journal
https://read.qxmd.com/read/38788057/first-metatarsal-headphones-like-lesion-a-case-of-unreducible-sesamoid-complex-dislocation
#1
JOURNAL ARTICLE
A Mazzotti, E Cassanelli, E Artioli, S O Zielli, A Arceri, M Di Liddo, C Faldini
CASE: A 34-year-old woman sustained a direct trauma to the left hallux during a fall. Radiographs showed a dorsal dislocation of the first metatarsophalangeal joint and a wide separation of sesamoid complex. Closed reduction was tried: postreduction radiographs displayed reduction of first metatarsophalangeal joint and a complete sesamoid complex dislocation. The patient was scheduled for surgery. Through a medial approach, open reduction together with plantar structures release and repair were performed...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38788054/quadruple-disruption-of-superior-shoulder-suspensory-complex-with-proximal-humerus-open-fracture-dislocation-a-case-report
#2
JOURNAL ARTICLE
Jaime A Quirarte, Trevor J Wait, Sohan Kumar Jakkaraju, Matthew D Smith, Luis M Salazar, Robert G Delbello, Anil K Dutta
CASE: A 34-year-old man was a restrained passenger involved in a high-speed rollover motor vehicle crash. The patient sustained a type 5 AC joint separation, severely comminuted intra-articular glenoid fracture with extension to the coracoid process base, displaced open scapular body fracture, a posterior shoulder dislocation of the glenohumeral joint, and a 2-part proximal humerus fracture. CONCLUSION: To our knowledge, this is the first report describing this injury pattern involving the superior shoulder suspensory complex with an associated open proximal humerus fracture-dislocation...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38788052/tuberculous-flexor-tenosynovitis-with-median-nerve-compression-a-case-report
#3
JOURNAL ARTICLE
Pushkar Khandekar, Sandeep Patil, Sujit Korday, Madhusudan Gopikrishna, Shradha Kulkarni, Kevin Jain
CASE: A 65-year-old female patient presented with complaints of diffuse pain and swelling in her right wrist with paresthesia in her right hand with thenar wasting. Her magnetic resonance imaging scan was suggestive of flexor tenosynovitis of the wrist with compression of the median nerve with multiple rice bodies. She underwent excisional biopsy along with median nerve decompression. Mycobacterium tuberculosis was detected by polymerase chain reaction (GeneXpert), and histopathology identified caseous granulomas...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38788051/drop-foot-with-posterior-tibialis-weakness-treated-with-peroneus-longus-transfer-in-a-child-a-case-report
#4
JOURNAL ARTICLE
Robert M Kay, Alison Hanson
CASE: An 8-year-old girl with a history of acute flaccid paralysis presented with chronic valgus drop foot causing tripping and falling. Traditionally surgical correction of this deformity is accomplished by transferring the posterior tibialis tendon to enhance dorsiflexion. The authors describe a new technique which transfers the peroneus longus tendon to the dorsum of the foot in a patient with weakness of the posterior tibialis muscle. The patient's drop foot and gait were improved at the 22-month follow-up...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38788049/stable-lateral-compression-pelvic-ring-injury-requiring-operative-treatment-due-to-bladder-impingement-a-case-report
#5
JOURNAL ARTICLE
Andrew P Collins, Waleed Abdelfattah, Suhas P Dasari, Florence Unno, Reza Firoozabadi, Conor P Kleweno, Sarah P Psutka, William D Lack
CASE: A 25-year-old man sustained a stable lateral compression Type I (LC I) pelvic ring injury upon missing the landing of a downhill ski jump. He presented with painful voiding from a displaced bony fragment, partially impaling the bladder wall. With operative fixation of the fracture and urologic co-management, the patient had excellent outcomes at 1-year follow-up. CONCLUSION: We describe a rare urologic injury in the setting of an LC I pelvic ring injury. In the setting of an otherwise stable pelvic ring injury, careful review of imaging, detailed clinical history, and physical examination remain critical to optimizing patient outcomes...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38758928/transiliac-shortening-osteotomy-to-treat-ischial-pressure-injury-due-to-fixed-pelvic-obliquity-a-case-report
#6
JOURNAL ARTICLE
Richard M Schwend, Brandon T Nguyen, McKenna C Noe, John T Anderson, Shao Jiang
CASE: A 17-year-old adolescent boy with Gross Motor Function Classification System 5 cerebral palsy and neuromuscular scoliosis underwent posterior spinal fusion and segmental spinal instrumentation from T3 to the pelvis. He developed a right ischial pressure injury a few months postoperatively, which persisted despite nonoperative measures. He subsequently underwent an ipsilateral transiliac-shortening osteotomy 16 months after spinal surgery to treat his residual pelvic obliquity and the ischial pressure injury, which healed completely...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38758921/acute-compartment-syndrome-in-a-football-player-with-quadriceps-contusion-and-successful-return-to-sport-a-case-report
#7
JOURNAL ARTICLE
Riley O'Toole, Martina Hale, Michael J Scarcella
CASE: This report describes the case of quadriceps contusion progressing to acute compartment syndrome (ACS) of the thigh. A 17-year-old football player presented the morning after a direct impact injury to the anterior thigh in intractable pain and pain with short arc motion. He was diagnosed with ACS and underwent successful fasciotomy, ultimately returning to play at 4 months. CONCLUSION: ACS is rare but potential catastrophic progression of quadriceps contusion...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38758834/digital-thermal-necrosis-resulting-in-amputation-after-removing-a-tungsten-carbide-ring-with-a-high-speed-metal-burr-a-case-report
#8
JOURNAL ARTICLE
Ernesto S Quinto, John M Dowbak
CASE: A 41-year-old man removed a tungsten carbide ring from his left index finger by cutting it off with a high-speed metal burr. The patient presented two days later with a pink and perfused left index finger with circumferential dry gangrene along the area of the ring, active flexor and extensor tendon excursion, and decreased sensation distally. Within 24 hours, the wound developed into wet gangrene and diffuse cyanosis requiring amputation. CONCLUSION: After reviewing previously documented methods to remove tungsten carbide rings, the authors conclude clinicians should be cognizant of the potential complications associated with the use of a high-speed metal burr...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38758833/modified-superhip2-to-reconstruct-postinfectious-femoral-neck-pseudoarthrosis-hunka-type-3-a-case-report
#9
JOURNAL ARTICLE
Rami A Jahmani
CASE: We report a case of a 3-year-old girl who developed a post-infectious femoral neck pseudoarthrosis after a proximal hematogenous femoral osteomyelitis (type 3 according to Hunka classification of the sequelae of the septic hip in children). The patient was treated by a modified "SUPERhip 2" procedure (a reconstructive procedure described to reconstruct congenital femoral neck pseudoarthrosis). This report describes the surgical technique in details and discusses the advantages, pitfalls, and complications and possible complications...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38758831/an-upper-arm-clostridium-perfringens-fracture-related-infection-a-case-report
#10
JOURNAL ARTICLE
Anže Lamut, Samo Roškar, Rene Mihalič, Rihard Trebše
Fracture-related infections (FRI) pose serious complications, requiring swift surgical intervention. Although C. perfringens infections in FRIs are rare and literature is scarce, this case highlights the successful management and good functional outcome, offering valuable insights for clinicians dealing with such infections.
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38728527/osteosarcoma-after-total-knee-arthroplasty-a-case-report
#11
JOURNAL ARTICLE
Pablo Martínez-Collado, Oriol Pujol, Andrés Bustos, Martí Plomer, María G Carrasco, Tulio Silva, Roberto Vélez, Joan Minguell
CASE: A 79-year-old woman presented with a periprosthetic fracture 8 years after a total knee arthroplasty (TKA). Radiographs demonstrated tibial implant loosening with severe osteolysis. A high-grade osteosarcoma around the prosthesis was diagnosed, and a supracondylar femoral amputation was performed. After 2 years, no complications have occurred. CONCLUSIONS: A malignant tumor around a TKA is extremely rare. Surgeons should remain vigilant with patients who present with rapidly progressive or very aggressive implant loosening with osteolysis...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38728526/traumatic-floating-total-hip-arthroplasty-a-case-report
#12
JOURNAL ARTICLE
James D Brodell, Jared Newman, Sandeep P Soin
CASE: A 58-year-old woman with medical history of a left total hip arthroplasty performed by the direct anterior (DA) approach 2 years prior presented with left hip pain. She was found to have sustained a transverse Vancouver C periprosthetic femur fracture and an unstable periprosthetic pelvic fracture. CONCLUSIONS: This patient's case represents a previously not reported injury about a total hip arthroplasty-with disruption distal to the femoral implant and proximal to the acetabular implant, with the implant-to-bone interface unaffected...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38728525/conversion-total-hip-arthroplasty-in-patients-with-osteopetrosis-insights-from-two-unique-cases
#13
JOURNAL ARTICLE
Mohammad Poursalehian, Mohaddeseh Bahmani, Mohammad Ghorbanzadeh, Seyed Mohammad Javad Mortazavi
CASE: Two patients with osteopetrosis underwent conversion total hip arthroplasty (THA) after failure of internal fixation due to hip fractures. We experienced challenges, including difficulty of hardware removal, remaining of previous broken screws in the canal, difficulty in finding the femoral canal, and an intraoperative acetabulum fracture. Despite complications, both patients achieved satisfactory functional outcome after surgery at the latest follow-up. CONCLUSION: Our cases showed that previous hip fracture and failed internal fixation make conversion THA more complex and unpredictable in patients with osteopetrosis...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38728442/acute-on-chronic-axillary-artery-thrombus-after-reverse-total-shoulder-arthroplasty-for-failed-proximal-humerus-open-reduction-and-internal-fixation-a-case-report
#14
JOURNAL ARTICLE
Ryan A Hoffman, Oscar Covarrubias, Andrew Green, E Scott Paxton
CASE: A 71-year-old woman presented with post-traumatic arthritis 11 months after open reduction and internal fixation for a left proximal humerus fracture (PHF) dislocation. After revision to reverse total shoulder arthroplasty (rTSA), the patient's left upper extremity was found to be avascular. An emergent thrombectomy was performed with restoration of arterial flow after removal of an acute-on-chronic axillary artery thrombus. CONCLUSION: Although rare, as rTSA becomes more common for management of PHF, incidence of associated vascular injuries is likely to rise...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38728441/a-successful-clinical-outcome-29-months-following-improper-placement-of-the-compress-implant-a-case-report
#15
JOURNAL ARTICLE
Kathryn Schultz, Vaibhav Tadepalli, Gregory Domson
CASE: A 24-year-old woman presented with dedifferentiated parosteal osteosarcoma of the proximal femur and was treated with limb salvage surgery using the Compress implant. It was implanted with a technical error, was not revised, and has demonstrated no negative outcomes 29 months postoperatively. CONCLUSION: An instance of incorrect pin placement during the implantation of a Zimmer Compress implant is presented with good survivorship. This report acts as information for other surgeons who might inadvertently obtain unicortical fixation...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38709913/arthroscopically-assisted-treatment-of-isolated-comminuted-trapezium-fracture-a-report-of-two-cases
#16
JOURNAL ARTICLE
Katsunori Ohno, Shohei Omokawa, Kenji Kawamura
CASES: Two competitive athletes with isolated comminuted trapezium fractures, sustained during American football and rugby, presented with pain and swelling of the first metacarpal base. Computed tomography confirmed isolated comminuted trapezium fractures. Arthroscopic reduction of displacement with screw fixation below the articular surface was performed through a small incision. Both patients returned to their preinjury sports levels within 2 months postoperatively. CONCLUSION: Arthroscopic treatment of isolated comminuted trapezium fractures achieved accurate reduction of articular surface displacement and preserved trapeziometacarpal joint stability with minimal soft-tissue invasion...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38709910/isolated-palsy-of-the-anterior-interosseous-nerve-to-flexor-pollicis-longus-magnetic-resonance-imaging-and-clinical-correlation-a-case-report
#17
JOURNAL ARTICLE
Michael F Levidy, Kenneth Lindell, Kenneth F Taylor
CASE: Anterior interosseous nerve (AIN) palsy is an uncommon, though well-described, clinical entity. When isolated to the thumb, it can be confused with atraumatic rupture of the flexor pollicis longus (FPL) tendon. A 57-year-old man experienced atraumatic onset of difficulty flexing the distal interphalangeal thumb joint. Magnetic resonance imaging (MRI) demonstrated denervation edema of the FPL, suggesting atypical AIN palsy. Resolution of symptoms and MRI findings occurred concomitantly with nonoperative treatment...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38704855/reconstruction-of-the-medial-malleolus-with-iliac-crest-autograft-after-traumatic-loss-a-case-report
#18
JOURNAL ARTICLE
Nicholas Laco, Thomas Poynter, Garrett Wireman, Travis Parkulo, James Gainer, Grant Schmidt, Jordan Sisto, Hari Ankem, David Seligson
CASE: A 19-year-old woman sustained an open ankle fracture with complete destruction of the left medial malleolus and significant soft-tissue loss. After temporizing external fixation and coverage with a rotational posterior tibial artery perforator flap, the medial malleolus was reconstructed with an autologous iliac crest bone graft and direct repair of the deltoid ligament. The patient achieved excellent improvement in functional outcomes at 21 months with adequate restoration of ankle motion...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38704648/a-new-entity-of-ramp-lesion-combined-with-posterior-root-tear-of-the-medial-meniscus-a-case-report
#19
JOURNAL ARTICLE
Andrea Di Muro, Zyad Ayman Taha, Jacopo Corti, Fabio Frasconà, Fabrizio Matassi
CASE: This report describes a new pattern of meniscal tear in an 18-year-old man after a knee sprain; he had undergone anterior cruciate ligament revision (ACL-R) 3 years earlier. He was diagnosed with an anterior cruciate ligament (ACL) graft rupture, a ramp lesion (Thaunat type 4), and a posterior root avulsion fracture of the medial meniscus (MM) (LaPrade type 5). He was treated successfully with an all-inside repair of the ramp lesion, a transtibial pull-out repair of the root tear, and ACL graft revision and anterolateral stabilization...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38704646/congenital-syphilis-and-the-orthopaedic-perspective-a-case-report
#20
JOURNAL ARTICLE
Madison Craft, Prince Ohene-Nyako, David Yung-Ping Chong
CASE: We report a case of an otherwise healthy 4-month-old male infant presenting with unexplained metaphyseal lucent bands and diaphyseal periosteal reactions in bilateral extremities upon radiograph, who was ultimately diagnosed with congenital syphilis. After subsequent workup and treatment, the patient had appropriate range of motion of all extremities within 2 weeks after discharge. CONCLUSION: The purpose of this report was to increase the awareness of the rising incidence of congenital syphilis in the United States and educate fellow orthopaedic surgeons on ways to differentiate the skeletal manifestations of congenital syphilis from other pathologies with significant bone involvement...
April 1, 2024: JBJS Case Connector
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