Journals Journal of Orthopaedic Case Re...

Journal of Orthopaedic Case Reports
Christopher Sancilio, Michael Mastroianni, Albert Mousad, Nicholas De Jesus, Frank McCormick
INTRODUCTION: A patient presented for recalcitrant right hip pain secondary to femoroacetabular impingement (FAI) after blunt motor vehicle trauma and following the development of a 12 cm heterotopic ossification (HO). FAI is an increasingly recognized diagnosis where the hip joint is exposed to repeated femoral microtrauma from high-level physical activity or trauma, often causing labral ossification, and perhaps underlying a similar biological mechanism to HO. CASE REPORT: In this case report, we have an otherwise healthy 49-year-old male who was involved in a high-speed motor vehicle collision who was diagnosed with right hip FAI secondary to HO (Brooker's Class IV) and indicated for surgical excision of the HO anterior to the right proximal femur...
April 2024: Journal of Orthopaedic Case Reports
Vipin Mundakattu, Ravikumar Veluthedath, Mohamed Raees Pookkayil, Sharafuddeen Mammu
INTRODUCTION: Combined dislocation of lesser metatarsophalangeal (MTP) joints is a rare occurrence. This case report details the successful open reduction of combined lesser MTP dislocation. CASE REPORT: A 54-year-old male presented with trauma to his right foot following a fall from height. The patient had dorsolateral dislocation of the second, third, and fifth MTP joints, accompanied by a displaced fracture of the fourth metatarsal neck with an intact fourth MTP joint...
April 2024: Journal of Orthopaedic Case Reports
Woon Hwa Jung, Jignesh Y Tandel
INTRODUCTION: People with post-polio syndrome usually have some residual deformities. Genu recurvatum is very commonly seen in such cases which are a risk factor for anterior cruciate ligament (ACL) injury due to the altered biomechanics. To the best of our knowledge, this is the first report in literature presenting ACL reconstruction in a limb with genu recurvatum deformity treated with supracondylar osteotomy. CASE REPORT: A 49-year-old female with genu recurvatum and history of polio presented with pain and instability...
April 2024: Journal of Orthopaedic Case Reports
James C George, B Samuel Chittaranjan, Subin Babu, Bharath Mohan
INTRODUCTION: There has been debate regarding the advantages of cruciate-retaining over posterior stabilized (PS) knee arthroplasty and vice versa. Many authors consider any coronal plane deformity > 15° as a contraindication for cruciate-retaining total knee arthroplasty. We aimed to compare whether functional outcome, deformity correction, and survivorship of cruciate retaining knee arthroplasty (CR) for severe varus deformity are equivalent to that ofposterior cruciate ligament substituting (PS) for 6 years...
April 2024: Journal of Orthopaedic Case Reports
Aatam Vitrag Shah, Jeel Vijaybhai Mangrola, Harit Chandresh Vora, Vitrag Dhansukh Shah, Aagam Vitrag Shah
INTRODUCTION: Vascular anomalies, comprising up to 4.5% of the general population, are aberrations occurring during vascular development. Vascular abnormalities are frequently identified in children and frequently exhibit characteristics similar to nerve sheath tumors. We report a case of 16 years old boy with a arterio-venous (AV) malformation (AVM) affecting the brachial plexus. We discuss the clinical features, diagnosis, treatment, and histopathological findings in this patient and review the relevant literature...
April 2024: Journal of Orthopaedic Case Reports
Jacob D Mikula, R Timothy Kreulen, Ken Johnson, Mohammed Emam, John H Wilckens
INTRODUCTION: Simultaneous anterior cruciate ligament (ACL) and ipsilateral hamstring ruptures have never been reported in the literature. The purpose of this article is to describe a treatment approach for such a case. The principles in this case can help guide treatment for any patient with concomitant ACL and hamstring pathology. CASE REPORT: We describe the case of a 53-year-old male who presented with left ipsilateral simultaneous complete proximal hamstring tendon (HT) and ACL tears after an acute tennis injury...
April 2024: Journal of Orthopaedic Case Reports
Sohail Ahmad, Pranjal Agrawal, Adnan Anwer, Shivank Khurana, Mohd Adil, Mohammad Ibran
INTRODUCTION: Gunshot injuries, while relatively uncommon in pediatric patients, can have lasting consequences, both physically and psychologically. Physeal injuries to the distal tibia are very common just second distal radius physis. Disruption of physis often leads to growth disturbances and deformities if not managed appropriately. This case report discusses the experience of a 9-year-old girl who sustained a gunshot injury to her left ankle injuring her distal tibial epiphysis. The report highlights the importance of long-term follow-up and rehabilitation in pediatric gunshot injury cases...
April 2024: Journal of Orthopaedic Case Reports
R C S Khandelwal, Tanmay Avhad, Zafar Syed, Arif Chaudhary, Saurabh Bhangde
INTRODUCTION: Olecranon fractures with compromised overlying skin such as superficial and deep abrasions and puncture wounds pose a challenge to manage as they are at a higher risk of wound and hardware-associated complications such as wound dehiscence, infection, gaping, and prominent hardware. Management of such fractures requires a holistic approach with special attention to the skin and soft tissues. CASE REPORT: This case highlights a 28-year-old male with a history of falls from a bike resulting in the right comminuted displaced olecranon fracture with multiple superficial abrasions which was managed with a thorough wound wash, antibiotics for 3 days after which percutaneous tension band wiring was performed through a 3 cm incision to prevent any wound complications...
April 2024: Journal of Orthopaedic Case Reports
Ajay R Kothari, Bhushan Balvantrao Patil, Siddharth Aiyer, Parag K Sancheti
INTRODUCTION: Ankylosing spondylitis is a spondyloarthropathy that commonly involves the axial skeleton with predilection to the sacro-iliac joints and spine. The disease frequently results in a smooth globular kyphotic deformity of the spine; however, a coronal plane scoliotic deformity is extremely rare. We present a unique case of scoliotic deformity in a patient diagnosed with ankylosing spondylitis. To the best of our knowledge, following a review of the literature, this appears to be the first report of this kind...
April 2024: Journal of Orthopaedic Case Reports
Bünyamin Kiliçli, Emin Taşkiran
INTRODUCTION: In the treatment of medial gonarthrosis, the high tibial osteotomy (HTO) is recognized as an effective joint-sparing surgical procedure. Severe valgus deformity is not a common complication after HTO. There are no cases in the literature reporting valgus deformity of 10° or more after HTO. CASE REPORT: An open-wedge HTO was performed on a 57-year-old female patient due to left knee pain and varus deformity. In this case, a progressive and severe valgus deformity occurred during follow-up...
April 2024: Journal of Orthopaedic Case Reports
Shuro Furuichi, Yoshifumi Namba, Yoshihisa Sugimoto, Tomohiro Oishi, Shigeru Mitani
INTRODUCTION: Recently, Serratia marcescens was reported to cause nosocomial infections. CASE REPORT: In this study, we report a case of S. marcescens infection occurring after total knee arthroplasty (TKA) in a 72-year-old woman. The patient had undergone TKA for knee osteoarthritis. She had a past medical history of diabetes mellitus, for which she was receiving cefazolin sodium. Six days after surgery, redness and effusion were observed in the wound, and post-operative infection was suspected...
April 2024: Journal of Orthopaedic Case Reports
Samuel Shepard, Eliud Seme Aluvaala, H Brent Bamberger
INTRODUCTION: Over the past two decades, wide-awake local anesthesia no-tourniquet (WALANT) surgery has gained substantial popularity, challenging conventional assumptions regarding the safety of epinephrine. This report investigates the unprecedented expansion of the wide-awake local anesthesia technique beyond hand surgeries. It meticulously documents its successful application in a peri-implant proximal humerus fracture, presenting a fresh perspective on its safety and viability for managing intricate orthopedic injuries...
April 2024: Journal of Orthopaedic Case Reports
Chang Hee Baek, Bo Taek Kim, Jung Gon Kim
INTRODUCTION: Irreparable rotator cuff tears (IRCTs) often deteriorate shoulder function, necessitating careful consideration of treatment approaches. While reverse total shoulder arthroplasty (RTSA) is the first line of treatment in patients with arthropathy, preserving the joint is crucial for highly demand patients without arthritis. For those patients, various tendon transfer techniques have been established to address different types of IRCTs, including lower trapezius tendon (LTT) transfer for posterior superior IRCTs (PSIRCTs) and middle trapezius tendon (MTT) transfer for isolated supraspinatus IRCTs (ISIRCTs)...
April 2024: Journal of Orthopaedic Case Reports
Bibhudendu Mohapatra, Nirdesh Hiremagalur Jagadeesh, Mayukh Guha, Anita Agarwal, Jomin George, T Fazal Rehman
INTRODUCTION: Occurrence of hemorrhagic cyst inside ligamentum flavum is a very rare phenomenon and presents with back pain, radiculopathy, or neurogenic claudication. Various causes reported in the literature are trauma, anticoagulant therapy, and increased micromotion in the setting of unstable and degenerated motion segment. CASE REPORT: We report a case of 41-year-old male patient who presented with claudication pain in both lower limbs for the past 6 months associated with bilateral calf atrophy...
April 2024: Journal of Orthopaedic Case Reports
Barbara Minkowitz, Eytan Mendelow, Jennifer Ristic, Christina Gagliardo, Colleen Spingarn
INTRODUCTION: Brodie's abscess is one type of subacute osteomyelitis that can be difficult to diagnose because characteristic signs and symptoms can be subtle and non-specific. Up to 90% of Brodie's abscess cases are initially misdiagnosed, with a mean delay of 3 months to the correct diagnosis, with 50% of them misdiagnosed as tumors. Other conditions can also present quite similarly. CASE REPORT: A 7-year-old male presented with complaints of hip pain and inability to bear weight...
April 2024: Journal of Orthopaedic Case Reports
Bharat Dave, Rohan Killekar, Devanand Degulmadi, Shivanand Mayi, Ravi Ranjan Rai, Mirant Dave
INTRODUCTION: Osteoarthritis of the atlantoaxial joint is a significant cause of occipitocervical pain, which is often missed and has an increasing prevalence with age. The patients typically present with occipitocervical pain and restricted and painful neck rotations. Despite the primary reliance on conservative management for this pathology, surgical intervention becomes crucial for those not responding to standard conservative treatment. The presented case series highlights the rarity of the requirement of surgical intervention in the management of Atlantoaxial osteoarthritis (AAOA) and the clinical outcomes of surgical management in AAOA...
April 2024: Journal of Orthopaedic Case Reports
Kuldeep Chand Vatsyan, Amit Kumar Salaria, Punit Katoch, Virender Negi, Lokesh Gupta, Sandeep Kalia
INTRODUCTION: The incidence of ipsilateral fracture of the shaft of the femur and dislocation of the hip are extremely rare injuries. However, the incidence of complex fractures is increasing day by day due to an increasing variety of traumatic mechanisms. This type of injury constitutes various diagnostic and treatment difficulties for the surgeon. Such injuries should be managed on an urgent basis for better functional outcomes. CASE REPORT: We hereby describe two such cases: First case hip was reduced using external fixator pins, stabilization of the shaft femur fracture was done with an external fixator and the second case hip was reduced with bone holding clamps and the shaft femur fracture was fixed with interlocking nail...
March 2024: Journal of Orthopaedic Case Reports
Vijay Haribhakti, Shruti Morabia
INTRODUCTION: Malignant tumors afflicting the sub-condylar area and ascending ramus of the mandible without mucosal involvement are extremely rare. Traditional approaches such as lip-split-cheek flap and Visor flap would prove sub-optimal and excessive for such limited lesions and entail salivary contamination and mental nerve sacrifice. To circumvent these limitations, we developed a surgical approach that achieves wide, extra-oral exposure to the condyle and ascending ramus and permits controlled resection, affording protection to the facial nerve branches and mental nerve, while avoiding salivary contamination...
March 2024: Journal of Orthopaedic Case Reports
Mathieu Lozouet, Stéphane Derrey, Elisabeth Garrido, Ould-Slimane Mourad, Pauline Cantogrel, Sophie Curey
INTRODUCTION: Intraspinal extradural arthrosynovial cysts, which belong to the spectrum of degenerative spinal diseases are mainly located at lumbar level and their location at cervical level joint is therefore unusual. The most common surgical approach for symptomatic arthrosynovial cervical cyst remains a direct resection of the cyst by a cervical hemilaminectomy with or without a posterior arthrodesis. However, another surgical approach may also be discussed when considering the cyst as a result of a local spinal instability or hypermobility...
March 2024: Journal of Orthopaedic Case Reports
Ethem Burak Oklaz, Ibrahim Kaya, Murat Ciceklidag, Resul Bircan, Muhammed Furkan Tosun, Ulunay Kanatli
INTRODUCTION: Abnormalities of the double-layered meniscus are rare and can be difficult to diagnose. The main pathology in this abnormality, which is predominantly seen in the lateral compartment, is an accessory meniscus lying over the normal meniscus. Anatomically, this structure can appear in different forms. Although other meniscal abnormalities associated with a double-layered meniscus have been reported, this case presents a previously undescribed type in the literature. CASE REPORT: A 12-year-old girl presented to our clinic with complaints of knee locking and pain...
March 2024: Journal of Orthopaedic Case Reports
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