JOS Case Reports最新文献

Two cases of treatment of the seymour fracture complicated by pyogenic arthritis with antibiotic-impregnated calcium phosphate paste granules 浸渍磷酸钙糊粒治疗西摩骨折合并化脓性关节炎2例

JOS Case Reports Pub Date : 2025-01-04 DOI: 10.1016/j.joscr.2024.12.001

Koki Hosozawa , Ryoichi Shibuya , Satoshi Miyamura , Toru Iwahashi , Takeshi Fuji

{"title":"Two cases of treatment of the seymour fracture complicated by pyogenic arthritis with antibiotic-impregnated calcium phosphate paste granules","authors":"Koki Hosozawa , Ryoichi Shibuya , Satoshi Miyamura , Toru Iwahashi , Takeshi Fuji","doi":"10.1016/j.joscr.2024.12.001","DOIUrl":"10.1016/j.joscr.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Seymour fractures are physeal fractures of the distal phalanx in children. These fractures are difficult to treat because they frequently lead to infections. We report two cases of Seymour fractures complicated by pyogenic arthritis, treated with vancomycin-impregnated paste granules of calcium phosphate cement, that showed good outcomes.</div></div><div><h3>Case presentation</h3><div>Two teenagers injured their fingers during rugby. They visited the outpatient clinic several days after the injury, presenting with purulent material discharge from the nail bed detachment. X-ray and MRI showed physeal fractures with associated inflammation, resulting in the diagnosis of Seymour fractures complicated by pyogenic arthritis and osteomyelitis. The wounds were irrigated and debrided, and the bone defect was filled with vancomycin-impregnated paste granules of calcium phosphate cement. While the growth plates closed prematurely, no recurrence of infection occurred.</div></div><div><h3>Conclusion</h3><div>In Seymour fractures complicated by pyogenic arthritis, vancomycin-impregnated paste granules of calcium phosphate cement are effective in controlling infection.</div></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"4 2","pages":"Pages 63-66"},"PeriodicalIF":0.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chronic tibial osteomyelitis by Cutibacterium (Propionibacterium) acnes with characteristic imaging findings 由丙酸杆菌引起的慢性胫骨骨髓炎具有特征性影像学表现

JOS Case Reports Pub Date : 2024-12-05 DOI: 10.1016/j.joscr.2024.11.002

Taiga Furukawa, Tomoaki Fukui, Yohei Kumabe, Ryosuke Kuroda, Keisuke Oe

{"title":"Chronic tibial osteomyelitis by Cutibacterium (Propionibacterium) acnes with characteristic imaging findings","authors":"Taiga Furukawa, Tomoaki Fukui, Yohei Kumabe, Ryosuke Kuroda, Keisuke Oe","doi":"10.1016/j.joscr.2024.11.002","DOIUrl":"10.1016/j.joscr.2024.11.002","url":null,"abstract":"<div><h3>Background</h3><div>Osteomyelitis caused by <em>Cutibacterium (Propionibacterium) acnes</em> (<em>C. acnes</em>) is rare, and there are no reports on the use of the Masquelet technique for its treatment.</div></div><div><h3>Case presentation</h3><div>A 21-year-old male patient visited a local hospital after spraining his left leg. Abnormal linear changes were noted on radiography and magnetic resonance imaging (MRI); however, the leg pain improved over time. Four years later, the patient was referred to our department because he experienced left leg pain again without any particular trigger, and a new linear lesion was found on imaging. Osteomyelitis was suspected. Curettage and filling with vancomycin-loaded bone cement were performed. Intraoperative tissue culture revealed <em>C. acnes</em>. Two months later, the cement was removed, and autologous iliac bone grafting was performed. Bony union was confirmed 5 months after the last surgery.</div></div><div><h3>Conclusion</h3><div>Osteomyelitis caused by <em>C. acnes</em> can show characteristic imaging findings.</div></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"4 2","pages":"Pages 58-62"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful treatment of a recalcitrant nonunion after periprosthetic femoral fracture using a cementless long stem with interlocking screws inserted via a locking plate: A case report 使用无骨水泥长柄和通过锁定板插入的联锁螺钉成功治疗股骨假体周围骨折后的顽固性不愈合：病例报告

JOS Case Reports Pub Date : 2024-12-01 DOI: 10.1016/j.joscr.2024.05.003

Masashi Sato, Hisatoshi Ishikura , Naoto Kaminaga, Takeyuki Tanaka, Sakae Tanaka

引用次数: 0

Long-term efficacy of eribulin in patients with advanced myxoid liposarcoma resistant to trabectedin: A case report 伊瑞布林治疗耐药晚期黏液样脂肪肉瘤的长期疗效：1例报告

JOS Case Reports Pub Date : 2024-12-01 DOI: 10.1016/j.joscr.2024.06.002

Kazuma Arai , Koichi Okajima , Yuki Ishibashi , Yusuke Tsuda , Shinji Kohsaka , Yoichi Yasunaga , Kohichi Takada , Makoto Emori , Tetsuo Ushiku , Katsutoshi Oda , Kiyoshi Miyagawa , Hiroyuki Aburatani , Hiroyuki Mano , Sakae Tanaka , Hiroshi Kobayashi

{"title":"Long-term efficacy of eribulin in patients with advanced myxoid liposarcoma resistant to trabectedin: A case report","authors":"Kazuma Arai , Koichi Okajima , Yuki Ishibashi , Yusuke Tsuda , Shinji Kohsaka , Yoichi Yasunaga , Kohichi Takada , Makoto Emori , Tetsuo Ushiku , Katsutoshi Oda , Kiyoshi Miyagawa , Hiroyuki Aburatani , Hiroyuki Mano , Sakae Tanaka , Hiroshi Kobayashi","doi":"10.1016/j.joscr.2024.06.002","DOIUrl":"10.1016/j.joscr.2024.06.002","url":null,"abstract":"<div><h3>Background</h3><div>Myxoid liposarcoma is sensitive to trabectedin, but less sensitive to eribulin.</div></div><div><h3>Case presentation</h3><div>A 47-year-old man presented to our hospital with a right leg mass, biopsy of which revealed myxoid liposarcoma. Surgical resection was performed and perioperative chemotherapy was administered. Eighteen years postoperatively, the patient developed pericardial metastasis causing cardiac tamponade, and radiotherapy was administered. One year later, mesenteric metastasis occurred and the tumor was resected. One year later to this, multiple metastases, including recurrent mesenteric metastases, occurred. As the metastases progressed after two cycles of trabectedin treatment, eribulin was initiated, resulting in a partial response. Eribulin was continued for 18 months without severe adverse events. Genetic testing of the resected mesenteric tumor revealed a <em>PIK3CA</em> (p.H1047R) mutation, and immunohistochemistry for phosphorylated AKT was negative.</div></div><div><h3>Conclusions</h3><div>This report of long-term successful treatment of trabectedin-resistant myxoid liposarcoma with eribulin suggests sensitivity mechanism to eribulin in myxoid liposarcoma with <em>PIK3CA</em> mutation.</div></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 4","pages":"Pages 209-213"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143152399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chipping corrective osteotomy and autologous bone graft for malrotation with nonunion of a subtrochanteric femoral fracture: A case report 削骨矫正截骨术和自体骨移植治疗股骨转子下骨折旋转不良伴不愈合：病例报告

JOS Case Reports Pub Date : 2024-12-01 DOI: 10.1016/j.joscr.2024.06.001

Masaki Takahashi, Juji Ito, Takeshi Sameshima, Michiaki Takagi, Yuya Takakubo

{"title":"Chipping corrective osteotomy and autologous bone graft for malrotation with nonunion of a subtrochanteric femoral fracture: A case report","authors":"Masaki Takahashi, Juji Ito, Takeshi Sameshima, Michiaki Takagi, Yuya Takakubo","doi":"10.1016/j.joscr.2024.06.001","DOIUrl":"10.1016/j.joscr.2024.06.001","url":null,"abstract":"<div><h3>Background</h3><div>With subtrochanteric femoral fractures, it is often difficult to achieve appropriate positioning after reduction, and these fractures have a high risk of nonunion and malrotation. We report a case in which chipping corrective (CCO)was performed for nonunion and malrotation after subtrochanteric femoral fracture repair.</div></div><div><h3>Case presentation</h3><div>A 61-year-old man sustained a left femoral subtrochanteric fracture. Bone union was not achieved 2 years after the initial surgery. Additional surgery with CCO was performed 2 years and 9 months after the initial surgery. One year after CCO, bone union had been achieved circumferentially, and the difference in anteversion of the femoral neck from the opposite side had decreased from 49.3° preoperatively to 2.4° postoperatively.</div></div><div><h3>Conclusions</h3><div>CCO is useful for nonunion of subtrochanteric femoral fractures with malrotation. To our knowledge, there are no previous reports of CCO for postoperative nonunion of subtrochanteric femoral fractures.</div></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 4","pages":"Pages 205-208"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141415643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retroperitoneal continuous local antibiotic perfusion for surgical site infection after lumbar lateral interbody fusion: A case report 腹膜后持续局部抗生素灌注治疗腰椎外侧椎体间融合术后手术部位感染1例

JOS Case Reports Pub Date : 2024-12-01 DOI: 10.1016/j.joscr.2024.05.002

Yawara Eguchi , Noritaka Suzuki , Sumihisa Orita , Kazuhide Inage , Miyako Narita , Yasuhiro Shiga , Masahiro Inoue , Soichiro Tokeshi , Kohei Okuyama , Shuhei Ohyama , Yasuchika Aoki , Junichi Nakamura , Shigeo Hagiwara , Yuya Kawarai , Tsutomu Akazawa , Masao Koda , Hiroshi Takahashi , Seiji Ohtori

{"title":"Retroperitoneal continuous local antibiotic perfusion for surgical site infection after lumbar lateral interbody fusion: A case report","authors":"Yawara Eguchi , Noritaka Suzuki , Sumihisa Orita , Kazuhide Inage , Miyako Narita , Yasuhiro Shiga , Masahiro Inoue , Soichiro Tokeshi , Kohei Okuyama , Shuhei Ohyama , Yasuchika Aoki , Junichi Nakamura , Shigeo Hagiwara , Yuya Kawarai , Tsutomu Akazawa , Masao Koda , Hiroshi Takahashi , Seiji Ohtori","doi":"10.1016/j.joscr.2024.05.002","DOIUrl":"10.1016/j.joscr.2024.05.002","url":null,"abstract":"<div><h3>Background</h3><div>Surgical site infection (SSI) after instrumented spinal surgery (ISS) is one of the most serious surgical complications. Treatment is often difficult, with many cases requiring removal of the implant.</div></div><div><h3>Case presentation</h3><div>An 80-year-old man developed refractory MRSA SSI after L4-5 Oblique Lateral Interbody Fusion surgery for a multiply operated back. Local debridement and retroperitoneal continuous local antibiotic perfusion (CLAP) were performed to preserve the implant. One month later, a second CLAP was performed for T6-7 suppurative spondylitis that had disseminated remotely to the thoracic spine. Following this, the lumbar spine and thoracic spine abscess, inflammatory response, and low back pain were reduced dramatically, and the implant was saved.</div></div><div><h3>Conclusion</h3><div>Even in the case of SSI after refractory anterior ISS, CLAP is a procedure worth trying first, as it is easy to install and manage, and will possibly control infection to preserve the implant.</div></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 4","pages":"Pages 190-195"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143152741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric gymnast with type 1 manubriosternal joint dislocation recovered by remodeling with conservative treatment: A case report 患 1 型胸肋关节脱位的小儿体操运动员通过重塑和保守治疗康复：病例报告

JOS Case Reports Pub Date : 2024-12-01 DOI: 10.1016/j.joscr.2024.05.001

Hideki Hiraiwa , Tadahiro Sakai , Shinya Ishizuka , Hiroki Oba , Takafumi Mizuno , Takashi Tsukahara , Shiro Imagama

引用次数: 0

Guided growth for angular correction in valgus knee deformity following subtotal meniscectomy of the discoid lateral meniscus in a juvenile knee: A case report 青少年膝关节盘状外侧半月板次全切除术后膝外翻畸形的角度矫正引导生长：病例报告

JOS Case Reports Pub Date : 2024-12-01 DOI: 10.1016/j.joscr.2024.04.002

Keisuke Maeda, Tomoharu Mochizuki, Reiko Murakami, Osamu Tanifuji, Hiroyuki Kawashima

{"title":"Guided growth for angular correction in valgus knee deformity following subtotal meniscectomy of the discoid lateral meniscus in a juvenile knee: A case report","authors":"Keisuke Maeda, Tomoharu Mochizuki, Reiko Murakami, Osamu Tanifuji, Hiroyuki Kawashima","doi":"10.1016/j.joscr.2024.04.002","DOIUrl":"10.1016/j.joscr.2024.04.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Few studies have reported the development of severe knee deformities after total or subtotal meniscectomy for juvenile discoid lateral menisci (DLM). We report a juvenile case of valgus knee deformity and severe chondral lesions after subtotal meniscectomy.</div></div><div><h3>Case presentation</h3><div>A 6-year-old girl with DLM underwent subtotal meniscectomy of the anterior and middle menisci. At the age of 11 years, imaging showed severe valgus knee deformity with morphological deformities and severe chondral lesions. An Eight-Plate hemiepiphysiodesis-guided growth method was used to gradually correct the lower leg alignment. Currently, the desired alignment with improvement of the bony deformity and cartilage has been achieved.</div></div><div><h3>Conclusions</h3><div>In a juvenile knee with valgus bony deformity and severe chondral lesions, the gradual correction of valgus deformity through temporary hemiepiphysiodesis resulted in an improvement in bone deformity and cartilage defect.</div></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 4","pages":"Pages 181-186"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141033534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An alternative goal of conservative treatment in elite pediatric athletes with lumbar spondylolysis: A case report and literature review 腰椎溶解症儿科精英运动员保守治疗的另一个目标：病例报告和文献综述

JOS Case Reports Pub Date : 2024-12-01 DOI: 10.1016/j.joscr.2024.05.004

Shutaro Fujimoto , Shunsuke Tamaki , Kosuke Sugiura , Makoto Takeuchi , Masatoshi Morimoto , Fumitake Tezuka , Kazuta Yamashita , Koichi Sairyo

{"title":"An alternative goal of conservative treatment in elite pediatric athletes with lumbar spondylolysis: A case report and literature review","authors":"Shutaro Fujimoto , Shunsuke Tamaki , Kosuke Sugiura , Makoto Takeuchi , Masatoshi Morimoto , Fumitake Tezuka , Kazuta Yamashita , Koichi Sairyo","doi":"10.1016/j.joscr.2024.05.004","DOIUrl":"10.1016/j.joscr.2024.05.004","url":null,"abstract":"<div><h3>Background</h3><div>The main conservative treatment strategies for lumbar spondylolysis are bone healing and pain management. Bone healing requires cessation of sports, which may be difficult for pediatric athletes.</div></div><div><h3>Case presentation</h3><div>A 15-year-old female athlete had bilateral L2 spondylolysis (right: very-early stage; left: progressive). Radiographs suggested vertebral maturity. Although bone healing could be expected on both sides, we aimed for continuation of play because she was a candidate for a national-level team attending an international competition. We implemented strenuous athletic rehabilitation based on joint-by-joint theory to reduce lumbar spine loading. A pars fracture led to pseudoarthrosis, but she continued playing and participated in the competition without problem.</div></div><div><h3>Conclusions</h3><div>In pediatric patients with spondylolysis and low risk of slippage, treatment aimed at continuation of play and pain management rather than bone healing may be considered, particularly in elite athletes. Strenuous athletic rehabilitation, including thoracic spine mobilization, is essential in such cases.</div></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 4","pages":"Pages 201-204"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Osteochondral fragment fixation for Freiberg's disease: A report of three cases 骨软骨碎片固定治疗Freiberg病3例报告

JOS Case Reports Pub Date : 2024-11-25 DOI: 10.1016/j.joscr.2024.11.001

Ryo Fukagawa , Ichiro Yoshimura , Tomonobu Hagio , Tetsuro Ishimatsu , Yuki Sugino , Seiya Tomonaga , Yoshimasa Taniguchi , Takuaki Yamamoto

{"title":"Osteochondral fragment fixation for Freiberg's disease: A report of three cases","authors":"Ryo Fukagawa , Ichiro Yoshimura , Tomonobu Hagio , Tetsuro Ishimatsu , Yuki Sugino , Seiya Tomonaga , Yoshimasa Taniguchi , Takuaki Yamamoto","doi":"10.1016/j.joscr.2024.11.001","DOIUrl":"10.1016/j.joscr.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>Freiberg's disease is characterized by osteonecrosis of the metatarsal head and is most common in teenage girls who play sports. Various treatment options are selected depending on the disease progression. When conservative measures fail, dorsiflexion osteotomy or osteochondral grafting are often performed. However, each approach has its drawbacks. Herein, we present three cases in which Freiberg's disease was effectively managed with osteochondral fragment fixation, circumventing the limitations associated with traditional treatment methods.</div></div><div><h3>Case presentation</h3><div>We describe three teenagers with Frieberg's disease who failed to respond to conservative treatment. The osteochondral fragment was stabilized using absorbable pins, thereby preserving the articular cartilage and maintaining the joint congruity. All three patients achieved substantial pain relief and functional improvement postoperatively.</div></div><div><h3>Conclusion</h3><div>Osteochondral fragment fixation is a promising alternative for the management of Freiberg's disease. This approach offers a valuable addition to the treatment armamentarium, providing patients with a minimally invasive yet effective solution for their condition.</div></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"4 2","pages":"Pages 53-57"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0