Journal of Orthopaedic Case Reports

INTRODUCTION: Many loose bodies are present in the joint due to the uncommon benign neoplastic disorder known as synovial chondromatosis, which causes the production of intra-articular nodular cartilaginous lesions from the synovium. Synovial chondromatosis of the ankle joint is an uncommon condition. Here, we present a case of synovial chondromatosis of the ankle joint treated by surgical excision. CASE REPORT: A 42-year-old woman who had been experiencing discomfort and edema in her left ankle for 8 years and had gotten worse during the previous 2 years visited our outpatient department...

INTRODUCTION: While metastases of malignant thymomas have been shown, type A thymomas are often treated as benign. Type A thymomas often have excellent response to treatment, low recurrence rate, and a small malignant potential. To date, there have been no reports of type A thymomas with spinal metastases. CASE REPORT: A 66-year-old female with a type A thymoma metastatic to the T7 and T8 vertebral bodies and brain, with associated pathologic burst fracture, collapse of T7, and significant focal kyphosis ...

INTRODUCTION: About 20% of all fractures in the human skeleton involves the hand, affecting primarily the young and active population. A Bennett's fracture (BF) is a fracture of the base of the first metacarpal and surgical management is generally needed, with the K-wire fixation being the most preferred option. Among the most common complications with K-wires, we find infection and soft-tissues damages like tendon ruptures. CASE REPORT: Here, we report a case of iatrogenic rupture of the Little Finger's Flexor Profundus Tendon after K-wire fixation of a BF that was diagnosed 4 weeks after the lesion...

INTRODUCTION: Chondrosarcoma of the synovium is a rare and malignant form of cartilaginous tumor that originates in synovial tissue. There have only been a limited number of reported cases of malignant transformation of synovial chondromatosis (SC) into secondary chondrosarcoma (SCH), primarily in the hip and knee, in patients with resistant illness. The occurrence of chondrosarcoma in SC of the wrist is highly uncommon, as evidenced by only a single previous case study that has been documented in the literature...

INTRODUCTION: Transient osteoporosis (TO) is a rare diagnosis usually observed in the hip and it is extremely rare to identify TO in the talar bone. Bariatric surgery and other weight loss treatments for obesity are linked to decreased bone mineral density and a possible risk factor of TO. CASE REPORT: A 42-year-old man, known case of gastric sleeve surgery 3 years back otherwise medically free, presented with unusual symptoms in an outpatient setting with on and off pain for the past 2 weeks that increased with walking and reduced by rest...

INTRODUCTION: Total hip arthroplasty (THA) is widely accepted as a safe and effective procedure to relieve hip pain and restore function, but complications can lead to a poor outcome. Although major vascular injuries during THA are rare, when they do occur, massive bleeding may threaten life. CASE REPORT: We describe a case of a 72-year-old woman who underwent THA after rotational acetabular osteotomy (RAO). When the soft tissue in the acetabular fossa was dissected with electrocautery, massive pulsatile bleeding suddenly occurred...

INTRODUCTION: Enchondroma is a solitary, benign, and intramedullary cartilaginous tumor occurring most commonly in small bones of hands and feet contributing to 3-10% of all bone tumors. They originate from the growth plate cartilage which later on proliferates to form enchondroma. Lesions are central or eccentric and metaphyseal involvement is most common for long bones. We report a case of atypical occurrence of enchondroma in the head of femur in a young male. CASE REPORT: A 20-year-old male patient presented with a history of pain in the left groin for 5 months...

INTRODUCTION: The Putti-Platt procedure is a historical technique for anterior shoulder stabilization, largely abandoned because it severely restricts movement, and causes arthritis and chronic pain. Patients continue to present with these sequelae, which can be difficult to manage. Here, we present the first published subscapularis re-lengthening for the reversal of Putti-Platt. CASE REPORT: Patient: A 47-year-old Caucasian manual worker presented 25 years post-Putti-Platt, with chronic pain and movement restriction...

INTRODUCTION: The prevalence of avascular necrosis (AVN) of the femoral head in sickle cell anemia is 50% whereas untreated cases lead to total hip replacement. The recent development in cellular therapy paves the way to utilize autologous adult live-cultured osteoblasts (AALCO) in the management of AVN of the femoral head secondary to sickle cell anemia. CASE REPORT: We performed AALCO implantation in sickle cell anemia cases with AVN of the femoral head and were followed up for 6 months with the regular recording of visual analog score and modified Harris Hip Score...

INTRODUCTION: Avascular necrosis (AVN) of patella is a very rare condition and occurs in very few case. Although underlying etiology is still unknown, some expert suggest that its due to interruption of blood supply to patella which may be due to high velocity trauma or may be due to long term history of steroid intake. Here are the findings of our case AVN patella and reviews of earlier literature. CASE REPORT: We present a case of a AVN patella in a 31-year-old male...

INTRODUCTION: It has been noticed that human immunodeficiency virus (HIV) infection and anti-retro viral (ART) therapy, both individually lead to bone metabolic disorders, and hence, such patients have an increased propensity for fractures following trivial trauma. CASE REPORT: We present two cases, first a 52-year-old female with the right hip pain and inability to walk since 1 week following trivial trauma and associated dull pain in the left hip since 2 months ago...

INTRODUCTION: Pediatric hip dislocation is a rare event in the pediatric population. The management involves a timely diagnosis and emergent reduction for successful outcome. CASE REPORT: We present a case of a 2-year-old male patient with a posterior dislocation of hip. The child underwent an emergent closed reduction using Allis maneuver. Subsequently, the child had an uneventful recovery and resumed his functional activity completely. CONCLUSION: Posterior hip dislocation in a child is an extremely rare entity...

INTRODUCTION: Synovial chondromatosis is not a common condition and involvement of the ankle joint is quite rare. We found only one case of synovial chondromatosis of the ankle joint among the pediatric population. We present a case of a 9-year-old boy with synovial chondromatosis of the left ankle. CASE REPORT: A 9-year-old boy had synovial osteochondromatosis in the left ankle joint, which caused pain, swelling, and restriction of movement of the left ankle. Radiological examinations showed variable size calcific foci adjacent to the medial malleolus and medial ankle joint space with mild soft-tissue swelling...

INTRODUCTION: Immunoglobulin (Ig)G4-related disease belongs to a rare compilation of conditions in rheumatology and may involve a multitude of organs. Amidst the central nervous system (CNS) presentation, involvement of spinal cord is rarer still. CASE REPORT: Case 1: A 50-year-old male came with chief complaints of tingling sensation over both soles since 2 months associated with lower back ache and gait disturbance in the form of spastic gait. X-rays of spine were suggestive of a growth at the level of D10-D12 compressing the spinal cord with no focal sclerotic/lytic lesions, and MRI dorsolumbar spine showed dural tail sign...

INTRODUCTION: Authors report a rare case report about split hand and foot malformation (SHFM) also sometimes referred to as ectrodactyly. CASE REPORT: The patient with hand and foot malformations presented to casualty. A 60-year-old male was brought with alleged history of road traffic accident with tenderness and deformity in left thigh. On further physical examination, a malformation was present in bilateral feet and right hand. Plain radiographs were taken after emergency primary management which revealed a fracture of shaft of femur of the left side and absence of 2nd and 3rd phalanges in bilateral feet and lobster claw like malformation in the right hand...

INTRODUCTION: Scapho-capitate syndrome is a rare variety, usually occur during high-energy trauma leads to fracture of scaphoid and capitate with 180 rotation of proximal fragment of capitate. CASE REPORT: We present a unique case of chronic neglected scapho-capitate syndrome, in which the rotated proximal fragment of capitate along with the early degenerative changes in capitate and lunate. RESULT: Exploration of the wrist by dorsal approach, fracture fragment was resorbed and non-amenable for fixation...

INTRODUCTION: First introduced in Europe in the 1970s, dual mobility total hip arthroplasty (DM-THA) has gained popularity over years due to the reduced dislocation rates compared to standard THA. However, intraprosthetic dislocation (IPD), a rare complication where the femoral head separates from the polyethylene (PE) liner, remains a potential complication. CASE REPORT: A 67-year-old female presented with a transcervical neck of femur fracture. She was managed with a DM-THA...

INTRODUCTION: Glomus tumor is a rare hamartoma, common in young female which is excruciatingly painful and affects daily activities. It is usually present in distal phalanx (subungual) but may occur in different locations. A clinician needs high-level suspicion to diagnose this condition. CASE REPORT: We hereby reviewed five cases (four females and one male) of this rare entity selected from patients attending our outpatient department since 2016 and were operated on...

INTRODUCTION: Complete avulsion of the common extensor origin of the elbow is a very rare injury which significantly weakens upper limb function. The restoration of the extensor origin is indispensable to the function of the elbow. There are very few reports of such injuries and their reconstruction. CASE REPORT: We present a case report of a 57-year-old male who presented with pain and swelling of elbow with inability to lift objects for 3 weeks. We diagnosed a complete common extensor origin rupture due to prior degeneration after corticosteroid injection for tennis elbow...

INTRODUCTION: Accessory ossicles are well-corticated bony structures found close to bones or a joint. They may be unilateral or bilateral. The os tibiale externum is also known as accessory navicular bone, os naviculare secundarium, accessory (tarsal) scaphoid, or prehallux. It is found within the tibialis posterior tendon near its insertion on the navicular bone. The os peroneum is a small sesamoid bone located within the peroneus longus tendon, adjacent to the cuboid. We present a case series of five patients with accessory ossicles of the foot to demonstrate pitfalls in the diagnosis of foot and ankle pain...