This patient presented 5 weeks post olecranon fracture ORIF with limited elbow ROM and pain. In addition, he has swelling and tenderness, which can mimic a low-grade infection but there is no infection. What can be going on?
As such, in high-risk patients, prophylaxis with NSAIDs or radiation is recommended. Once heterotopic ossification develops, surgical removal is the only effective treatment, followed by radiation or NSAIDs to prevent recurrence.
Therapy role is to be aware of this condition. High risk patients do not perform PASSIVE ROM or aggressive AA/AROM, monitor them and report to MD ASAP with any concerns.