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CASE REPORT
Year : 2019  |  Volume : 3  |  Issue : 3  |  Page : 307-310

Rare painful pediatric deformity; when surgery does harm: Case report and review of the literature


1 Department of Orthopedics, Baquba Teaching Hospital, Diyala, Baghdad, Iraq
2 Alameerat Private Hospital Kindi Street, Harthiya, Baghdad, Iraq
3 Department of Orthopedics, Ibri Regional Hospital, Al Dharia, Sultanate of Oman
4 Al-Mustansiriya University/College of Medicine, Neurosurgery Surgry, Baghdad, Iraq

Correspondence Address:
Dr. Luay M Al-Naser
Department of Orthopedics, Baquba Teaching Hospital, Diyala
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmsr.jmsr_20_19

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Fibrodysplasia ossificans progressiva (FOP) is a connective tissue disease that is extremely rare. Fibrous tissue in muscles, tendons, and ligaments get ossified spontaneously or damaged by a mutation of the body's repair mechanism. In this report, we present a case of FOP, which is considered one of the rarest diseases that can cause scoliosis and new bone formation around the spine and almost everywhere in the body. A 14-year-old female presented with scoliosis and limitation in spine and upper limb movements. The condition started at the age of 9 years with a painful mass in the right side of the upper back. At that time, the parents asked for medical help; a general surgeon advised and performed an excisional biopsy of the mass. Subsequently, the mass reappeared and continued to grow, covering nearly the entire back. Radiological investigations revealed a well-formed bony band extending from the right shoulder to the iliac bone posteriorly with bony formations in the left shoulder, back, medial aspects of the arms, axilla, and buttocks. FOP is an extremely challenging disorder with difficulties in both diagnosis and management, and large malformed toes with well-formed ossification anywhere in the body should raise the suspicion of the diagnosis. Any surgical intervention, including biopsy, will harm the patient and should be avoided.


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