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J Orthop Case Rep



Lollipop Sign – Ossification at Wire Ends after Osteosynthesis?


Meyer H-L, Burggraf M, Polan C, Husen M, Dudda M, Kauther M D
J Orthop Case Rep. 2019; 9(2):52-55.
PMID: 31534935.


Heterotopic ossification (HO) is abnormal formation of new bone in the soft tissue. HO occurs outside the normal bone within soft tissues such as muscles and tendons, and histologically, it is no different from skeletal bone. It is still not clear what factors stimulate HO. The soft tissue around the hip joint has been identified as the most common location for HO. Patients with HO usually have no clinical symptoms; however, it can become very painful and lead to severe functional limitations. The standard diagnostic procedure consists of conventional X-ray diagnostics and/or skeletal scintigraphy. Local radiation and nonsteroidal anti-inflammatory drugs are the classical options for treatment and prophylaxis of HO. We describe two pediatric patients with "lollipop-like" HO at the end of Kirschner wires (K-wires, steel) and titanium elastic nails (TENs, titanium).