National Physical Therapy Examination (NPTE) Practice Exam

What common complication of a burn injury is indicated by significant decrease in ROM and tenderness in the biceps/brachialis region?

1. Infection

2. Neuropathy

3. Heterotopic ossification

4. Heterotrophic

The correct answer is: Heterotopic ossification

The indicated answer is associated with the formation of bone in soft tissue around joints following a burn injury. Heterotopic ossification typically occurs in areas subjected to trauma or prolonged immobilization, resulting in new bone growth that can restrict movement and lead to significant decreases in range of motion (ROM) in the affected region. The tenderness in the biceps and brachialis could suggest that the heterotopic ossification is affecting the surrounding musculature or joint, further contributing to the loss of function and discomfort. Recognizing heterotopic ossification is crucial for timely intervention to manage its effects, such as increasing ROM through therapy and addressing the pain associated with this condition. This condition is particularly relevant in the context of burn injuries, where tissue damage and healing can lead to an abnormal response in the healing process, resulting in the formation of bone in areas where it is not normally present.