduction 5 | Flexion 90, extension 20; rotation: internal 30, external 30; abduction 30, adduction 20 | 11.5 | 10.5 | – |
18 | M, 46, paraplegia, right hip | Class IV | Type 3b | 4 | Ankylosis | Flexion 50, extension 10; rotation: internal 20, external 15; abduction 15 adduction 5 | 12.4 | 11 | 1 |
Left hip | Class IV | Type 3b | 3 | Flexion 50, extension 0; rotation: internal 10, external 5; abduction 5 adduction 5 | Flexion 70, extension 10; rotation: internal 20, external 10; abduction 15 adduction 10 | 12 | 9 | 1 | |
19 | F, 38, hemiplegia, left hip | Class III | Type 3b | 2.5 | Flexion 45, extension 0; rotation: internal 10, external 15; abduction 15, adduction 5 | Flexion 90, extension 10; rotation: internal 35, external 30; abduction 30, adduction 20 | 12 | 7.6 | 2 |
Right hip | Class III | Type 3b | 2.5 | Flexion 80, extension 0; rotation: internal 15, external 15; abduction 15, adduction 15 | Flexion 100, extension 10; rotation: internal 35, external 30; abduction 30, adduction 20 | 10.7 | 9.3 | 1 | |
20 | M, 42, paraplegia, right hip | Class IV | Type 3b | 3.5 | Flexion 20, extension 0; rotation: internal 5, external 5; abduction 10, adduction 10 | Flexion 90, extension 20; rotation: internal 30, external 25; abduction 25, adduction 20 | 14.6 | 9.2 | 3 |
21 | M, 30, paraplegia, right hip | Class IV | Type 4a | 3.5 | Ankylosis | Flexion 90, extension 20; rotation: internal 35, external 30; abduction 35, adduction 25 | 15.2 | 11.3 | 3 |
Left hip | Class IV | Type 4a | 3 | Flexion 40, extension 5; rotation: internal 15, external 10; abduction 20, adduction 15 | Flexion 80, extension 20; rotation: internal 30, external 30; abduction 30, adduction 25 | 12.5 | 9.5 | 3 | |
22 | M, 30, paraplegia, right hip | Class III | Type 4a | 3 | Flexion 80, extension 0; rotation: internal 10, external 15; abduction 20, adduction 15 | Flexion 100, extension 20; rotation: internal 35, external 30; abduction 40, adduction 25 | 14.1 | 9.9 | 2 |
23 | M, 43, paraplegia, left hip | Class III | Type 4a | 3 | Flexion 30, extension 0; rotation: internal 5, external 5; abduction 5, adduction 0 | Flexion 90, extension 20; rotation: internal 25, external 25; abduction 30, adduction 25 | 11.3 | 9.4 | 3 |
Right hip | Class III | Type 4a | 2.5 | Flexion 10, extension 0; rotation: internal 5, external 5; abduction 5, adduction 0 | Flexion 90, extension 20; rotation: internal 20, external 20; abduction 20, adduction 20 | 13.5 | 7.5 | 3 | |
24 | M, 24, tetraplegia, left hip | Class IV | Type 4b | 6 | Flexion 10, extension 0; rotation: internal 0, external 0; abduction 0, adduction 0 | Flexion 60, extension 10; rotation: internal 20, external 15; abduction 30, adduction 15 | 14.1 | 12.6 | – |
Summary (mean value, range) | Flexion 25 (0–80), extension 2.5 (0–30); rotation: internal 5.5 (0–15), external 6 (0–20); abduction 6 (0–20), adduction 3 (0–15) | Flexion 79 (30–100), extension 17 (10–30); rotation: internal 25 (5–35), external 23 (5–30); abduction 25 (5–40), adduction 17 (5–25) | 13 (10.7–15.2) | 9.9 (7.5–12.6) | 1.5 (0–4) |