Journals Journal of Orthopaedic Case Re...

Journal of Orthopaedic Case Reports
Fernando Macedo, Marta Marques, João Costa, Miguel Rocha, Riccardo D' Ambrosi, João Moura
INTRODUCTION: While elbow fractures are frequently observed in children, isolated apophyseal detachments of the olecranon are rare, accounting for just 1.7% of all elbow fractures in healthy children. These fractures have been found to have a large positive likelihood ratio for osteogenesis imperfecta (OI). Within the population of patients with OI, the incidence is 13.5%, with 6% sustaining bilateral fractures. There are, however, very few reports of synchronous bilateral fractures. CASE REPORT: A 15-year-old boy sustained a bilateral olecranon apophyse fracture, AO/OTA 21u-M/7 (displaced on the right side and minimal displacement on the left) after a low-energy fall...
August 2023: Journal of Orthopaedic Case Reports
Gabriel Makar, Sundeep Kahlon, Mark Seeley
INTRODUCTION: A male child with congenital insensitivity to pain (CIP) due to a novel de novo L369P mutation in the SCN11A gene was found to have significant bilateral hip flexion contractures, followed by severe heterotopic ossification after contraction release. This is the first report to describe a patient with this specific mutation and subsequent clinical course. CASE REPORT: A male child with CIP due to de novo L369P mutation in the SCN11A gene was found to have significant bilateral hip flexion contractures...
August 2023: Journal of Orthopaedic Case Reports
Derek Yocum, Emma Housholder, Jeffrey Yergler
INTRODUCTION: Although surgical devices and techniques continue to improve, regular post-operative monitoring of patients is required to ensure the best outcomes. New technological advances have allowed physicians to monitor the daily recovery of total knee arthroplasty (TKA) patients. This report is the first to describe the utilization of an implantable gait monitoring device and its capacity to detect poor early post-operative outcomes. CASE REPORT: Two patients, a 78-year-old male and a 34-year-old female, were assessed post-TKA utilizing remote gait kinematics and clinical evaluations and determined to need manipulation under anesthesia due to severely limited range of motion...
August 2023: Journal of Orthopaedic Case Reports
Faaiz Ali Shah, Ashok Shyam
No abstract text is available yet for this article.
August 2023: Journal of Orthopaedic Case Reports
Aashay Sonkusale, Pratik Gandhi, Siddheshwar Andhale, Dishant Singla
INTRODUCTION: This is a case of a popliteal swelling which was clinically misdiagnosed as a simple popliteal cyst, which turned out to be a benign fibroblastic tumor featuring nodular fasciitis (NF). A swelling in the popliteal fossa by and large is considered to be a Baker's cyst. However, an array of other lesions which can be encountered such as fibroma featuring NF, meniscal cysts, lipoma, aneurysms, bursitis of the biceps femoris tendon, and schwannoma should also be borne in mind since clinical and radiological evaluation may not always be conclusive...
August 2023: Journal of Orthopaedic Case Reports
Rajlaxmi Reddy, Vijay Narasimman Reddy, Venkat Kiran
INTRODUCTION: Synovial chondromatosis is a rare non- malignant bone tumor. Most commonly middle aged people are affected . This condition most commonly occurs in knee joints, and rarely, it may occur in other joints. Patient usually complaints of pain, swelling and restrictions of movements at the affected joint. Diagnosis is made through thorough clinical examination and Radiological investigation. Condition is treated with open synovectomy with the removal of loose bodies. If not treated in time the patient might develop early osteoarthritic changes and rarely develop into malignancy in few cases...
August 2023: Journal of Orthopaedic Case Reports
Mohamed Abdelghany, Ahmed Abdelrazak, Mohamed Raafat, Eslam Fattouh
INTRODUCTION: Superficial infrapatellar bursitis may be traumatic, inflammatory, or infectious. It rarely attains massive dimensions. Open excision can be performed as a one-stage or a two-stage procedure, and endoscopy can be an alternative. We report a chronic, unusually massive, hemorrhagic infrapatellar bursa which we resected totally in a single stage procedure with no significant complications. CASE REPORT: A 65-year-old male farmer presented with a chronic massive swelling in front of the right knee which first appeared 4 years earlier and had no effect on his general condition...
August 2023: Journal of Orthopaedic Case Reports
Aashay Sonkusale, Pratik Gandhi, Vivek Maurya, Vishal Giri
INTRODUCTION: Giant cell tumors of tendon sheath are benign, rarely malignant, soft-tissue tumors arising from tenosynovial sheath and periarticular soft tissue. They usually present as painless masses with some restriction of movement. Histopathological diagnosis is gold standard although pre-operative fine-needle aspiration cytology (FNAC), plain radiographs, and MRI help in narrowing down the differentials. Giant cell tumor of the tendon sheath (GCTTS) although benign is notorious for having a high rate of recurrences, with most important risk factors being adjacency to joint and incomplete excision...
August 2023: Journal of Orthopaedic Case Reports
Shivam Bansal, Arghya Kundu Choudhury, Saptarshi Barman, Bishwa Bandhu Niraula, Balgovind S Raja, Roop Bhushan Kalia
INTRODUCTION: Medial patellofemoral ligament (MPFL) prevents lateral dislocation of the patella and acts as a major stabilizer. The tear could be associated with osteochondral avulsion fractures; however, intra-articular split fractures are not seen. Here, we present one unusual case of such a presentation. CASE REPORT: A 16-year-old male presented with a history of recurrent patellar dislocation and inability to bear weight following the last episode. The patient was diagnosed with an MPFL tear with an unusual intra-articular femoral condyle split fracture...
August 2023: Journal of Orthopaedic Case Reports
Abhijit Bandyopadhyay, Katie A Hoban, Arpit C Jariwala
INTRODUCTION: Triceps tendon avulsion is a rare tendinous injury that can be easily overlooked. If left untreated, such injuries can lead to a weakening of a patient's elbow extension and thereby cause significant disability; therefore, early identification and appropriate surgical intervention are important. CASE REPORT: We report bilateral triceps tendon avulsion injuries in a 49-year-old, right-hand dominant airline pilot. The patient fell while running and injured both his elbows...
August 2023: Journal of Orthopaedic Case Reports
Derrick Bark, Kelsey Lewis
INTRODUCTION: Chronic unreduced shoulder dislocations (CUSDs) are rare with a prevalence of 0.10-0.18%, usually occurring after car crashes, falls, assaults, getting out of bed, and seizures. Management is often open reduction and fixation. Most cases have been reported in countries with inadequate resources and access to care often leading to misdiagnosis and poor management. We report a case of a patient with a CUSD presenting to a chiropractor within a federally qualified health center (FQHC)...
July 2023: Journal of Orthopaedic Case Reports
Seung Il Choi, Michaela Matenga, Stephen McHale
INTRODUCTION: Carpometacarpal joint (CMCJ) dislocations are a rare presentation and a volar dislocation in a pediatric patient even more so. We present a case of this condition along with management strategies to help guide future treatment of this injury. CASE REPORT: A fit and well 8-year-old boy presented with pain and deformity of his right hand following a fall from a horse. He had no history of previous trauma or injury to this hand. X-rays demonstrated a volar dislocation of the second CMCJ, along with several metacarpal base fractures...
July 2023: Journal of Orthopaedic Case Reports
Nolan P Schmitz, Daniel R Gaines, Jignesh N Patel
INTRODUCTION: Ankle fractures are a common orthopedic injury traditionally treated with open reduction and internal fixation or conservative management. One complication introduced with open reduction and internal fixation is the requirement for non or partial weight bearing in the post-operative period. This requirement poses a unique challenge for patients who may not comply with these weight-bearing restrictions. This case is the first known article that specifically illustrates the validity and effectiveness of retrograde tibiotalocalcaneal (TTC) nailing for patients who are unlikely to follow weight-bearing restrictions...
July 2023: Journal of Orthopaedic Case Reports
Manish Prasad, Vibhu Sharma, Varun Vig, Vipin Venugopal Nair, S P Panjiyar, Kamparsh Thakur
INTRODUCTION: Managing soft-tissue defects of hand is a challenging problem for any surgical team, even more in a field hospital setting of a conflict combat zone, where resources are scarce and such cases due to blunt trauma, gunshot wound and deep tissue infections are common. CASE REPORT: We present four different cases, all middle aged males, who sustained injuries due to crush, low velocity gun shot, and defects post-debridement of acute onset infections following abrasions...
July 2023: Journal of Orthopaedic Case Reports
Karthik Loganathan, Kumar Sellappan
INTRODUCTION: Fractures of the odontoid process are common cervical spine injuries, accounting for 10-20% of all cervical spine fractures. Anterior screw fixation of odontoid fractures is an osteosynthetic technique that can give immediate stability and preserve normal mobility. CASE SERIES: The study was conducted in Government Mohan Kumaramangalam Medical college in the period 2017-2020. Five patients with Anderson and D'Alonzo type II odontoid Fractures were included in the study...
July 2023: Journal of Orthopaedic Case Reports
Akhil Ajit, Bobby Jacob, Anup Warrier
INTRODUCTION: Coinfection of tuberculous osteomyelitis with Streptococcus agalactiae has not been reported in an immunocompetent adult so far. The slow progress of tuberculous osteomyelitis, due to lack of significant elevations in the laboratory values and changes in the radiographic appearance, often leads to confusion with brodie's abscess. These two clinical conditions often lead to delay in diagnosis and progressive bone destruction. The aim of this report was to highlight recognizing the possibility of coinfections in tuberculous osteomyelitis and early treatment targeting both organisms simultaneously...
July 2023: Journal of Orthopaedic Case Reports
Akira Ikegami, Yoshinobu Oka, Shoichi Yamazoe, Kenji Takahashi
INTRODUCTION: The purpose of treatment for Legg-Calvé-Perthes disease (LCPD) is to regain the sphericity of the femoral head in childhood and prevent degenerative changes in adulthood. Due to the largely unsatisfactory results of conservative treatment for late-onset LCPD (i.e. patient age >9 years.), surgery is generally indicated. Various surgeries have been applied and the reported short-term results are generally good. However, few reports have described the long-term (approximately 30 years) outcomes of femoral anterior rotational osteotomy (ARO)...
July 2023: Journal of Orthopaedic Case Reports
John P Avendano, James Monica, Bobby Varghese
INTRODUCTION: The available literature underscores the importance of optimizing surgical outcomes through a pre-operative checklist, which includes a review of the medical records and recent test results, changes in medical history, and a physical examination of the cardiovascular system, pulmonary system, and airway. CASE REPORT: We report a case of a 47-year-old man who decompensated during an outpatient wrist procedure and needed to remain intubated requiring transfer to a hospital...
July 2023: Journal of Orthopaedic Case Reports
Sapan Kumar, Sumit Kumar, Manu B B Gowda, Rejo Varghese Jacob, Mohit Kumar Patralekh, Narendra Kumar
INTRODUCTION: Tuberculosis of posterior spinal elements or neural arch tuberculosis is a rare clinical entity. We report a patient with isolated tuberculosis of the C5 spinous process and reformation of destroyed spinous process in response to antitubercular therapy (ATT). This is first case report of the kind to the best of our knowledge. CASE REPORT: A young male aged 22 years presented to us with a slow-growing, painful lump for the past 3 months accompanied by a discharging sinus at the back of his neck...
July 2023: Journal of Orthopaedic Case Reports
Vishal Kumar, Ankit Rai, Sarvdeep Singh Dhatt
INTRODUCTION: Growing rod construct is one of the most widely acknowledged treatment modalities for early-onset scoliosis around the world, but it is not without complications. Throughout the course of treatment, numerous planned and inadvertent surgical interventions are required, which increase the complexity of the treatment. We share our experience with case examples along with extensive literature search and review to get an insight and document the complications with growing rod treatment...
July 2023: Journal of Orthopaedic Case Reports
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