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Intramuscular Hematoma Following Radial Extracorporeal Shockwave Therapy for Chronic Neurogenic Heterotopic Ossification: A Case Report

Extracorporeal shockwave therapy (ESWT) has been reported to be a safe and effective method for decreasing pain and relieving range of motion (ROM) limitations caused by neurogenic heterotopic ossification (NHO), though there has been no report that it might cause hematoma if applied to NHO. We here...

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Autores principales: Kim, Howard, Cheon, Ji Hwan, Lee, Dong Youl, Cheon, Ji Hong, Cho, Youn Kyung, Lee, Sung Hoon, Kang, Eun Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5532358/
https://www.ncbi.nlm.nih.gov/pubmed/28758090
http://dx.doi.org/10.5535/arm.2017.41.3.498
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author Kim, Howard
Cheon, Ji Hwan
Lee, Dong Youl
Cheon, Ji Hong
Cho, Youn Kyung
Lee, Sung Hoon
Kang, Eun Young
author_facet Kim, Howard
Cheon, Ji Hwan
Lee, Dong Youl
Cheon, Ji Hong
Cho, Youn Kyung
Lee, Sung Hoon
Kang, Eun Young
author_sort Kim, Howard
collection PubMed
description Extracorporeal shockwave therapy (ESWT) has been reported to be a safe and effective method for decreasing pain and relieving range of motion (ROM) limitations caused by neurogenic heterotopic ossification (NHO), though there has been no report that it might cause hematoma if applied to NHO. We hereby report a case of massive hematoma after ESWT, specifically the radial shockwave therapy (RSWT) device at both hips in a 49-year-old female patient with NHO. She had developed NHO after extensive subarachnoid hemorrhage. We had applied RSWT according to the previous report. The pain and the ROM limitations were gradually improved. Six weeks later, she reported pain and ROM limitations on the right hip. From a medial aspect, swelling and bruising of the right thigh could be seen. Magnetic resonance imaging and ultrasonography suggested a large hematoma between right hip adductor muscles. The symptoms disappeared after conservative treatment for one month, and subsequent follow-up imaging studies demonstrated resolution of the hematoma.
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spelling pubmed-55323582017-07-28 Intramuscular Hematoma Following Radial Extracorporeal Shockwave Therapy for Chronic Neurogenic Heterotopic Ossification: A Case Report Kim, Howard Cheon, Ji Hwan Lee, Dong Youl Cheon, Ji Hong Cho, Youn Kyung Lee, Sung Hoon Kang, Eun Young Ann Rehabil Med Case Report Extracorporeal shockwave therapy (ESWT) has been reported to be a safe and effective method for decreasing pain and relieving range of motion (ROM) limitations caused by neurogenic heterotopic ossification (NHO), though there has been no report that it might cause hematoma if applied to NHO. We hereby report a case of massive hematoma after ESWT, specifically the radial shockwave therapy (RSWT) device at both hips in a 49-year-old female patient with NHO. She had developed NHO after extensive subarachnoid hemorrhage. We had applied RSWT according to the previous report. The pain and the ROM limitations were gradually improved. Six weeks later, she reported pain and ROM limitations on the right hip. From a medial aspect, swelling and bruising of the right thigh could be seen. Magnetic resonance imaging and ultrasonography suggested a large hematoma between right hip adductor muscles. The symptoms disappeared after conservative treatment for one month, and subsequent follow-up imaging studies demonstrated resolution of the hematoma. Korean Academy of Rehabilitation Medicine 2017-06 2017-06-29 /pmc/articles/PMC5532358/ /pubmed/28758090 http://dx.doi.org/10.5535/arm.2017.41.3.498 Text en Copyright © 2017 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kim, Howard
Cheon, Ji Hwan
Lee, Dong Youl
Cheon, Ji Hong
Cho, Youn Kyung
Lee, Sung Hoon
Kang, Eun Young
Intramuscular Hematoma Following Radial Extracorporeal Shockwave Therapy for Chronic Neurogenic Heterotopic Ossification: A Case Report
title Intramuscular Hematoma Following Radial Extracorporeal Shockwave Therapy for Chronic Neurogenic Heterotopic Ossification: A Case Report
title_full Intramuscular Hematoma Following Radial Extracorporeal Shockwave Therapy for Chronic Neurogenic Heterotopic Ossification: A Case Report
title_fullStr Intramuscular Hematoma Following Radial Extracorporeal Shockwave Therapy for Chronic Neurogenic Heterotopic Ossification: A Case Report
title_full_unstemmed Intramuscular Hematoma Following Radial Extracorporeal Shockwave Therapy for Chronic Neurogenic Heterotopic Ossification: A Case Report
title_short Intramuscular Hematoma Following Radial Extracorporeal Shockwave Therapy for Chronic Neurogenic Heterotopic Ossification: A Case Report
title_sort intramuscular hematoma following radial extracorporeal shockwave therapy for chronic neurogenic heterotopic ossification: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5532358/
https://www.ncbi.nlm.nih.gov/pubmed/28758090
http://dx.doi.org/10.5535/arm.2017.41.3.498
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