Journals Journal of Orthopaedic Case Re...

Journal of Orthopaedic Case Reports
Li Yi Tammy Chan, Wen Loong Paul Yuen, Raghavan Raghuraman
INTRODUCTION: Prosthetic joint infections (PJIs) remain an undesirable complication after total knee arthroplasties. Two-stage revision arthroplasty is the current standard of care for treating PJIs. However, the incidence of spacer retention for prolonged periods is increasing, with little known about its potential complications. CASE REPORT: We present a case of a 64-year-old female of Southeast Asian descent who had a cement spacer maintained in-situ for 7 years due to poor patient compliance with subsequent follow-up...
April 2024: Journal of Orthopaedic Case Reports
Hitendra G Patil, Milind V Pimprikar, Chinar K Patil
INTRODUCTION: Horizontal cleavage tears (HCT) of the meniscus are treated with fish-mouth closure with sutures using different methods. Using a no. 0 fiber wire and taking bites through both the flaps using a suture passing device and tying multiple knots is a cost-effective technique. A racking hitch knot is an option for all inside repairs of HCT. It needs multiple half hitches for locking the knot. SURGICAL TECHNIQUE: We used a modification of the racking hitch knot (HP knot), making it a self-locking knot, so it does not need half hitches...
April 2024: Journal of Orthopaedic Case Reports
Ai Horii, Nobuhiro Kaku, Tsuguaki Hosoyama, Yutaro Shibuta
INTRODUCTION: COVID-19 may be associated with orthopedic symptoms, including myalgia and joint pain. There are reports of reactive arthritis and acute arthritis diagnosed after COVID-19; however, COVID-19-associated pyogenic arthritis has not been reported. CASE REPORT: We treated a young woman with secondary pyogenic hip arthritis that started after COVID-19. The patient was a 23-year-old woman who developed acute pain in the right hip 9 days after being diagnosed with COVID-19...
April 2024: Journal of Orthopaedic Case Reports
Prannoy Paul, N N Riyaz
BACKGROUND: The incidence of hip fractures is increasing every year worldwide. Even though hemiarthroplasty is one of the most common procedures performed for a fractured neck of the femur, there is very little research comparing the outcomes of monoblock and modular systems, the two most commonly used prostheses in neck of the femur fractures. It was hypothesized that in narrow femoral canals, the single-size monoblock stem would be more difficult to insert and lead to complications like limb lengthening and intra-operative calcar fractures...
April 2024: Journal of Orthopaedic Case Reports
Christopher E Marrero, Jonathan Willard
INTRODUCTION: Total knee arthroplasty (TKA) has the highest annual incidence among all joint replacement surgeries. Below-knee amputation (BKA) is another common procedure to treat lower-limb-threatening pathologies. These two procedures are commonly performed individually, but an ipsilateral TKA performed on a BKA patient is rare. While ipsilateral amputation is not a contraindication for TKA, it presents orthopaedic surgeons with a unique case and necessitates thoughtful pre-operative planning regarding proper positioning, alignment determination, surgical technique, and rehabilitation for the best outcome...
April 2024: Journal of Orthopaedic Case Reports
Prashant Bhavani, Samir Dwidmuthe, Suhas Aradhya Bhikshavarthi Math, Deepanjan Das, Mainak Roy, M Harsha Vardhan Reddy
INTRODUCTION: Introduction: Pellegrini-Stieda syndrome, characterized by medial collateral ligament (MCL) calcification or ossification, often follows a history of trauma. While rare, its distinct radiographic features pose diagnostic challenges. Conservative treatments are effective for many, but surgical intervention is necessary when they fail. CASE REPORT: A 31-year-old male with knee pain and stiffness, an inability to extend his knee, and a fixed flexion deformity...
April 2024: Journal of Orthopaedic Case Reports
Antoine Outrequin, Julie Manon, Amaury Paulmier, Dan Putineanu, Pierre-Louis Docquier, Olivier Cornu
INTRODUCTION: Progressive pseudorheumatoid dysplasia is a rare autosomal recessive disorder caused by a mutation in the Wnt1-inducible signaling protein 3 gene, with few cases reported. CASE REPORT: We discuss the case of a 19-year-old Caucasian male patient with polyarticular involvement, including shoulders, elbows, wrists, hands, spine, hips, knees, and notably the ankles. Despite a well-conducted medical treatment, due to the rapid progression of his condition, the patient underwent bilateral total hip and knee arthroplasties, as well as left ankle replacement...
April 2024: Journal of Orthopaedic Case Reports
Raj Kumar, Bushu Harna, Shivali Arya
INTRODUCTION: The study discussed three patients who experienced both anterior cruciate ligament (ACL) injury and patellofemoral instability. This combination of injuries is rare and has a scarcity of published /literature. The study described the mechanism of injury, diagnostic modalities, and the decision-making process for surgical intervention. It emphasizes the importance of a comprehensive clinical evaluation and discusses surgical techniques for combined ACL and medial patellofemoral ligament (MPFL) reconstruction...
April 2024: Journal of Orthopaedic Case Reports
Sanjay Agarwala, Tej Shah, Mayank Vijayvargiya
INTRODUCTION: Prevention of dislocation after total hip arthroplasty (THA) remains a topic of debate. There are various surgical options to manage hip instability such as large femoral heads, and constrained liners, although the best option to tackle this is still controversial. In revision scenarios with previous well-fixed acetabulum shells, the cementation of polyethylene liners or the cementation of dual mobility (DM) into a well-fixed acetabulum shell (Double Socket Technique) has been documented before...
April 2024: Journal of Orthopaedic Case Reports
Madhan Jeyaraman, Naveen Jeyaraman, Swaminathan Ramasubramanian, Ashok Shyam
No abstract text is available yet for this article.
April 2024: Journal of Orthopaedic Case Reports
Wajdi Chermiti, Mohamed Khiareddine, Amir Mhiri, Mourad Mtaoumi, Mahmoud Ben Maitigue, Karim Bouattour
INTRODUCTION: Ewing's sarcoma is the second most common primary malignant bone tumor in children and adolescents, after osteosarcoma. It is a rare tumor, with the axial skeleton being the preferred site of development, followed by the long bones. Diagnosis is evoked by imaging and confirmed by histology. Treatment is based on intensive chemotherapy with local surgical treatment in operable forms, and in some cases, radiotherapy. There are only a few sporadic cases in the literature describing distal fibular localization...
April 2024: Journal of Orthopaedic Case Reports
H Varrdhaman Dhariwal, Mohankumar Kannaiyan, Tholgapiyan Thirumeni, Narandhiran Rajagopal
INTRODUCTION: A prospective case series study to analyze the outcome of arthroscopic fixation of posterior cruciate ligament (PCL) avulsion fracture using a single tibial tunnel and suture loop with button configuration technique. PCL avulsion fracture injury requires surgical treatment to restore PCL function and stability of the knee joint. Several open and arthroscopic procedures require a steep learning curve are followed to treat these injuries; yet, our technique is a simpler technique with desirable outcomes and does not require a long learning curve...
April 2024: Journal of Orthopaedic Case Reports
Rajat Kumar Yadav, Ishaan Siwach, Loveneesh G Krishna, Vinay Kumar, Malay Malay
INTRODUCTION: Perilunate dislocations are rare high-energy injuries which may often have the potential to cause lifelong disability of the wrist if not addressed optimally. Hence, early recognition, diagnosis, and intervention are of paramount importance in the restoring function and prevention of morbidity. Lunate dislocations are the fourth and last stage of perilunate dislocations being extremely rare, with volar dislocations representing <3% of perilunate dislocations. CASE REPORT: A 24-year-old man suffered from an alleged history of fall from a bike on an outstretched hand following which he developed complaints of pain and swelling in the right wrist...
April 2024: Journal of Orthopaedic Case Reports
Senah E Stephens, Cody L Evans
INTRODUCTION: Periprosthetic joint infection (PJI) is an unfortunate but frequent complication following total hip arthroplasty, with an incidence of 1%. Debridement, antibiotics, and implant retention is a treatment option for acute hematogenous PJI, with success rates reported up to 70%. Here, we present a case demonstrating short-term success using this treatment approach in a 74-year-old medically infirm patient. CASE REPORT: The patient - a 74-year-old male with well-functioning bilateral total hip arthroplasties performed 14 years prior - presented to a rural emergency department with an acute onset of right groin pain and dizziness...
April 2024: Journal of Orthopaedic Case Reports
Harshita Udiwal, Akshay Sharma, Vikramaditya Rai, Vipin Sharma, Kavya Sharma
INTRODUCTION: Gap non-union patellas are challenging to treat for an orthopedic surgeon. We hereby report a case of a 22-year-old person with a 3 cm gap nonunion, its surgical management, functional outcome, and implications for clinical practice. CASE REPORT: A 22-year-old active male presented to us with a background of comminuted fracture patella left side that he suffered 1 year ago, following which he was treated by open reduction and internal fixation (ORIF) with Tension Band Wiring (TBW)...
April 2024: 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
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