-
Four Limb Amputation Secondary to Symmetrical Peripheral Gangrene in a Polytrauma Patient: A Case Report Case Rep. Orthop. Res. Pub Date : 2023-01-10 Yahya Alborno, Isam Sami Moghamis, Hammam Kayali, Elhadi Babikir, Shamsi Hameed, Mohammed Al-dosari
Symmetrical peripheral gangrene (SPG) is a rare condition. At present, there is no clear etiology for this condition; however, it has been associated with multiple risk factors, including sepsis and coagulopathy. We present a patient who sustained a polytrauma with multiple organ injuries. During hospitalization, he developed septic and cardiogenic shock complications by disseminated intravascular
-
Four Limb Amputation Secondary to Symmetrical Peripheral Gangrene in a Polytrauma Patient: A Case Report Case Rep. Orthop. Res. Pub Date : 2023-01-10
Symmetrical peripheral gangrene (SPG) is a rare condition. At present, there is no clear etiology for this condition; however, it has been associated with multiple risk factors, including sepsis and coagulopathy. We present a patient who sustained a polytrauma with multiple organ injuries. During hospitalization, he developed septic and cardiogenic shock complications by disseminated intravascular
-
A Rare Pathogenic Variant in the SERPINF1 Gene in Association with Early-Onset Severe Presentation of Autosomal Recessive Type of Osteogenesis Imperfecta VI: A Case Report Case Rep. Orthop. Res. Pub Date : 2023-01-05 Siddharth Anand, Pratibha Pawal-Aute, Shashikant Gunale, Meenal Agarwal
Osteogenesis imperfecta (OI) refers to a group of genetic disorders with the typical clinical presentation of increased bone fragility. More than 90% of OI cases have an underlying genetic mutation in the collagen genes COL1A1 or COL1A2. However, there are now 22 different recognized OI subtypes based on the underlying gene implicated. OI type VI is caused by pathogenic variants in the serine proteinase
-
A Rare Pathogenic Variant in the SERPINF1 Gene in Association with Early-Onset Severe Presentation of Autosomal Recessive Type of Osteogenesis Imperfecta VI: A Case Report Case Rep. Orthop. Res. Pub Date : 2023-01-05
Osteogenesis imperfecta (OI) refers to a group of genetic disorders with the typical clinical presentation of increased bone fragility. More than 90% of OI cases have an underlying genetic mutation in the collagen genes COL1A1 or COL1A2. However, there are now 22 different recognized OI subtypes based on the underlying gene implicated. OI type VI is caused by pathogenic variants in the serine proteinase
-
Patellar Tendon Avulsion in a Pediatric Male: A Surgical Case Report with a Return to Sport Case Rep. Orthop. Res. Pub Date : 2022-12-19 Stacey Hladish, Rebecca Donnay, Jon Henry, Mitchell Voss
Isolated patellar tendon injuries in the pediatric population are considered rare and lack a well-accepted classification system. This injury pattern in pediatrics occurs more commonly in males around 14 years of age, typically presents with apophyseal involvement, and is frequently associated with athletic activity. The patient, in this case, was a 12-year-old male who sustained an isolated distal
-
Impending Compartment Syndrome Secondary to Pseudoaneurysm following Stabilization of Proximal Tibia Shaft Fracture: A Case Report Case Rep. Orthop. Res. Pub Date : 2022-12-19 Jawad Nouraldeen Khader Derbas, Isam Sami Moghamis, Aiman Mudawi, Syed Alam, Basim Shaman Ameen
Compartment syndrome secondary to pseudoaneurysm formation following surgical stabilization of tibia shaft fracture is a rare entity. Early recognition as early as possible can prevent associated morbidities and significant disabilities by surgical decompression of leg compartments. A 56-year-old male patient presented to our clinic during his routine postsurgical follow-up with a progressive painful
-
Patellar Tendon Avulsion in a Pediatric Male: A Surgical Case Report with a Return to Sport Case Rep. Orthop. Res. Pub Date : 2022-12-19
Isolated patellar tendon injuries in the pediatric population are considered rare and lack a well-accepted classification system. This injury pattern in pediatrics occurs more commonly in males around 14 years of age, typically presents with apophyseal involvement, and is frequently associated with athletic activity. The patient, in this case, was a 12-year-old male who sustained an isolated distal
-
Impending Compartment Syndrome Secondary to Pseudoaneurysm following Stabilization of Proximal Tibia Shaft Fracture: A Case Report Case Rep. Orthop. Res. Pub Date : 2022-12-19
Compartment syndrome secondary to pseudoaneurysm formation following surgical stabilization of tibia shaft fracture is a rare entity. Early recognition as early as possible can prevent associated morbidities and significant disabilities by surgical decompression of leg compartments. A 56-year-old male patient presented to our clinic during his routine postsurgical follow-up with a progressive painful
-
Acknowledgement to Reviewers Case Rep. Orthop. Res. Pub Date : 2022-12-16
Case Rep Orthop Res 2022;5:106–107
-
Acknowledgement to Reviewers Case Rep. Orthop. Res. Pub Date : 2022-12-16
Case Rep Orthop Res 2022;5:106–107
-
Bilateral Concomitant Open Distal Femur Fractures Associated with Bilateral Quadricipital Tendon Rupture: A Case Report Case Rep. Orthop. Res. Pub Date : 2022-12-05 Mohammad Darwish, Dany Aouad, Elias Saidy, Georgio Lati, Jamal Saade, Mohammad Daher, Alexandre Nehme
Fractures of the distal femur in young populations are usually due to a high-energy trauma mechanism. They often present with various associated osseous and soft tissue injuries. A case of bilateral open distal femur fractures with associated bilateral quadriceps tendon rupture is presented. This injury has not been previously reported in the literature. A 45-year-old male patient who sustained an
-
Bilateral Concomitant Open Distal Femur Fractures Associated with Bilateral Quadricipital Tendon Rupture: A Case Report Case Rep. Orthop. Res. Pub Date : 2022-12-05
Fractures of the distal femur in young populations are usually due to a high-energy trauma mechanism. They often present with various associated osseous and soft tissue injuries. A case of bilateral open distal femur fractures with associated bilateral quadriceps tendon rupture is presented. This injury has not been previously reported in the literature. A 45-year-old male patient who sustained an
-
Haematogenous Periprosthetic Hip Joint Infection Caused by Salmonella May Be Paucisymptomatic: A Report of 2 Cases Case Rep. Orthop. Res. Pub Date : 2022-10-03 Lara Pozzi, Corina Dommann-Scherrer, Christoph Meier, Peter Wahl
Periprosthetic joint infection (PJI) with Salmonella is rare. We therefore describe two cases of PJI with Salmonella spp. Case one is a 79-year-old female that presented with fever and acute left hip pain 16 months after revision total hip arthroplasty (THA) performed due to instability. Case two is a 82-year-old male after revision THA due to periprosthetic pseudotumor 22 years after THA. Microbiological
-
Haematogenous Periprosthetic Hip Joint Infection Caused by Salmonella May Be Paucisymptomatic: A Report of 2 Cases Case Rep. Orthop. Res. Pub Date : 2022-10-03
Periprosthetic joint infection (PJI) with Salmonella is rare. We therefore describe two cases of PJI with Salmonella spp. Case one is a 79-year-old female that presented with fever and acute left hip pain 16 months after revision total hip arthroplasty (THA) performed due to instability. Case two is a 82-year-old male after revision THA due to periprosthetic pseudotumor 22 years after THA. Microbiological
-
Knee Squeaking in Native Joint after Anterior Cruciate Ligament Reconstruction Case Rep. Orthop. Res. Pub Date : 2022-09-23 Matteo Izzo, Pierre Ranger
Articular squeaking sounds cause discomfort, frustration, and embarrassment for affected patients, especially in social contexts. Postsurgical native knee squeaking is rare, and only limited data on the subject are available in the literature. This study presents a case of knee squeaking after anterior cruciate ligament (ACL) reconstruction. A 22-year-old woman underwent reconstructive ACL surgery
-
Knee Squeaking in Native Joint after Anterior Cruciate Ligament Reconstruction Case Rep. Orthop. Res. Pub Date : 2022-09-23
Articular squeaking sounds cause discomfort, frustration, and embarrassment for affected patients, especially in social contexts. Postsurgical native knee squeaking is rare, and only limited data on the subject are available in the literature. This study presents a case of knee squeaking after anterior cruciate ligament (ACL) reconstruction. A 22-year-old woman underwent reconstructive ACL surgery
-
L5-S1 Discoligamentous Distraction Injury following Bilateral Total Hip Arthroplasty Using an Anterior Approach: A Case Report Case Rep. Orthop. Res. Pub Date : 2022-08-31 Ferda Gronki, Alex Alfieri, Fabian Kalberer, Christoph Meier, Peter Wahl
Although acute spinal injury is rarely reported to complicate total hip arthroplasty (THA), its consequences can be devastating. We present a case of L5-S1 discoligamentous dissociation following single-stage bilateral THA performed sequentially through an anterior approach with a traction hemi-table applied on the operated leg. Internal fixation L5-S1 was required, resulting in prolonged recovery
-
L5-S1 Discoligamentous Distraction Injury following Bilateral Total Hip Arthroplasty Using an Anterior Approach: A Case Report Case Rep. Orthop. Res. Pub Date : 2022-08-31
Although acute spinal injury is rarely reported to complicate total hip arthroplasty (THA), its consequences can be devastating. We present a case of L5-S1 discoligamentous dissociation following single-stage bilateral THA performed sequentially through an anterior approach with a traction hemi-table applied on the operated leg. Internal fixation L5-S1 was required, resulting in prolonged recovery
-
Bilateral Acromioclavicular Joint Subluxation in an Adolescent with Ehlers-Danlos Syndrome: Case Report and Literature Review Case Rep. Orthop. Res. Pub Date : 2022-06-13 Luis F. Colón, Anthony M. Padgett, Charles W. Powell, Dillon L. Morrow, Jeremy R. Bruce
Bilateral acromioclavicular joint (ACJ) dislocation is a rare occurrence, with only one reported case in the literature published in 1984. We present the case of a 15-year-old male with Ehlers-Danlos syndrome (EDS) who presented with complaints of subsequent nontraumatic bilateral ACJ subluxations and pain. ACJ reconstruction via an open mini-Mumford procedure was performed on this patient on two separate
-
Bilateral Acromioclavicular Joint Subluxation in an Adolescent with Ehlers-Danlos Syndrome: Case Report and Literature Review Case Rep. Orthop. Res. Pub Date : 2022-06-13
Bilateral acromioclavicular joint (ACJ) dislocation is a rare occurrence, with only one reported case in the literature published in 1984. We present the case of a 15-year-old male with Ehlers-Danlos syndrome (EDS) who presented with complaints of subsequent nontraumatic bilateral ACJ subluxations and pain. ACJ reconstruction via an open mini-Mumford procedure was performed on this patient on two separate
-
Total Knee Arthroplasty with Significant Osteolysis following Gore-Tex Anterior Cruciate Ligament Reconstruction: Recommendations on Reducing Risk of Arthroplasty Failure Case Rep. Orthop. Res. Pub Date : 2022-04-04 Filip Cosic, Matthew Alexander
Synthetic substitutes for ligament reconstruction surgery have been widely used in orthopaedic surgery; however, many have been susceptible to mechanical failure and associated with osteolysis. A 58-year-old male underwent total knee arthroplasty (TKA) for valgus knee osteoarthritis on the background of a Gore-Tex anterior cruciate ligament reconstruction over 30 years prior. Radiographic imaging preoperatively
-
Total Knee Arthroplasty with Significant Osteolysis following Gore-Tex Anterior Cruciate Ligament Reconstruction: Recommendations on Reducing Risk of Arthroplasty Failure Case Rep. Orthop. Res. Pub Date : 2022-04-04
Synthetic substitutes for ligament reconstruction surgery have been widely used in orthopaedic surgery; however, many have been susceptible to mechanical failure and associated with osteolysis. A 58-year-old male underwent total knee arthroplasty (TKA) for valgus knee osteoarthritis on the background of a Gore-Tex anterior cruciate ligament reconstruction over 30 years prior. Radiographic imaging preoperatively
-
Delayed Fluoroquinolone-Induced Tibialis Anterior Rupture: Review and Case Report on Achilles and Tibialis Anterior Atraumatic Rupture with Operative Technique Case Rep. Orthop. Res. Pub Date : 2022-03-28 Matthew Prevost, Edward Szabo, Mario Ramirez, Matthew Heiken
Tendinopathy is a well-defined adverse effect of fluoroquinolone (FQ) antibiotics with complete tendon rupture being the most serious consequence. The most described FQ-associated tendinopathies are of the Achilles tendon with an onset ranging between 2 h after initial FQ administration to 6 months after completing FQ treatment. We herein report the case of a 50-year-old diabetic woman who suffered
-
Pseudoaneurysm Complicating Proximal Humeral Exostosis: A Case Report of a Missed Diagnosis on Computed Tomography Angiographic Examination Case Rep. Orthop. Res. Pub Date : 2022-03-28 Ashraf A. Khanfour, Ahmed S. Gaweesh, Tamer Y. Gaweesh
Vascular complications of osteochondromas of the humerus are extremely rare. Only 9 cases with pseudoaneurysms of the brachial artery complicating osteochondromas of the humerus were reported in 7 English articles. The computed tomography (CT) angiographic examination of all of them were positive for the diagnosis of the pseudoaneurysm. Up to our knowledge, this is the first case report in which the
-
Delayed Fluoroquinolone-Induced Tibialis Anterior Rupture: Review and Case Report on Achilles and Tibialis Anterior Atraumatic Rupture with Operative Technique Case Rep. Orthop. Res. Pub Date : 2022-03-28
Tendinopathy is a well-defined adverse effect of fluoroquinolone (FQ) antibiotics with complete tendon rupture being the most serious consequence. The most described FQ-associated tendinopathies are of the Achilles tendon with an onset ranging between 2 h after initial FQ administration to 6 months after completing FQ treatment. We herein report the case of a 50-year-old diabetic woman who suffered
-
Pseudoaneurysm Complicating Proximal Humeral Exostosis: A Case Report of a Missed Diagnosis on Computed Tomography Angiographic Examination Case Rep. Orthop. Res. Pub Date : 2022-03-28
Vascular complications of osteochondromas of the humerus are extremely rare. Only 9 cases with pseudoaneurysms of the brachial artery complicating osteochondromas of the humerus were reported in 7 English articles. The computed tomography (CT) angiographic examination of all of them were positive for the diagnosis of the pseudoaneurysm. Up to our knowledge, this is the first case report in which the
-
Synovial Chondromatosis in the Acromioclavicular Joint: Diagnosis and Management Case Rep. Orthop. Res. Pub Date : 2022-03-14 Jonathan R. Pire, J. Brett Goodloe, Anthony Emanuel, Shane Woolf
A 31-year-old male presented to clinic with 2 months of aching shoulder pain without inciting injury or recent illness. Radiographs and MRI were obtained and the leading diagnosis was synovial chondromatosis (SC) of the acromioclavicular joint. He was treated with surgical resection. This case represents a rare location for SC, a disease defined by chondral tissue growth within the synovium most commonly
-
Synovial Chondromatosis in the Acromioclavicular Joint: Diagnosis and Management Case Rep. Orthop. Res. Pub Date : 2022-03-14
A 31-year-old male presented to clinic with 2 months of aching shoulder pain without inciting injury or recent illness. Radiographs and MRI were obtained and the leading diagnosis was synovial chondromatosis (SC) of the acromioclavicular joint. He was treated with surgical resection. This case represents a rare location for SC, a disease defined by chondral tissue growth within the synovium most commonly
-
Avascular Necrosis due to Delbet Type I Femoral Neck Fracture in an Adolescent: A Case Report and Literature Review Case Rep. Orthop. Res. Pub Date : 2022-02-15 Shahin Talebi, Shirin Sheibani, Pedram Hassani, Abolfazl Ghadiri
Among all pediatric fractures, femoral neck fracture is an infrequent injury that occurs due to high-energy trauma. The high risk of complications, such as avascular necrosis (AVN), which is the most common and serious complication, coxa vara, nonunion, premature physeal closure and infections, turns this fracture into an orthopedic emergency and increases the need for early treatment and intervention
-
Use of Intraoperative Multidimensional Fluoroscopy to Assess Femoral Neck Reduction Quality in a Patient with Displaced Femoral Neck Fracture: A Case Report Case Rep. Orthop. Res. Pub Date : 2022-02-15 Daniel Z. You, Annalise G. Abbott, Steven K. Boyd, Paul Duffy
We present a case of displaced femoral neck fracture (FNF) in a patient treated with closed reduction and surgical fixation. An anatomic reduction was confirmed using intraoperative multidimensional fluoroscopy following reduction and surgical fixation. At the 1-year follow-up, the patient had returned to all activities and there were no signs of avascular necrosis. The quality of FNF reduction is
-
Case Report: Pediatric Posterior Wall Acetabulum with Piriformis Entrapment Case Rep. Orthop. Res. Pub Date : 2022-02-15 Sean Beyer, Matthew Klassen, Samuel Perry, Terrence Endres
Pediatric acetabular fractures are rare, accounting for only a small percent of pelvic injuries in children. This is a case of a 12-year-old healthy male who sustained a displaced, right posterior acetabular wall fracture following a ground-level fall. It was ultimately determined to be treated through operative management. Intraoperatively, it was noted that the displaced fragment had become trapped
-
Use of Intraoperative Multidimensional Fluoroscopy to Assess Femoral Neck Reduction Quality in a Patient with Displaced Femoral Neck Fracture: A Case Report Case Rep. Orthop. Res. Pub Date : 2022-02-15
We present a case of displaced femoral neck fracture (FNF) in a patient treated with closed reduction and surgical fixation. An anatomic reduction was confirmed using intraoperative multidimensional fluoroscopy following reduction and surgical fixation. At the 1-year follow-up, the patient had returned to all activities and there were no signs of avascular necrosis. The quality of FNF reduction is
-
Case Report: Pediatric Posterior Wall Acetabulum with Piriformis Entrapment Case Rep. Orthop. Res. Pub Date : 2022-02-15
Pediatric acetabular fractures are rare, accounting for only a small percent of pelvic injuries in children. This is a case of a 12-year-old healthy male who sustained a displaced, right posterior acetabular wall fracture following a ground-level fall. It was ultimately determined to be treated through operative management. Intraoperatively, it was noted that the displaced fragment had become trapped
-
Intra-Articular Proximal Phalanx Osteotomy Using a Three-Dimensional Printed Template: A Case Report Case Rep. Orthop. Res. Pub Date : 2022-02-07 Yuhan Tan, Gino Vissers, Bert Vanmierlo, Jean Goubau
Malunion of an intra-articular fracture of the metacarpophalangeal joint can cause a dramatic effect, decreasing mobility and strength. For small joints, surgical options are often drastic; joint arthroplasty or arthrodesis. However, in cases of preserved joint space, an intra-articular osteotomy can be proposed. In order to improve preoperative planning, considering the small size of the articular
-
Patella Locking Star-Plate as Salvage to the Failed Tension Band Wiring for a Patella Fracture: A Case Report Case Rep. Orthop. Res. Pub Date : 2022-02-07 Hemant Bansal, Abhijit Behera, Vijay Sharma, Kamran Farooque
The integrity of the patella is pivotal for the efficient functioning of the knee extensor mechanism. Thus, patella fracture management cannot be neglected and utmost priority should be determined for its preservation and maintenance of knee functioning. Tension band wiring (TBW) is the most widely and commonly used mode of fixation of patella fractures with consistently favourable outcomes. However
-
McGregor Pedicled Groin Flap Surgical Technique for Reconstruction of Hand Skin Defects Case Rep. Orthop. Res. Pub Date : 2022-02-07 Nazim Sifi, Nacer Rouag, Ammar Radjai
McGregor flap is an axial pattern distant flap, also known as pedicled groin flap. It is a highly reliable flap for large tissue defects of the hand (dorsal or palmar surfaces), the wrist, or the forearm, up to the elbow. Based on its own vascular pedicle, with a constant blood supply, it can be easily transferred with acceptable aesthetic outcomes. Therefore, the McGregor flap remains a flap of choice
-
90° Spinning of Polyethylene Inserts in Mobile Bearing Unicompartmental Knee Arthroplasty Case Rep. Orthop. Res. Pub Date : 2022-01-11 Connor Fitz-Gerald, David Kieser
Background The objective of this article is to describe for the first time a case of 90° spin out of a mobile bearing unicompartmental knee arthroplasty (UKA) polyethylene insert. In this report, we present a 57-year-old gentleman with a medial compartment UKA for osteoarthritis in 2017 who developed dislodgement and 90° rotation subsequent to traumatic injury when he was involved in a bus crash and
-
Surgical Treatment of Leg Length Discrepancy and Knee Flexion Contracture Associated with a Congenital Absence of Quadriceps Case Rep. Orthop. Res. Pub Date : 2021-12-30 Elad Holzer, Philippe Moisan, Doron Keshet, Mitchell Bernstein
We report the case of an 18-year-old male with congenital absence of quadriceps and hypoplasia of the patella who presented with a significant leg length discrepancy (LLD) and knee flexion contracture. Surgical management was aimed toward lengthening the limb, stabilizing the joint, and correcting the knee flexion contracture. Correction of a significant congenital LLD and knee flexion contracture
-
Letter to the Editor: Missing Information and Bias Confounds Relationship Between Manipulation and Atypical Femur Fracture Case Rep. Orthop. Res. Pub Date : 2021-12-27 Jude A. Miller, Robert J. Trager, Patrick J. Battaglia, Clinton J. Daniels
Case Rep Orthop Res 2021;4:267–269
-
Simultaneous Ipsilateral “Floating Hip” with Hip Dislocation and Femoral Neck and Shaft Fractures Associated with “Floating Knee” Injuries with Patella Fracture and Traumatic Sciatic Nerve Injury Case Rep. Orthop. Res. Pub Date : 2021-12-23 Sasa S. Milenkovic, Milan M. Mitkovic
Simultaneous ipsilateral “floating-hip” and “floating-knee” injuries are very rare and severe, and they occur in high-velocity road traffic accidents. A 55-year-old man presented with posterior wall fracture – dislocation of the acetabulum, complete fracture – dislocation of the femoral head, ipsilateral femoral shaft fracture, open patellar fracture, Gustilo type II, tibial fracture, and traumatic
-
Arthroscopic Resection of Humeral Enchondroma Case Rep. Orthop. Res. Pub Date : 2021-12-23 Pedro Ferreira Pereira, José Fernandes, António Sousa, Manuel Gutierres
Enchondromas are common benign bone tumors. They are often found incidentally and usually do not require any treatment other than clinical surveillance. Signs of lesion progression or nontolerable pain are criteria for surgical resection. We present a case of a 44-year-old woman with long-lasting shoulder pain, diagnosed with enchondroma. Imaging studies showed an enchondroma near the great tuberosity
-
Traumatic Avulsion Fracture of the Origin of the Brachioradialis Muscle: A Case Report and Review of the Literature Case Rep. Orthop. Res. Pub Date : 2021-11-15 Dany k. Aouad, Nabil Dib, Chady Kharrat, George El Rassi
Avulsion fracture of the brachioradialis muscle origin at the proximal two-thirds of the lateral supraepicondylar ridge of the humerus is an extremely rare fracture with only 4 reported cases in the literature so far. In this article, we describe the case of a 50-year-old male patient who had sustained a closed fracture of the latter after falling from a height of 1.5 m on a flexed elbow and pronated
-
A Seldom Cause of Exercise-Related Leg Pain in a Young Soldier-Athlete: A Case Report Case Rep. Orthop. Res. Pub Date : 2021-11-05 Taoufik Cherrad, Soufiane Belabbes, Mohamed Sinaa, Hassan Zejjari, Jamal Louaste, Larbi Amhajji
Chronic leg pain is a common problem for young soldier-athletes. Differential diagnosis of this issue is extensive and includes more common entities such as medial tibial stress syndrome and tibial stress fracture and other scarce causes. Therefore, making a correct diagnosis proves to be vital for appropriate care. This topic discusses the case of a 36-year-old soldier who was diagnosed with a schwannoma
-
“Low Cost” Negative Pressure Wound Therapy for Acute and Chronic Wounds: A Case Series Case Rep. Orthop. Res. Pub Date : 2021-09-30 Nazim Sifi, Ryad Bouguenna, Lamia Kaci
Negative pressure wound therapy (NPWT) is an alternative to standard treatment of acute wounds (such as traumatic or postoperative wounds) but also in that of chronic wounds (such as ulcers or stage 3 and 4 pressure ulcers). With cellular, extracellular effects and bacterial clearance, it leads to the rapid formation of healthy budding granulation tissue, which provides wound bed for directed healing
-
Snapping Scapula Syndrome in the Setting of Elastofibroma Dorsi: A Case Report Case Rep. Orthop. Res. Pub Date : 2021-09-21 Ibrahim M. Nadeem, Muffaqam Shah, Naveen Parasu, Moin Khan, Sohaib Munir
A 54-year-old woman presented with a 15-year history of progressively worsening left snapping scapula syndrome (SSS) in the setting of ipsilateral elastofibroma dorsi. Her pain was refractory to multiple conservative measures. She was successfully treated with focal ultrasound-guided corticosteroid injection to the superomedial border of the scapula. There was demonstrable improvement in findings between
-
Localized Tenosynovial Giant Cell Tumor: An Incidentally Found Lesion in the Shoulder Case Rep. Orthop. Res. Pub Date : 2021-08-24 Jorge Gomes Lopes, Manuel Gutierres, Luisa Vital, Miguel Relvas-Silva, Ricardo São-Simão, Francisco Serdoura
The concept of localized and diffuse tenosynovial giant cell tumors (TSGCT) is recent and may still cause some confusion among surgeons. This disorder constitutes a family of proliferative lesions characterized by their origin in the articular synovium, tendon sheaths, or bursa. It is not always easy to diagnose this pathology, especially due to its multitude of presentation. We describe an incidentally
-
Bilateral Primary Aneurysmal Bone Cyst of Proximal Femur: A Rare Case Report Case Rep. Orthop. Res. Pub Date : 2021-08-18 Sudhir Shyam Kushwaha, Kumar Shantanu, Garima Maurya, Abhishek Pandey
Aneurysmal bone cysts (ABC) are blood-filled, locally destructive, expansile lesions of the bone. ABC of the proximal femur is usually unilateral in presentation. As far as the English literature is concerned, there is no case report of bilateral involvement of the proximal femur by primary ABC. We hereby present a rare case of bilateral primary ABC of the proximal femur with pathological fracture
-
Open Perilunate Fracture Dislocation with Lunate Extrusion: A Case Report and Literature Review Case Rep. Orthop. Res. Pub Date : 2021-08-05 Mário Baptista, Elisabete Ribeiro, Melanie Ribau, Nuno Vieira Ferreira, Pedro Varanda, Luís Filipe Rodrigues
Perilunate injuries with lunate extrusion are extremely rare, representing an extreme subgroup of the Mayfield type 4 spectrum, with prognosis and management remaining controversial. We present a 45-year-old man with an open type 4 perilunate fracture dislocation, with lunate extrusion through the volar skin. Despite emergent treatment with open reduction and internal fixation, lunate and scaphoid
-
Periprosthetic Infection on a Revised Total Hip Prosthesis Treated with Deep Lavage and Vacuum Dressings: A Case Report with 4-Year Follow-Up Case Rep. Orthop. Res. Pub Date : 2021-07-20 Mohamad Darwish, Hicham Abdel Nour, Elias Saidy, Dany Aouad, Georgio Lati, Jason Hanna, Alexandre Nehme
Periprosthetic hip infections are a dreaded complication met among most orthopedic surgeons after arthroplasty procedures especially in susceptible patients. We report a case of a patient with periprosthetic infection after a revised total hip arthroplasty. She was treated with deep lavage and debridement, combined with IV anti-biotherapy and vacuum dressings. A 4-year follow-up shows an infection-free
-
Management of Complex Pelvic Fracture with Associated Both Column Acetabular Fracture Judet-Letournel Type and a Coccygeal Fracture in a Severe Polytrauma Patient Case Rep. Orthop. Res. Pub Date : 2021-07-19 Jessica Fiolin, Ludwig Andre Powantia Pontoh, Ismail Hadisoebroto Dilogo
Comprehensive emergency managements and early stabilization are pivotal upon treating complex pelvic and acetabular fractures. A thorough operative strategy is required to determine the best operative approach based on the patient’s general condition, available facilities, and surgeon preferences in such complex fracture configuration. Advanced technique of the fixation is necessary during a skillful
-
Simultaneous Reduction of Bilateral Anterior Shoulder Dislocation Following Nocturnal Hypoglycemia-Induced Convulsion Using the Boss-Holzach-Matter Technique Case Rep. Orthop. Res. Pub Date : 2021-07-09 Steven Johannes Georg Leeuwerke, Martine Christine Keuning, Jan Willem Ek, Jan van Beveren
Bilateral anterior shoulder dislocation is rare. We describe the case of a 21-year-old male with bilateral anterior shoulder dislocation following a nocturnal, hypoglycemia-induced convulsion. The relatively uncommon Boss-Holzach-Matter technique provides an easy, atraumatic, and time-efficient self-reduction method to achieve simultaneous reduction of bilateral anterior shoulder dislocation, without
-
Sixteen Fractures in a Seven-Month-Old Child Caused by Nonaccidental Trauma Case Rep. Orthop. Res. Pub Date : 2021-07-09 Mehmet Burtaç Eren, Erkal Bilgiç, Selçuk Çetin, Faik Alev Deresoy, Tahir Öztürk, Orhan Balta
Definition of physical child abuse is used to refer to a casualty injured by the caregiver. Health-care professionals providing medical care are responsible for detecting and reporting child abuse. A 7-month-old pediatric patient was referred to us from an outer center with the diagnosis of multiple fractures (14 different bones in 16 different anatomical regions). Skeletal pathologies were evaluated
-
Retrospective Diagnosis of Ankylosing Spondylitis after Spinal Fractures: A Review of 3 Cases and Clinical Implication Case Rep. Orthop. Res. Pub Date : 2021-07-01 Kamran Farooque, Santanu Kar, Burhan Salim Siamwala, Vijay Sharma
Ankylosing spondylitis (AS) is an underdiagnosed inflammatory condition in the initial stages of disease that can cause vertebral fractures in young adults after trivial trauma. Hence, low-energy spinal fractures in young patients must be carefully evaluated to exclude AS as the treatment protocol (fixation levels, period of immobilization) may change drastically if AS is diagnosed. Here, we present
-
Xanthoma of Tendoachilles: Management and Follow-Up Case Rep. Orthop. Res. Pub Date : 2021-06-28 Nabin Kumar Sahu, Saurav Narayan Nanda, Milan Tripathy, Saswat Samant, Sumanyu Kumar Tripathy, Ashok Kumar Gachhayat
Xanthoma is a rare pseudotumor of connective tissue, consisting of histiocytes with lipid deposits. Usually, it manifests as encapsulated lobular yellowish mass, often associated with familial hypercholesterolemia (FH). We present a case of xanthoma of tendoachilles just proximal to its insertion site, secondary to FH. The patient was a 28-year-old female presenting with a 2-year history of difficulty
-
Concurrent Scoliosis and Dentofacial Anomaly: A Case Report Case Rep. Orthop. Res. Pub Date : 2021-06-18 Samuel Bennett, Colin Whitewood, Jiake Xu
The relationship between scoliosis, dentofacial anomaly, and malocclusion is poorly understood. We report a novel and complex pediatric case of concurrent juvenile scoliosis, dentofacial anomaly, and malocclusion, successfully treated and managed by an interdisciplinary hospital team over a 15-year period. The degree of severity of the scoliosis and dentofacial anomaly necessitates surgical intervention
-
Bilateral Distal Clavicle Nonunion: A Case Report Case Rep. Orthop. Res. Pub Date : 2021-06-17 Mouad Guenbdar, Mourad Bennani, Taoufik Cherrad, Hassan Zejjari, Jamal Louaste, Larbi Amhajji
Bilateral clavicle nonunion is extremely rare (4 published cases), and no case of bilateral distal clavicle nonunion has been reported in the literature. We present the case of a 75-year-old patient followed up for chronic obstructive pulmonary disease, presenting a bilateral fracture of the distal clavicle type “Neer 1” following a road traffic accident and orthopedically treated. After 1 year, the
-
A Lytic Lesion in Proximal Phalanx of Hand: A Case Report and Diagnostic Approach Case Rep. Orthop. Res. Pub Date : 2021-06-16 Kalyan Deepak Sreenivas, Sathyanarayanan Parthasarathy, Akashdeep Ambikakumari Ajayakumar
Lytic lesions arising in the hand can be confused with an enchondroma. Enchondroma is the most common tumor of the hand and can present with varied features. It often requires only observation. A dilemma arises when surgically treatable lesions like aneurysmal bone cyst (ABC) present in uncommon locations like the hand. To diagnose a lytic lesion in the hand, percutaneous biopsy is commonly done. But
-
Full Thickness Tear of Quadriceps Tendon Associated with Closed Intra-Articular Distal Femur Fracture: A Case Report Case Rep. Orthop. Res. Pub Date : 2021-06-14 Santanu Kar, Hemant Bansal, Vijay Sharma, Kamran Farooque
Fractures of the supracondylar and intercondylar region of the distal femur usually result from high velocity injury that is uncommonly associated with violation of the integrity of the extensor mechanism. The consequences of missed quadriceps injury associated with a distal femur fracture are devastating. The present case report illustrates the importance of recognizing the rare association of quadriceps
-
Successful Early Non-Operative Management of Congenital Knee Dislocation: Demonstration via a Case Report Case Rep. Orthop. Res. Pub Date : 2021-06-14 Punit Tiwari, Harmeet Kaur, Sergey S. Leonchuk
Congenital knee dislocation (CKD) is a deformity in which unnatural hyperextension is possible at the knee much beyond the normal 0° full extension while the flexion is severely restricted. Incidence of this rare congenital malformation is 1/100,000 live births. We present a clinical case of unilateral CKD in a 2-week-old female child and our approach of treatment using serial casting. We have been
-
A Challenging Case of a Physeal Bar Endoscopic-Assisted Resection in a Short Stature Child: Case Report and Literature Review Case Rep. Orthop. Res. Pub Date : 2021-06-10 Melanie Ribau, Mário Baptista, Nuno Oliveira, Bruno Direito Santos, Pedro Varanda, Ricardo Maia
Partial physeal bars may develop after injury to the growth plate in children, eventually leading to disturbance of normal growth. Clinical presentation, age of the patient, and the anticipated growth will dictate the best treatment strategy. The ideal treatment for a partial physeal bar is complete excision to allow growth resumption by the remaining healthy physis. There are countless surgical options