Osteosarcoma Arising from Heterotopic Ossification After an Electrical Burn. A Case Report* by ALBERT J. ABOULAFIA, FLEMING BROOKS, JOANNE PIRATZKY, and.

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Osteosarcoma Arising from Heterotopic Ossification After an Electrical Burn. A Case Report* by ALBERT J. ABOULAFIA, FLEMING BROOKS, JOANNE PIRATZKY, and SHARON WEISS J Bone Joint Surg Am Volume 81(4): April 1, 1999 ©1999 by The Journal of Bone and Joint Surgery, Inc.

Figs. 1-A and 1-B: Plain radiographs and computed axial tomography scan of the right forearm, made one year after the patient sustained an electrical shock, demonstrating massive areas of heterotopic ossification. ALBERT J. ABOULAFIA et al. J Bone Joint Surg Am 1999;81: ©1999 by The Journal of Bone and Joint Surgery, Inc.

Figs. 1-A and 1-B: Plain radiographs and computed axial tomography scan of the right forearm, made one year after the patient sustained an electrical shock, demonstrating massive areas of heterotopic ossification. ALBERT J. ABOULAFIA et al. J Bone Joint Surg Am 1999;81: ©1999 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2 Digital subtraction arteriogram, made ten years after the injury, showing a distinct tumor blush, with neovascularity arising from the brachial artery, in the region of a bleeding, nonhealing wound (arrows). ALBERT J. ABOULAFIA et al. J Bone Joint Surg Am 1999;81: ©1999 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3 Lateral radiograph of the right forearm and elbow, made ten years after the electrical injury, revealing a new radiolucent area with an associated soft-tissue mass (arrows). ALBERT J. ABOULAFIA et al. J Bone Joint Surg Am 1999;81: ©1999 by The Journal of Bone and Joint Surgery, Inc.

Figs. 4-A and 4-B: Computerized axial tomography scans of the right forearm, made when the patient was first seen by us. ALBERT J. ABOULAFIA et al. J Bone Joint Surg Am 1999;81: ©1999 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4-B: Scan made through the proximal part of the forearm, showing a soft-tissue mass arising from an area of heterotopic bone with areas of bone (solid arrows) and apparent fluid- filled spaces (open arrows). ALBERT J. ABOULAFIA et al. J Bone Joint Surg Am 1999;81: ©1999 by The Journal of Bone and Joint Surgery, Inc.

Figs. 5-A through 5-D: Histological appearance of the tumor obtained from the amputation specimen (hematoxylin and eosin). ALBERT J. ABOULAFIA et al. J Bone Joint Surg Am 1999;81: ©1999 by The Journal of Bone and Joint Surgery, Inc.

Fig. 5-B Photomicrograph showing the telangiectatic osteosarcoma arising from metaplastic bone. ALBERT J. ABOULAFIA et al. J Bone Joint Surg Am 1999;81: ©1999 by The Journal of Bone and Joint Surgery, Inc.

Fig. 5-C High-power photomicrograph showing malignant cells surrounded by primitive osteoid (x 10). ALBERT J. ABOULAFIA et al. J Bone Joint Surg Am 1999;81: ©1999 by The Journal of Bone and Joint Surgery, Inc.

Fig. 5-D High-power photomicrograph showing the telangiectatic pattern (x 10). ALBERT J. ABOULAFIA et al. J Bone Joint Surg Am 1999;81: ©1999 by The Journal of Bone and Joint Surgery, Inc.