We report on a patient with spin;ll cord injury and an unusual localiz
ation of heterotopic ossification (HO) in the area of a laparotomy sca
r, with a large quantity of foreign bodies from residual suture materi
al. This makes it obvious that extraskeletal cells can. differentiate
for osteogenesis. However, neither the mechanism of the induction proc
ess of HO nor the stimulating agents are precisely known. It must be s
tressed, however, that the occurrence of HO can be influenced by forei
gn bodies in the presence of favourable microenvironmental conditions.