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A Case of Soft Tissue Ossifications

A Case Report

Arrigoni, Paolo MD1; Minen, Alessandro MD1

doi: 10.2106/JBJS.CC.18.00287
Case Reports

Case: A patient who had previously been diagnosed with fibrodysplasia ossificans progressiva was seen for hip pain and progressive soft tissue ossifications. Through a careful clinical examination, by which a subtype of brachydactyly was noted, the Albright hereditary osteodystrophy phenotype was recognized, and a new diagnosis of pseudopseudohypoparathyroidism was established. This paucisymptomatic condition often remains unidentified; however, its transmission can lead to more potentially serious diseases.

Conclusions: A careful diagnostic process, including physical examination, is essential. Even if advanced tests exist, small clinical findings can lead to the proper conclusion. In our case, a finger pointed us in the right direction.

1Dipartimento di Ortopedia e Traumatologia, Università degli Studi di Pavia, Pavia, Italy

E-mail address for P. Arrigoni:

Investigation performed at Fondazione IRCCS Policlinico San Matteo, Pavia, Italy

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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