A rare case of extensive neurogenic heterotopic ossification: a case report

Neurogenic Heterotopic ossification (NHO) is a potential sequalae and a detrimental complication following neurological insult. It is characterized by formation of localized gradually progressive, peri-articular lamellar bone formation in extra-skeletal tissues. The patient had a crippled posture, significant pain and impaired range of motion hampering movement of all four limbs which prevented him from lying down supine, sitting, walking and performing activities of daily living. After three surgeries, the patient achieved wheelchair mobilization and upright posture with the assistance of calipers.

• 1
  We present a case of a 33-year-old bed ridden male, diagnosed with NHO involving all 4 limbs (bilateral hip, right knee, right shoulder, left elbow).
• 2
  After three surgeries, the patient achieved wheelchair mobilization and upright posture with the assistance of calipers.
• 3
  Clinical image at 2 years follow up where patient is able to sit independently and is able to carry out activities of daily living.