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Word or phrase of the day: Heterotopic Ossification

   
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Many of you who know me know that there are days when I limp, and on occasion I even use a cane. The reason for all of that is that I was involved in a very bad car accident in March 1995. I broke the following:
  • my right ankle
  • both knees (tibula/fibia breaks)
  • left hip dislocated and cracked
  • three broken right ribs and punctured lung
  • left scapula (shoulder blade)
  • my left cheek bone
  • I had over 400 stitches in my neck and facial area
  • and I have a teflon plate in my left cheekbone/ocular orb

Needless to say, I was a mess. Since then I've had quite a few surgeries to clean up my face and keep my legs working - replaced both of my ACLs, all cartilage removed from my knees (they were more scar tissue than working cartilage), and many arthroscopic scopings to keep my knees cleaned out. I have been fortunate enough to have avoided any additional surgeries for about the last 4 years.

The good news is that overall, I am doing really well. As I said earlier I don't have any cartilage in my knees anymore, so they get sore. I've also re-torn my right ACL, but it is still pretty stable. But my hip has gotten much worse.

My left hip has been hurting for a very long time. I have been going to a pain management specialist for many years. Well, it has gotten so bad now that I am now in constant pain - and my recent trip to Germany has aggravated it enough to finally propel me to go see my orthopedist again, which I did this week. It turns out I have heterotopic ossification (HO) - which means that I have bony growths growing from my hip bone and my pelvis, and they are trying to fuse together. Take a look at the images below:

bad left lip outline - big view
My left hip - the area in red is the heterotopic ossification. You can see the bony growth between my femur and my pelvis - all that cloudy stuff where it should be clear.

The pain has worsened lately because the two growths are actually touching when I move my leg to walk - it's like a meat grinder in there now. I discovered that there are four classifications of HO: Class I - which is just small bony pieces floating in the tissue; through Class IV - which is complete fusing of the femur to the pelvis. I have Class III, which is less than 1cm between the growths - you can see that in the image below.

bad left lip outline - detailed view
You can see the HO more - and see that there is hardly any gap in the growth.

So, my orthopedist has recommended (strongly) that I get the offending bone growths removed ASAP, because it is only going to get worse. They are getting the insurance approval now, and then the surgery will be scheduled soon. I imagine it will happen within the next 2-3 weeks. I will be out of commission for a few days. I have to have a radiation treatment to prevent the bony growth from coming back (700 rads, or whatever the measurement is for radiation - don't remember what he said, just the number). Afterwards I'll have some physical therapy to rebiuld my muscle strength, and I'll plan on using my martial arts to do the bulk of the muscle rebuilding.

The good news is that I should regain full mobility in my hip - and the best part is I won't have hardly any more pain once I am healed.

I'll keep you all posted - and hopefully you've all learned a new word or phrase today. See if you can use it in a sentence, ok?

Rock
**The sooner you fall behind, the more time you'll have to catch up.

Comments

1 - Hi Rocky,

How are you after the HO surgery? I wish you are getting better without pain anymore.

Thank you,

Eric

2 - Well, it sucks that you have to get cut ... but after all that travel with you over the years I think your body probably needs something like this. And thank god you caught it before Class 4.

Hope the surgery goes well

3 - Keeping you in my thoughts. I hope all goes well!

4 - <wince!> Sorry you're in such pain Rocky, but I'm glad you're getting things sorted out. Amazing you've had to deal with this all these years and still earned a black belt in karate. Wow!

Oh, and Paul, he'll need something stronger than Kaliber

5 - RJ - no, it is not. It is an "open" surgery. I'll be cut open so that they can get to all of the areas with a saw and then they have to dig around in the muscle to get to all the floating pieces of bone material as well. I already have a large scar from the "open reduction" surgery, which is where they fixed the original cracked femoral head and reset my dislocated hip. It is basically like that again.

Rock

6 - Rocky, I'm glad for you that they've caught it in time. Best wishes for a speedy recovery (though don't let them rush you back to work ).
Jason

7 - best wishes rock, sending good jedi energy

8 - @Mika - I am a "towering" 5ft 5in (pretty normal for your ex-girlfriend's culture ) - and I did drink a lot of milk as a kid. I sure do wish it would have made me a bit taller, though

As for the "nature heal over time", I normally agree - and I did that for 10 years. But nature didn't heal - nature made it worse in this case. It turns out that I am what is known as a "quick healer" - it means that I tend to mend very quickly when I damage myself or when I have surgery. But there is a downside - I tend to create much more scar tissue than the normal person because of this, and this HO is also a side-effect.

Rock


9 - Ummm...reading that made me a little nauseous. Sounds icky. But I'm glad you're taking care of yourself. I hope you have a quick recovery. I'll be thinking of you.

10 - Thanks guys - Adam, remember me trying to get around the office in my wheelchair when we were over on Holcomb Bridge Road? My legs were sticking straight out because both legs were in immobilizers, so navigating corners was especially interesting. That was a pain!!

I also remember when we brought in my HD from my laptop. Background: My laptop was found 200 yards from my wrecked truck. It was destroyed. My family found it and brought it to me, we took the hard drive out and stuck it in a coworker's machine (Stacey Santana's machine, to be exact). It was hilarious - you could hear the heads literally etching the plates as the drive tried to spin. It was not a happy drive.

The folks I worked with back then (Adam and Tim amongst them) were fantastic in their support, and my friends (all of you) continue to be amazing in your support. It means the world to me.

Thank you.

Rock

11 - Best wishes Rock. Hope you get well soon.

I think you should do it after ILUG, Paul and the gang will be giving you some anesthesia.

12 - Ouch indeed! Best of thoughts go out to you Rocky!!! Any chance that you can get some bionics in there at the same time? You could give the Six Million Dollar Man a run for his money! Take care of yourself!

13 - Yeah well, it looks like it's the right thing to do the operation, although I am always very sceptical towards doctors and rather would let nature heal things over time.

Bone growth is also connection to drinking milk. My ex-girlfriend was drinking a lot of milk powder in her childhood, and her bones grew notably larger than her parents, and of course as a result she was also way taller than the "norm" in her culture (chinese). So I say, don't drink milk, drink beer!

14 - hope they have you in and out and back on your feet soon. Best of luck with it all.

15 - Best wishes Rocky.. will have you on liquid medication in may......

16 - @Rock Wow, you are like Wolverine then! It could have something to do with your HGH (Human Growth Hormone) which makes cells regenerate. I read that babies have the highest regeneration rate, and this regeneration slows down the older you get, that might be also a reason why humans can not exceed 127 years (the oldest known human was 122) - their cell regeneration must equal 0 then. The creator must have used a 7 bit number for the human age :)

17 - Ouch! I think the "meat grinder" reference is what really got to me. Here's to successful surgery and speedy recovery - sounds like you'll be much better off having gone through this.

Sentence of the day:
Surgery means never having to say "Heterotopic Ossification."

18 - I remember when I rejoined you at XLConnect in summer of '95, (after both of us working at Lotus WPD for a few years). It had only been a few months since the accident, but I couldn't even tell that you had been in an accident. The doctors did good work.

I hate to hear that all these years later, you're still in pain. We'll keep you in our prayers.

19 - Rock, I'll never forget that morning in '95 when we all found out about your accident. I'm sad to hear you're still having issues with your legs, and my family's prayers will be with you.

20 - I'm glad that you can get it repaired before it's too late. We're thinking about you here in the Pridelands! Best wishes for a speedy recovery!!!

21 - { Link } occasionally has postings regarding HO.

22 - Hey Rocky,

I wish you a soon and painless recovery !!!

23 - i to have HO in my right hip and left albow, all from a motorcycle crash, i like to thank this page for the knowledge i received from reading rocky's story, i'm not alone wow!

24 - What they said -- best wishes for speedy recovery!
Is the procedure arthroscopic? (I'd guess so, but not sure.)

25 - hope they have you in and out and back on your feet soon. Best of luck with it all.

26 - Is it bad that looking so closely at pictures of Rock's pelvis makes me feel tingly where my bathing suit covers?


27 - Hey there amigo.
You are on the prayer list.
-Devin.

28 - While you can get all the sympathy from me and others, I am sure it is only a minor relief compared to the oxycotton/lortabs/etc...

Sentence of the day: "Have you heard that Rocky has a HO on his corner?" If you can abbreviate it (in letters or time), you should.


29 - Ooh, that doesn't look pretty. But it's very cool that you can get it fixed. I hope it goes perfectly.

30 - I'm sorry to hear about the amount and frequency of the pain you are feeling, and I'll add my voice to the chorus hoping that your surgery goes smoothly and your recovery quickly. I've become much more cognizant over the last 8 months of how widespread--and how disruptive--chronic pain can be. May you find relief soon.

31 - @Nathan - I seem to have that affect on many people

@Everyone else - thanks for the well-wishes. It is much appreciated.

Rock

32 - <says thanks for Rocky being covered by IBM insurance>

good luck with the surgery, man! Looks like you've got the right people looking after you.

33 - i to have HO in my right hip and left albow, all from a motorcycle crash, i like to thank this page for the knowledge i received from reading rocky's story, i'm not alone wow!

Meet Rocky

Rock - February 2010
Rocky Oliver
If you see me at a conference, please stop me and say hi!

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