{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:44Z","timestamp":1787755604033,"version":"build-2784847793"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 21-year-old man sustained a closed glenohumeral fracture\/dislocation as a pedestrian struck by a motor vehicle. He was treated nonoperatively and developed severe post-traumatic heterotopic ossification (HO) with near-complete shoulder ankylosis. We present our technique for safe surgical excision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Excision led to improvements in motion and quality of life at 1 year postoperatively. Recommendations for successful HO excision around the shoulder include excision after at least 180 days, appropriate preoperative imaging to include cross-sectional imaging and a 3D model, intraoperative fluoroscopy, well-serviced instruments, preparation for iatrogenic fracture and\/or neurovascular injury, meticulous hemostasis, postoperative HO prophylaxis, immediate postoperative therapy, and involvement of a multidisciplinary team.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00080","type":"journal-article","created":{"date-parts":[[2020,2,19]],"date-time":"2020-02-19T07:16:56Z","timestamp":1582096616000},"page":"e0080-e0080","source":"Crossref","is-referenced-by-count":5,"title":["Global Excision of Severe Heterotopic Ossification of the Shoulder"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9446-3193","authenticated-orcid":false,"given":"Elizabeth M.","family":"Polfer","sequence":"first","affiliation":[{"name":"Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland"},{"name":"Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9853-5414","authenticated-orcid":false,"given":"Kyle E.","family":"Nappo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3207-5715","authenticated-orcid":false,"given":"Jeffrey R.","family":"Giuliani","sequence":"additional","affiliation":[{"name":"Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland"},{"name":"Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6534-9666","authenticated-orcid":false,"given":"Leon J.","family":"Nesti","sequence":"additional","affiliation":[{"name":"Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland"},{"name":"Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"409","DOI":"10.5435\/00124635-200211000-00005","article-title":"Heterotopic ossification after hip and knee arthroplasty: risk factors, prevention, and treatment","volume":"10","author":"Iorio","year":"2002","journal-title":"J Am Acad Orthop Surg."},{"key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"50","DOI":"10.5301\/HIP.2012.9057","article-title":"Risk factors 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