Case Report

Heterotopic Ossification following Total Elbow Arthroplasty in a Patient with Parkinson’s Disease: Case Report and Literature Review

Table 1

Classification of upper extremity heterotopic ossification by Hastings and Graham [15].

ClassDescription and management

Class ISubclinical; observation, physiotherapy, serial radiographs
Class IIaLimited flexion/extension due to soft tissue or bony impingement; capsulotomy, release, lengthening
Class IIbLimited pronation/supination due to soft tissue or bony impingement; capsulotomy, release, lengthening
Class IIcLimited flexion/extension and pronation/supination due to soft tissue or bony impingement; capsulotomy, release, lengthening
Class IIIComplete ankylosis with no motion; capsulotomy, release, lengthening