A: Clinical and radiological findings of the patient

Pre-op

Post-op

a.     Clinical finding

1)     Hip joint movement (Active)

Flexion

Left: 0°         Right: 0°

Left: 100°         Right: 100°

Extension

Left: 0°         Right: 0°

Left:  15°        Right: 20°

Adduction

Left: 0°         Right: 0°

Left: 20°         Right: 20°

Abduction

Left: 0°         Right: 0°

Left: 30°         Right: 30°

2)     Knee joint movement (Active)

Flexion

Left: 20°         Right: 20°

Left: 90°         Right: 130°

Extension

Left: 0°         Right: 0°

Left: 0°         Right: 0°

b.     Radiological finding

1)     Right lower limb

Extra-skeletal ossifications extending from hip region to the knee region.

-

2)     Left lower limb

Extra-skeletal ossifications extending from hip region to the knee region.

-

B: Surgical findings of the patient

Left lower limb

Right lower limb

Hip region

Extensive ossification around sciatic nerve, gluteus maximus, gluteus medius and greater trochanter.

Ossifications around vastus medialis, vastus lateralis, vastus intermedius and rectus femoris extending from the hip joint to the knee joint.

Knee region

Remarkable ossification was found along iliotibial band, vastus lateralis, vastus medialis, rectus femoris, deep fascia in between quadratus femoris and pre-patellar bursa.

Ossifications around vastus medialis, vastus lateralis, vastus intermedius and rectus femoris. Deep fascia ossification and stiffness was observed in between the above-mentioned quadriceps.