Journals Journal of Orthopaedic Case Re...

Journal of Orthopaedic Case Reports
Colin Neitzke, Charles Gusho, Austin Yu, Joel Williams
INTRODUCTION: Spina bifida is a rare neurological condition that, if uncorrected, may cause chronic valgus knee stress difficulty with independent ambulation and significant pain. Current literature lacks comprehensive guidance on surgically correcting progressive hip and knee deformities in spina bifida patients, which include osteotomy and primary. When these options are contraindicated, alternative approaches such as arthrodesis may be indicated, although they remain understudied in this population...
May 2024: Journal of Orthopaedic Case Reports
N Naveen Kumar, Manjush Ramesh Halbhavi, H Gouthamraj, T N Santhosh Kumar, Harish Y Shivanna, V K Sahana
INTRODUCTION: Arthroscopic anterior cruciate ligament (ACL) reconstruction is a very commonly done procedure in recent times. There is a need for a long-term outcome study of ACL reconstruction with a comparison between different types of fixation techniques. The graft fixation methods vary from aperture fixation (interference screws) to suspensory fixation methods (endobutton). Failure of graft incorporation and the development of tunnel widening (TW) after ACL reconstruction have been frequently reported in the long term in present literature...
May 2024: Journal of Orthopaedic Case Reports
Ayyappan V Nair, Sreejith Thampy J, Maythilisharan Rambhojun, Pramod K Mohan, Joseph George, Prince Shanavas Khan
INTRODUCTION: Glenoid rim fractures with Bankart lesions are called bony Bankart lesions and are associated with persistent glenohumeral joint instability. Acute bony Bankart lesions can be treated by various arthroscopic techniques. Here, we present a technique of arthroscopic bony Bankart repair using suture-assisted reduction and screw fixation. DISCUSSION: The conventional suture anchor repair does not provide compression of the fractured fragment, and the bony piece may tilt because of the single-point fixation...
May 2024: Journal of Orthopaedic Case Reports
Carsten Reidies Bjarkam, Jon Kaspersen, Christine Borup Poulsen, Søren Peter Eiskjær
INTRODUCTION: Previously, only 40 cases with extradural hemangioblastoma at the spinal nerve (none at the T1 nerve root) have been described in the medical literature. In toto, resection of this hypervascular tumor is essential to avoid bleeding complications. Surgery for hemangioblastoma at the cervicothoracic junction is complex and nerve resection of the T1 results in specific neurodeficits of the hand muscles which are not well known. CASE REPORT: A 34-year-old woman was diagnosed with a slowly growing tumor located at the left foramen T1/T2...
May 2024: Journal of Orthopaedic Case Reports
James Virgin, Thomas Robertson, Gavin Nimon
INTRODUCTION: Acromioclavicular joint (ACJ) injuries account for more than 40% of all sports-related shoulder injuries. Early and effective diagnosis is crucial with surgical intervention favored over non-operative management in high-grade injury. At present diagnosis is primarily by plain radiography with a clear lack of good clinical examination techniques. This study aims to describe external rotation against resistance (ERAR) as a means of ACJ injury assessment. CASE REPORT: This case report describes three patients who presented to a local tertiary hospital with sporting injuries...
May 2024: Journal of Orthopaedic Case Reports
Megan Tersteeg, Karissa Simon, Saksham Pruthi, Robert Hill, Chadi Nahal, Thomas Revak
INTRODUCTION: The masquelet technique is a two-stage procedure used by orthopedic surgeons to treat large segmental bone defects secondary to infection, trauma, and tumor resection. This technique characteristically requires the placement of a temporary cement spacer and subsequent bone grafting for complete reconstruction. We describe a unique case of segmental bone loss reconstruction in which a patient successfully achieved fracture union after the first step of the masquelet technique without bone grafting...
May 2024: Journal of Orthopaedic Case Reports
Sophia Hashim, Gareth G Jones
INTRODUCTION: Failure of anterior cruciate ligament (ACL) reconstructive surgery often presents alongside progressive mono-compartment tibiofemoral arthritis. Total knee arthroplasty (TKA) is the conventional treatment option for this scenario but is associated with high levels of dissatisfaction amongst this younger cohort. CASE REPORT: This case report outlines a 39-year-old male patient, who underwent revision ACL reconstruction plus a medial unicompartmental knee arthroplasty (UKA) replacement as a single-stage procedure...
May 2024: Journal of Orthopaedic Case Reports
Shakti Swaroop, Kamal Dureja, Venkatram Vellaipandi, Swati Patnaik
INTRODUCTION: Retrocalcaneal pain in late adulthood and athletes has been attributed to insertional Achilles tendinosis (IAT). Another presentation of IAT is a degenerative Achilles tear, which can be partial or complete. Symptomatic patients with failed conservative management are treated by debridement and repair of the Achilles tendon. Often, they need augmentation with a tendon transfer. The flexor hallucis longus (FHL) is the most commonly used tendon for augmentation. The Speed Bridge technique to repair the degenerated tendoachilles tear gives better pullout strength and provides a larger surface area of contact between the bone and tendon...
May 2024: Journal of Orthopaedic Case Reports
Cassie Yang, Alagan Gnanam, John Chen Li Tat, Ou Yang Youheng
INTRODUCTION: Multiple spinal epidual abscesses with multifocal systemic abscess and multiple joint septic arthritis present with a large infective burden resulting in sepsis, systemic inflammatory dysregulation, and multi-organ failure. This requires pre-operative resuscitation and surgery of greater complexity, longer operative duration, and blood loss, creating challenges to surgical management. CASE REPORT: A 69-year-old Chinese female presented with multilevel discrete spinal epidural abscesses along the cervical, thoracic, and lumbar spine, alongside concomitant multifocal systemic abscesses and multiple small joint septic arthritis...
May 2024: Journal of Orthopaedic Case Reports
Parimal Rana, Andrea Johnson, Justin Turcotte, Paul King
INTRODUCTION: Rapidly progressive hip osteoarthritis (OA) leading to femoral head collapse (FHC) following intra-articular (IA) corticosteroid injections is a perplexing variant of OA. We explored eight cases of chronic joint pain treated with IA corticosteroid injections. Subsequently, they experienced swift deterioration of the femoral head integrity within as little as 10 weeks. These cases underscore the need for a comprehensive assessment of risk factors versus benefits in this patient population...
May 2024: Journal of Orthopaedic Case Reports
Benjamin E Heck, Logan Van Poucke, Vanessa C Heck, Bruce E Heck
INTRODUCTION: The double squeeze technique for fracture stabilization is a technique in which the surgeon uses a second reduction clamp to hold and stabilize a smaller reduction clamp that reduces a fracture or plate yet is too small to hold by itself. This technique greatly assists anatomic fracture reduction and stabilization and allows the surgeon to complete the operation when there is limited reduction instrumentation available, or the surgeon needs more excursion on a small clamp holding a fracture and does not want to change instruments and possibly lose a reduction...
May 2024: Journal of Orthopaedic Case Reports
Ethan D Kosco, Andrea N Montalbano, Kyle Scarano, David Sohn
INTRODUCTION: Tibial eminence fractures resulting from the avulsion of the anterior cruciate ligament (ACL) insertion are a common knee injury in the pediatric population. This injury is traditionally corrected through internal fixation using a guide pin and a cannulated screw. Due to the reported consequences of cannulated screws impinging on the joint space, we explored an alternative procedure to address this injury without the use of cannulated screws. We believe this is the first report of an alternate and improved procedure for repairing a tibial eminence fracture caused by ACL avulsion using non-absorbable sutures to secure the bony fragment back onto the tibial eminence...
April 2024: Journal of Orthopaedic Case Reports
Reza Zandi, Farsad Biglari, Saber Barazandeh Rad, Amin Karami, Mehrdad Sadighi, Meisam Jafari Kafiabadi
INTRODUCTION: The terrible triad of the elbow includes an elbow dislocation or subluxation with coronoid and in combination with radial head fractures. Still, none of them are accompanied by rupture of the triceps tendon. CASE REPORT: The article describes a terrible triad injury in a young patient with an additional triceps rupture. The treatment involved lateral and medial approaches for the repair of various ligaments and fractures, but the elbow remained unstable...
April 2024: Journal of Orthopaedic Case Reports
R Ramya, S Noordeen, C Fleming, M Hari Sivanandan
INTRODUCTION: Tranexamic acid (TXA) is an antifibrinolytic agent, thatagent that reduces substantial blood loss in total knee arthroplasty (TKA) surgeries without increasing the risk of thromboembolic complications. The purpose of our study was to assess the effectiveness and safety of the combined use of intravenousIV and topical TXAtranexamic acid in uncomplicated primary Total knee Arthroplasty (TKA) without complications. MATERIALS AND METHODS: In this prospective study, we enrolled 61 patients who underwent unilateral primary TKR and were randomly divided into two groups: Group I received intravenous (IV) TXA and Group II received both IV and intraarticular (IA) TXA...
April 2024: Journal of Orthopaedic Case Reports
Takuya Ishibashi, Koichi Kinoshita, Ayumi Minokawa, Takuaki Yamamoto
INTRODUCTION: Subchondral insufficiency fracture (SIF) of the femoral head has been reported to occur in older women with osteoporosis. No cases with recurrence of SIF at another site in the ipsilateral femoral head have been described. CASE REPORT: We report a case of a 75-year-old woman with recurrent SIF at another site in the ipsilateral femoral head. SIF was first observed at an anterolateral site on the femoral head and treated non-operatively. The hip pain disappeared after 3 months but recurred 5 months later when another SIF was newly observed at a posterolateral-to-medial site on the femoral head...
April 2024: Journal of Orthopaedic Case Reports
Tushar Pisal, Sagar Gurnani, Kaman Kuity
INTRODUCTION: Atlanto-occipital assimilation is the most common osseous anomaly of the cervical-occipital junction. The incidence rate of occipitalization has been reported 1.42.5/1000 children. Most of the patients are asymptomatic initially. Clinical features usually appear after 3rd decade depending on the level and degree of spinal cord compression with surrounding vital structures such as vertebral artery involvement. Hence, early definitive diagnosis and subsequent successful treatment are necessary in such cases to prevent life-threatening complications...
April 2024: 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
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