Journals Journal of Orthopaedic Case Re...

Journal of Orthopaedic Case Reports
Sanket Tanpure, Chandrasen Chaughule, Jay Date, Akash Sonawane, Mayur Lohiya
INTRODUCTION: Syndesmotic injury in trimalleolar fracture is necessary to address intraoperatively by stability test, as it affects post-operative functional outcomes. Most of syndesmotic injuries are stable after fixation of the posterior malleolus, but in rare cases, syndesmosis is not stable after adequate fixation. In those rare conditions, we have to fix syndesmosis by corticocancellous (CC) screw throw lateral fibula plate. We emphasize this complex problem and offer solutions to overcome it...
December 2023: Journal of Orthopaedic Case Reports
Sanjay Kumar Giri, Akanksha Rajpoot, Santanu Suba, Mantu Jain
INTRODUCTION: Vascularized free fibula flap is one of the commonly used flaps in autologous soft-tissue and osseous reconstructions in the modern era. While there is abundant literature available on the variable branching pattern and course of the popliteal artery, tibial arteries, and dorsalis pedis artery, there is a paucity of text available on the not-so-common peroneal vessels. CASE REPORT: A case of a 60-year-old male who was diagnosed with carcinoma of buccal mucosa with involvement of the mandible of the right side was planned for wide local excision with modified radical neck dissection and resurfacing of the resultant defect using a contralateral free fibula osseocutaneous free flap...
December 2023: Journal of Orthopaedic Case Reports
Maria Grazia Minicelli
INTRODUCTION: Luxatio erecta humeri (LEH) is a rare type of inferior shoulder dislocation (ISD) and easy misdiagnosed or missed. We reported a case of a traumatic LEH with a radiological interpretation of ISD. We felt that the physical presentation was compatible with the LHE type and the closed reduction by the traction and countertraction method we accomplished without complications. CASE REPORT: We present a case of 38-year-old man with a LEH. We performed for the early diagnosis the clinical examination and the X-rays...
December 2023: Journal of Orthopaedic Case Reports
Robert Kollmorgen, Amy Singleton, Samuel Eaddy, Seth Phillips
INTRODUCTION: Ipsilateral fracture of the femur and tibia, known by the moniker "floating knee," is a serious injury that primarily results from high-energy trauma. Up to 53% of patients with floating knee injuries have concurrent ligamentous injuries, with the anterior cruciate ligament (ACL) as the most commonly affected ligament. Approximately 10% of multi-ligament knee injuries consist of injuries to both the ACL and posterolateral corner (PLC); however, the literature reporting the management of this patient population is sparse, particularly, with a lack of consensus on the timing and protocol of surgical treatment...
December 2023: Journal of Orthopaedic Case Reports
Satvik N Pai, Naveen Jeyaraman, Tarun Jayakumar, Madhan Jeyaraman
INTRODUCTION: Scapholunate advanced collapse is a rare condition of progressive deformity, instability, and arthritis that affects the radiocarpal and mid-carpal joints of the wrist. It occurs as a result of injury to the scapholunate ligament being left untreated. CASE REPORT: We present the imaging of a 50-year-old woman who complained of pain in her right wrist for 2 years. Radiographs of the wrist revealed scapholunate diastasis (Terry Thomas Sign), arthritis of the radio-scaphoid joint, dorsal intercalated segment instability, radial styloid beaking, and proximal migration of capitate...
December 2023: Journal of Orthopaedic Case Reports
Sujoy Bhattacharjee, Akhil Ahlawat, Avijeet Prasad, Rajib Kumar Das
INTRODUCTION: Total hip arthroplasty (THA) is a common procedure used to treat various hip conditions. However, patients with ochronotic arthropathy, a rare genetic disorder characterized by the abnormal accumulation of homogentisic acid, are at a higher risk of post-surgical dislocation and instability due to poor bone quality and joint degeneration. CASE REPORT: This case study features a 52-year-old male patient diagnosed with ochronotic arthropathy who underwent bilateral THA with the use of a dual mobility cup (DMC)...
December 2023: Journal of Orthopaedic Case Reports
J Benjamin Vinodh, Naveen Sathiyaseelan, R M Subramanian, Arun Vignesh, Nitesh Kumar Rathi
INTRODUCTION: Children, especially those under the age of five, seldom get hip dislocations. Young children may sustain dislocations from minor accidents such as slips or falls from low heights, whereas adolescents typically do so from high-intensity events such as car crashes or collision sports. Posterior dislocation occurs 8-9 times more frequently than those in the anterior. Here, we describe about the acute posterior hip dislocation suffered by a 5-year-old boy in this case report...
December 2023: Journal of Orthopaedic Case Reports
Alireza Ebrahimi, Sora Sohn, Andreea Lucaciu, Soheil Ashkani-Esfahani, Gregory Waryasz
INTRODUCTION: Various methods are used for open reduction and internal fixation of Lisfranc injuries, and each shows different post-treatment outcomes. Other than the common post-surgery problems in these patients, including possible non-anatomical reduction, implant loosening, breakage, and arthritis, most of these patients will undergo a second surgery for implant removal which itself might cause further complications. To reduce the need for re-operation, bio-degradable or bio-integrative implants can be promising; however, the short- and long-term outcomes have been scarcely investigated to date...
December 2023: Journal of Orthopaedic Case Reports
Anoop Jhurani, Piyush Agarwal, Hardik Sahni, Kanagasarathy Krishnamurthy
INTRODUCTION: Neglected distal femur fractures often present with significant uncontained bone defects of the lateral femoral condyle (LFC) leading to a valgus deformity and lateral compartment arthritis. CASE REPORT: Bone defect can be managed with the help of autogenous bone graft harvested from a distal femur cut and shaped in the form of an augment. The objective of using bone graft along with the primary femur was to restore bone stock in a young patient and prevent the use of an augment with a revision femur and intramedullary rod...
December 2023: Journal of Orthopaedic Case Reports
Jenil Patel, Vishnu Vikraman Nair, Vishal Kundnani, Sunil Chodavadiya, Maitreya Patil
INTRODUCTION: Hodgkin's lymphoma has been observed to rarely manifest with extra nodal involvement, typically occurring in the latter stages of the disease. However, spinal cord compression may also be regarded as a rare predominant symptom to occur in this context. In this case report, we discuss the clinical details of a 37-year-old patient who exhibited upper motor neuron symptoms and gait imbalance. The patient's medical history includes a confirmed diagnosis of Hodgkin's lymphoma...
December 2023: Journal of Orthopaedic Case Reports
Milnd Patil, Ashok Shyam
No abstract text is available yet for this article.
December 2023: Journal of Orthopaedic Case Reports
Sandeep Mohan, Rahul Krishnan
INTRODUCTION: Angioleiomyomas are rare benign tumors originating from smooth muscle cells of blood vessels. Although they can occur in various anatomical locations, angioleiomyomas of the distal leg are relatively uncommon. Due to its clinical resemblance to other soft-tissue tumors, misdiagnosis can occur leading to inadequate treatment. CASE REPORT: We present a case of angioleiomyoma in a 54-year-old female who presented with a palpable mass in her distal leg...
December 2023: Journal of Orthopaedic Case Reports
Elias Mazzawi, Alaa Abu Elasal, Eran Keltz, Gabriel Nierenberg
INTRODUCTION: Patellofemoral joint arthroplasty (PFJA) is mainly used to treat older patients suffering from osteoarthritis. However, this case report sheds light on the implications of this treatment for young patients suffering from patellar maltracking and secondary patellofemoral osteoarthritis (PFOA). CASE REPORT: A female patient in her late 3rd decade of life presented with long-standing bilateral knee pain and significant functional impairment, including difficulty walking and stair climbing...
November 2023: Journal of Orthopaedic Case Reports
Rahul Kadam, Sanjeev K Singh, Gaurav Sharma, Praveen Kumar Anbalagan
INTRODUCTION: Developmental dysplasia of hip (DDH) is an abnormal development of hip joint which when neglected in early age group can lead to joint pain and secondary osteoarthritic changes. Crowe types III and IV neglected DDH joint is widely managed with total hip arthroplasty with subtrochanteric shortening. CASE REPORT: A 52-year-old female presented with neglected DDH joint which was managed in two stages with femoral lowering followed by uncemented total hip arthroplasty without osteotomy...
November 2023: Journal of Orthopaedic Case Reports
Soutrik Mukherjee, Kallol Banerjee
INTRODUCTION: Achilles tendon is the thickest and strongest tendon of the body, spanning from the middle of the calf up to its insertion into the calcaneal tuberosity, and it is estimated to be the third most frequent tendon to rupture. Segmental Achilles tendon rupture, however, is a very rare occurrence and it comes with challenges of salvaging the tendon segment, preventing necrosis of the overlying skin, preventing infection, and preserving the repaired construct to regain good functional outcome...
November 2023: Journal of Orthopaedic Case Reports
Garrett Waller, Jake A Fox, Grayson A Domingue, Jon Ringenberg, Jeremy White
INTRODUCTION: Calcific myonecrosis is a rare soft-tissue disease where a single muscle or muscle compartment is replaced with central liquefaction and peripheral calcification. This disease usually occurs in a single limb after trauma. Until now, bilateral muscle involvement has not been previously reported. CASE REPORT: A 73-year-old woman presented with symptomatic masses in the soft tissues of bilateral anterior thighs. She had no known history of trauma but recalled a specific tearing sensation episode in both her legs while squatting when weightlifting in the distant past...
November 2023: Journal of Orthopaedic Case Reports
Yehia Tfayli, Joseph E Nassar, Ahmad Salaheddine Naja, Said Saghieh
INTRODUCTION: In adults, fibrosarcoma (FS) of the bone is a rare occurrence. Infantile FS, particularly in the distal radius, is an exceedingly uncommon tumor and, to the best of our knowledge, has not yet been documented in the literature. In the subsequent report, we present a case involving a 2-year-old male diagnosed with primary FS of the distal radius. CASE REPORT: We hereby report the case of a 2-year-old Caucasian boy presenting with primary bone FS in the distal radius...
November 2023: Journal of Orthopaedic Case Reports
Pradeep Khinchi, Naveen Sathiyaseelan, Qadir Anwar Tak, Manohar Lal Carpenter, Mahaveer Meena
INTRODUCTION: Giant cell tumor of tendon sheath (GCTTS), also known as tenosynovial giant cell tumor or pigmented villonodular tenosynovitis, is a rare benign soft-tissue tumor with an unclear cause. It is the second most frequent soft-tissue tumor in the hand after ganglion cyst. CASE REPORT: We described a female patient, age 19, who has had a 3 cm × 2 cm firm swelling on the palmer aspect of the right second metacarpal region for 7 years. The bulge developed spontaneously and moved quite slowly...
November 2023: Journal of Orthopaedic Case Reports
Gayatri Mehta, Tushar Agrawal, Deepak Jain, Sanjeev Singh
INTRODUCTION: Congenital radioulnar synostosis is a rare deformity of the forearm characterized by a malformation of the proximal aspect of the radius and ulna. Various modalities of treatment options available include observation, excision of the synostosis and placing an interposition material, or performing derotation osteotomy. Several types of osteotomies at different forearm levels have been described in the literature. CASE REPORT: A 5-year-old female presented with bilateral congenital radioulnar synostosis which was treated with percutaneous corrective osteotomy and Joshi's external stabilizing system fixator application...
November 2023: Journal of Orthopaedic Case Reports
Pranam Sumeeth, Harshitha S Reddy, Avinash Alva
INTRODUCTION: Mallet thumb injuries are uncommon. Traumatic avulsion injury of the extensor pollicis longus leads to significant difficulty. CASE REPORT: A 55-year-old male patient presented with a closed hyper flexion injury to the thumb, resulting in pain and loss of active extension. Clinical examination and x-rays confirmed a soft-tissue mallet injury. The patient was treated non-operatively by immobilizing the interphalangeal joint of the thumb. The patient regained full range of motion...
November 2023: Journal of Orthopaedic Case Reports
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