Heterotopic bone formation may develop months after spinal cord injuries. It presents with heat, swelling, restricted motion, and pain. Commonly affected joints are the hip, knee, elbow, or shoulder. Ankylosis may develop and make routine activities impossible. This will need to be differentiated from fracture, infection, or other emergent conditions. Management is conservative, with analgesics for pain. Aspirin is sometimes used for prevention of recurrence. When heterotopic bone formation is present, the child and family should be prepared for problems with skin breakdown and secondary infection, which occur rarely.
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.