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Table 1 Heterotopic ossification staging

From: Fifteen years’ experience of radiation therapy for resected advanced heterotopic ossification following motor vehicle accidents: outcome and side effects

Brookers’ classification of HO of the hip joint

Hastings and Graham’s classification

Grade

Description

Class

Description

1

Bone islands in the soft tissue around the hip

Class I

HO without functional limitation

2

Exophytes in the pelvis or proximal end of the femur with at least 1 cm between opposing bone surfaces

Class II

IIa

IIb

IIc

HO with functional limitation (limited ROM)

Flexion/extension limitation

Pronation/supination limitation

Both A and B

3

Exophytes in the pelvis or proximal end of the femur with less than 1 cm between opposing bone surfaces

Class III

IIIa

IIIb

IIIc

HO with ankylosis

Flexion/extension limitation

Pronation/supination limitation

Both A and B

4

Bony ankylosis between proximal femur and pelvis