Immobilization Induced Hypercalcemia and Heterotopic Ossification in a Burn Patient-Immobilization Induced Hypercalcemia and Heterotopic Ossification in a Burn Patient

Immobilization Induced Hypercalcemia and Heterotopic Ossification in a Burn Patient

Video Transcription

Video Summary

This video summarizes a case of a burn patient who developed immobilization-induced hypercalcemia and heterotopic ossification. The patient sustained severe burns and had a prolonged ICU course with immobilization. Hypercalcemia developed two months after admission and was determined to be caused by immobilization. Despite treatment, calcium levels remained elevated. Concerns for restricted elbow extension led to the discovery of heterotopic ossification. The patient was treated with IV pomidronate, which normalized serum calcium levels and halted the progression of heterotopic ossification. Range of motion improved with therapy. The case suggests that elevated calcium levels may contribute to heterotopic ossification and bisphosphonate administration can be beneficial. Prompt recognition and treatment of hypercalcemia may help prevent heterotopic ossification.

Keywords

burn patient

immobilization-induced hypercalcemia

heterotopic ossification

bisphosphonate administration

hypercalcemia treatment