Musculoskeletal Medicine and PainCASE REPORT

Painful Proximally Oriented Large Heterotopic Spur Formation in an Active Adult With a Nontraumatic Amputation

Jack Annunziato, DO; Daniel Shor, OMS IV; and Shailesh Parikh, MD
Notes and Affiliations
Notes and Affiliations

Received: April 19, 2019

Accepted: May 21, 2019

Published: April 1, 2020

J Osteopath Med; 120(4): 283-285

Heterotopic ossification (HO) is excess bone growth in soft tissues, typically juxta-articular and interfascicular, with varying incidence. This excess bone growth has been well-documented in cases of traumatic amputation but less frequently observed in cases of nontraumatic amputation. Symptomatic heterotopic ossification usually includes pain during prosthetic use with management involving prosthetic adjustments for comfort. This atypical case highlights a patient with a nontraumatic amputation and a proximal-oriented large spur formation that was not painful with ambulation but with doffing his prosthesis.

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