RESUMO
Los pacientes con COVID-19 grave pueden desarrollar restricciones dolorosas del rango de movimiento de las grandes articulaciones debido a osificaciones heterotópicas. Presentamos el caso de un paciente que desarrolló dolor en las caderas después de un ingreso prolongado por neumonía COVID-19 severa. La radiografía convencional, la tomografía computarizada y la gammagrafía ósea mostraron extensas osificaciones heterotópicas en caderas. Es probable que tanto factores locales como sistémicos contribuyan al desarrollo de osificaciones heterotópicas, y es necesario descartar esta entidad cuando estos pacientes refieran dolor articular. El diagnóstico precoz es importante para proporcionar intervenciones no farmacológicas como la movilización pasiva suave y medicación antiinflamatoria y en casos refractarios considerar la resección quirúrgica del hueso ectópico.(AU)
Patients with severe COVID-19 can develop painful range-of-motion restrictions of large joints due to heterotopic ossification. We present the case of a patient who developed hip pain after prolonged admission for severe COVID-19 pneumonia. Conventional radiography, computed tomography and bone scan showed extensive heterotopic ossification in the hips. It is probable that both local and systemic factors contribute to the development of heterotopic ossifications and it is necessary to rule out this entity when these patients reported joint pain. Early diagnosis is important to provide non-pharmacological interventions such as mild passive mobilization and anti-inflammatory medication and in refractory cases surgical resection of the ectopic bone is consider.(AU)
Assuntos
Humanos , Masculino , Idoso , Ossificação Heterotópica , Cintilografia , Radiografia , Coronavírus Relacionado à Síndrome Respiratória Aguda Grave , Infecções por Coronavirus , Betacoronavirus , Lesões do Quadril , Quadril , Dor , Articulações , Pacientes Internados , Reabilitação , Exame FísicoRESUMO
Patients with severe COVID-19 can develop painful range-of-motion restrictions of large joints due to heterotopic ossification. We present the case of a patient who developed hip pain after prolonged admission for severe COVID-19 pneumonia. Conventional radiography, computed tomography and bone scan showed extensive heterotopic ossification in the hips. It is probable that both local and systemic factors contribute to the development of heterotopic ossifications and it is necessary to rule out this entity when these patients reported joint pain. Early diagnosis is important to provide non-pharmacological interventions such as mild passive mobilization and anti-inflammatory medication and in refractory cases surgical resection of the ectopic bone is consider.
