Brooker Classification (Heterotopic Ossification)

The Brooker classification of heterotopic (ectopic) ossification about the hip, by the radiographic extent of ectopic bone, classes I/II/III/IV.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Brooker class
II - spurs, >= 1 cm gap between surfaces

Result: Brooker class II: bone spurs leaving at least 1 cm between opposing bone surfaces.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Class I
Islands of bone within the soft tissues about the hip.
Class II
Bone spurs leaving at least 1 cm between opposing bone surfaces.
Class III
Bone spurs reducing the space between opposing surfaces to less than 1 cm.
Class IV
Apparent bony ankylosis of the hip.

What you enter

  • Brooker class
How this is calculated

Brooker AF, Bowerman JW, Robinson RA, Riley LH Jr. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am. 1973;55(8):1629-1632. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.