DOI: https://doi.org/10.36347/sjmcr.2025.v13i01.041

Pages: 178-183

Introduction: Neurogenic heterotopic ossification (NHO) is one of the most common forms of heterotopic ossifications, mainly affecting the large proximal joints of the limbs, it can involve one or more joints, the intercostal localization of heterotopic ossifications is rarely described in the literature. Case presentation: a 41-year-old female patient presented with mechanical arthralgia of the knees, left elbow and shoulders a disabling stiffness, following prolonged bed rest after spinal and pelvic impact trauma. On osteoarticular examination, the affected joints showed limited range of motion. Standard X-rays of the affected joints, a thoracic computed tomography and a bone scintigraphy confirmed the diagnosis of NHO with bilateral heterotopic ossification between the first two ribs. The patient was put on medical treatment with non-steroidal anti-inflammatory drugs while awaiting stabilization of the scintigraphic lesions for possible surgical management. Conclusion: In conclusion, we report a case of NHO with multiple localizations in a young patient, which is responsible major functional handicaps, implying the need for prevention of this very disabling condition, whose management is very delicate.