Intermuscular Heterotopic Ossification in the Shoulder Region Associated with a Hopping-type Forelimb Lameness

Heterotopic ossification has not previously been described in the horse. An event horse was investigated due to poor performance and development of a hopping-type forelimb lameness when ridden. Comprehensive local analgesic techniques did not alter the hopping-type lameness. Radiological assessment revealed an osseous plate between the biceps brachii and brachiocephalicus muscles of the lame limb. Ultrasonographic examination verified that there was no involvement of the intertubercular bursa or tendon of biceps brachii or the muscles themselves. The horse was humanely destroyed because of multilimb lameness, with multiple sources of pain. Postmortem examination revealed a large plate of bone with very sharp, pointed margins, which was easily dissected from the adjacent muscles. The radiological and gross appearances of the bone plate were typical of heterotopic ossification in human beings.