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Skelet Muscle. 2013 Dec 16;3(1):29. doi: 10.1186/2044-5040-3-29.

BMP-9 expression in human traumatic heterotopic ossification: a case report.

Skeletal muscle

Guillaume Grenier, Elisabeth Leblanc, Nathalie Faucheux, Dominique Lauzier, Peter Kloen, Reggie C Hamdy

Affiliations

  1. Shriners Hospital for Children, 1529 Cedar Avenue, Montreal, QC H3G 1A6, Canada. [email protected].

PMID: 24330639 PMCID: PMC3878643 DOI: 10.1186/2044-5040-3-29

Abstract

BACKGROUND: Heterotopic ossification (HO) is defined as the abnormal formation of mature bone in soft tissue, notably skeletal muscle. The morbidity of HO in polytraumatized patients impacts the functional outcome, impairs rehabilitation, and increases costs due to subsequent surgical interventions.

CASE PRESENTATION: We present the case of a 34-year-old African male who developed severe HO around his right hip 11 days after a major trauma. Immunohistochemical analyses of resected tissue revealed that several BMPs were expressed in the HO, including highly osteogenic BMP-9.

CONCLUSIONS: To the best of our knowledge, this is the first report of local BMP expression, notably BMP-9, in traumatic HO, and suggests that BMP-9, possibly through mrSCs, can contribute to HO formation in soft tissues when a suitable microenvironment is present.

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