Heterotopic Ossifications(HO) affect the skeletal system of patients suffering from acquiredneurological damage. The objective is to propose, from theradiographer's point of viewandEBMcriteria, thedifferent radiological methodsin relation to HO, thediagnostic pathway of patients, defining suitable andappropriate diagnostic protocols. Particular attention will also be given topatient management.

Heterotopic ossification (HO) is the formation of pathological bone in muscle or soft tissue. The incidence in individuals following a spinal cord injury has been reported to vary greatly(from 10% to 78%). HO occurs below the level of paralysis and most commonly forms in the hip but rarely in the peripheral joints such as the shoulders, elbows, and knees. Associated risk factors are completeness of injury, previous mechanical ventilation often associated with thoracic trauma. Surgical resection of HO post-SCI is a well-established treatment but is...

Radiological imaging plays a fundamental role in the study of HO and the multidisciplinary approach is fundamental. ConventionalRadiology, CT, MR, and nuclear medicine: each of them provide specific information useful for the definition of the location, size, and volume of HO. ConventionalRadiology. Radiologically, HO is not detectable for a period of time between 1-2 months after the injury. It’s essential to be able toadapt the radiographic techniqueto the specific needs of patients. Management of these particularly fragile patientsis a considerable problem in the implementation of...

Specific, appropriate and optimized diagnostic procedures sharedwith radiologists and specialists for traditional radiology, CT, MR, and Nuclear Medicine will be briefly displayed. ConventionalRadiology Shoulder. It is very important to acquire an image of the glenoid and humeral head on the glenoid plane, highlighting the joint relationships. In this projection, the central beam is oblique in the mediolateral direction by at least 25 ° and centered on the coracoid process. (fig. 17) Hip In addition to the AP projection, which must be performed with particular attention...

M. Bertoli; Turin/IT - nothing to disclose B. Musso; Turin/IT - nothing to disclose

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