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Heterotopic Ossification: Basic-Science Principles and Clinical Correlates by Kavitha Ranganathan, Shawn Loder, Shailesh Agarwal, Victor W. Wong, Jonathan Forsberg, Thomas A. Davis, Stewart Wang, Aaron W. James, and Benjamin Levi J Bone Joint Surg Am Volume 97(13):1101-1111 July 1, 2015 ©2015 by The Journal of Bone and Joint Surgery, Inc.

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Page 1: Heterotopic Ossification: Basic-Science Principles and Clinical Correlates by Kavitha Ranganathan, Shawn Loder, Shailesh Agarwal, Victor W. Wong, Jonathan

Heterotopic Ossification: Basic-Science Principles and Clinical Correlates

by Kavitha Ranganathan, Shawn Loder, Shailesh Agarwal, Victor W. Wong, Jonathan Forsberg, Thomas A. Davis, Stewart Wang, Aaron W. James, and

Benjamin Levi

J Bone Joint Surg AmVolume 97(13):1101-1111

July 1, 2015

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Heterotopic Ossification: Basic-Science Principles and Clinical Correlates by Kavitha Ranganathan, Shawn Loder, Shailesh Agarwal, Victor W. Wong, Jonathan

Histopathologic evidence of heterotopic ossification (hematoxylin and eosin).

Kavitha Ranganathan et al. J Bone Joint Surg Am 2015;97:1101-1111

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Heterotopic Ossification: Basic-Science Principles and Clinical Correlates by Kavitha Ranganathan, Shawn Loder, Shailesh Agarwal, Victor W. Wong, Jonathan

The common locations of heterotopic ossification are indicated according to the mechanism of injury.

Kavitha Ranganathan et al. J Bone Joint Surg Am 2015;97:1101-1111

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Heterotopic Ossification: Basic-Science Principles and Clinical Correlates by Kavitha Ranganathan, Shawn Loder, Shailesh Agarwal, Victor W. Wong, Jonathan

Burn injury and the resulting hypoxic environment increase HIF-1α production, which leads to angiogenesis as a result of increased levels of VEGF. Angiogenesis is an important step in the

process of bone formation.

Kavitha Ranganathan et al. J Bone Joint Surg Am 2015;97:1101-1111

©2015 by The Journal of Bone and Joint Surgery, Inc.