{"title":"Retrograde reduction for a depressed talus fracture concomitant with a pilon fracture: A case report","authors":"Yoshinori Satake, Hirofumi Namba, Masahiko Ikeuchi","doi":"10.1016/j.joscr.2023.04.004","DOIUrl":"https://doi.org/10.1016/j.joscr.2023.04.004","url":null,"abstract":"<div><h3>Background</h3><p>A depressed talus fracture is rare and selecting appropriate reduction methods is challenging. We report a case of depressed talus fracture concomitant with a pilon fracture, in which retrograde reduction under arthroscopy was performed using the anteromedial approach.</p></div><div><h3>Case presentation</h3><p>A 43-year-old man sustained a left depressed talus fracture concomitant with a pilon fracture. The depressed lesion was located on the posterolateral part of the talar trochlea, which was inaccessible using standard surgical approaches for pilon fractures. Open reduction and internal fixation were performed using an anteromedial approach, which was also used for arthroscopic-assisted retrograde reduction of the depressed talar fragment.</p></div><div><h3>Conclusions</h3><p>Reduction for all joint surfaces is required to prevent posttraumatic osteoarthritis. Arthroscopic-assisted retrograde reduction provides good visualization and accurate reduction for a depressed talus fracture. This method is an effective treatment for depressed talus fractures.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 3","pages":"Pages 53-56"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195155","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}
{"title":"Intra-articular epithelioid sarcoma of the knee difficult to differentiate from pigmented villonodular synovitis: A case report and literature review","authors":"Hideaki Sabe , Yoshinori Imura , Seira Sato , Hidetatsu Outani , Akira Tsujii , Tomoki Ohori , Hiroki Kiyokawa , Eiichi Morii , Seiji Okada","doi":"10.1016/j.joscr.2023.06.002","DOIUrl":"https://doi.org/10.1016/j.joscr.2023.06.002","url":null,"abstract":"<div><h3>Background</h3><p>Epithelioid sarcoma (ES) is a rare soft tissue sarcoma typically originating in the distal extremities of young adults. ES rarely occurs in the joint.</p></div><div><h3>Case presentation</h3><p>A 22-year-old male patient experienced pain, swelling, and limited motion in his right knee. A joint puncture repeatedly revealed hematoma with no symptom improvement. The magnetic resonance imaging revealed hemorrhagic multifocal lobulated masses in the right knee joint, suggesting a pigmented villonodular synovitis (PVNS). An arthroscopic synovectomy was performed for intraoperative frozen section diagnosis of PVNS. However, a definitive ES diagnosis was made. The patient underwent an above-the-knee amputation and a right inguinal lymph node biopsy. The ES diagnosis remained, and the lymph nodes were histologically negative. He had no recurrence 1 year postoperatively.</p></div><div><h3>Conclusion</h3><p>We report an extremely rare case of intra-articular ES that was difficult to differentiate from PVNS.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 3","pages":"Pages 91-95"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195167","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}
{"title":"Rare case of methicillin-resistant Staphylococcus intermedius tenosynovitis caused by pet bite: A case report","authors":"Hisataka Takeuchi , Kazuaki Morizane , Daisuke Takei , Kazushi Otsuka , Tadashi Yasuda","doi":"10.1016/j.joscr.2023.06.006","DOIUrl":"https://doi.org/10.1016/j.joscr.2023.06.006","url":null,"abstract":"<div><h3>Background</h3><p>The <em>Staphylococcus intermedius</em> group, previously presumed to solely afflict nonhuman animals, has garnered increasing attention in light of recent reports documenting human infections. Additionally, the noteworthy propagation of multidrug-resistant <em>Staphylococcus intermedius</em> group has surfaced as a pressing issue within the realm of veterinary medicine.</p></div><div><h3>Case presentation</h3><p>In this report, we present a unique case of tenosynovitis that arose subsequent to multiple bites inflicted by a feline that had been prescribed antibiotics for pyoderma. The bacterial isolate retrieved from the patient's wound culture was identified as multidrug-resistant <em>Staphylococcus intermedius</em> group, prompting a modification in the individual's postoperative antibiotic regimen to vancomycin, which proved to be efficacious.</p></div><div><h3>Conclusions</h3><p>For pet bite injuries, <em>Staphylococcus intermedius</em> group or multidrug-resistant <em>Staphylococcus intermedius</em>, a normal flora in animals, should also be considered in medical treatment, given the expected increase in pet ownership and related injuries.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 3","pages":"Pages 108-111"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195164","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}
{"title":"Blood cobalt levels elevated with rod fracture following posterior spinal fusion in scoliosis: A report of two cases","authors":"Shota Tamagawa , Tatsuya Sato , Hidetoshi Nojiri , Takehisa Matsukawa , Takahiro Ushimaki , Kentaro Ishii , Seiya Ishii , Yasuhiro Homma , Muneaki Ishijima","doi":"10.1016/j.joscr.2023.05.002","DOIUrl":"https://doi.org/10.1016/j.joscr.2023.05.002","url":null,"abstract":"<div><h3>Background</h3><p>Elevated blood metal ion levels and the accumulation of metal debris in peri-implant tissues have been reported after metal-on-metal total hip arthroplasty and total disc replacement. However, little is known about the relationship between blood metal ion levels and clinical adverse events in instrumented spinal fusion surgery.</p></div><div><h3>Case presentation</h3><p>We report 2 cases of scoliosis with elevated blood cobalt levels following cobalt-chromium rod fracture. Following fractured rod removal and rod replacement, the blood cobalt levels decreased over time. At the final follow-up, both patients presented without symptoms, correction loss, or rod fractures on radiographs.</p></div><div><h3>Conclusions</h3><p>Our results suggest that repeated macro-motion may result in metal ion release due to mechanical wear and corrosion of the fracture surfaces. In patients with rod fracture, it may be worthwhile to measure blood cobalt levels and consider revision surgery if necessary.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 3","pages":"Pages 69-73"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195159","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}
JOS Case ReportsPub Date : 2023-09-01DOI: 10.1016/j.joscr.2023.05.003
Marie Uchino , Yasuhiro Kiyota , Masanori Nakayama
{"title":"Surgical treatment using a ‘two window approach’ for pediatric elbow fracture-dislocation with posteromedial rotatory instability: a report of two cases","authors":"Marie Uchino , Yasuhiro Kiyota , Masanori Nakayama","doi":"10.1016/j.joscr.2023.05.003","DOIUrl":"https://doi.org/10.1016/j.joscr.2023.05.003","url":null,"abstract":"<div><h3>Background</h3><p>Posteromedial rotatory instability (PMRI) of the elbow is usually treated with either the Hotchkiss Over-the-Top approach or the flexor carpi ulnaris (FCU) splitting approach. And there are no case reports of pediatric PMRI.</p></div><div><h3>Case presentation</h3><p>Case 1 is a 12-year-old boy who fell on his left outstretched hand. He was diagnosed with PMRI with an O'Driscoll type 2, subtype 3 coronoid fracture. The coronoid fragments were fixed using the ‘two window approach’: combining the Hotchkiss Over-the-Top approach and the FCU splitting approach. Case 2 is a 13-year-old boy who suffered an elbow fracture-dislocation with an O'Driscoll type 2, subtype 3 coronoid fracture. His PMRI was treated operatively with the same ‘two window approach’ as case 1.</p></div><div><h3>Conclusion</h3><p>This is the first case report of pediatric PMRI. By using the ‘two window approach’, we successfully and less invasively treated the anteromedial facet fractures of the coronoid process.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 3","pages":"Pages 74-77"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195160","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}
{"title":"A novel pedicle screw system for dynamic stabilization of osteoporotic vertebral fractures: A case report","authors":"Shinji Kotaka, Yasushi Fujiwara, Ryo Ohta, Kazutoshi Iwasa, Hiroaki Murakami, Yuki Ota, Makoto Nishimori, Yutaka Kadonishi, Nobuo Adachi","doi":"10.1016/j.joscr.2023.03.002","DOIUrl":"https://doi.org/10.1016/j.joscr.2023.03.002","url":null,"abstract":"<div><h3>Background</h3><p>Previous research has reported that surgery for patients suffering from osteoporotic thoracolumbar vertebral fractures (OVFs) with delayed neurological deficits is often invasive and associated with increased perioperative complications and instrumental failure because they involve elderly patients.</p></div><div><h3>Case presentation</h3><p>This report describes the dynamic stabilization of an OVF with neurological deficits in a 70-year-old woman. Imaging showed a fracture of L3 and spinal canal stenosis with disc herniation at L3-L4. We performed a posterior dynamic stabilization with a posterior short segment using the cosmicMIA™ system and decompression. Low back and leg pain decreased after surgery, and postoperative imaging showed bone fusion of the L2–L3 facet joint and L3–L4 intervertebral body.</p></div><div><h3>Conclusions</h3><p>Our report is instructive for short-segment posterior fixation and decompression surgery using the cosmicMIA system to treat OVFs in elderly patients.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 2","pages":"Pages 34-37"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192329","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}
JOS Case ReportsPub Date : 2023-07-01DOI: 10.1016/j.joscr.2023.03.001
Jung-Ro Yoon, Jin-Uk Jeong, Seung Hoon Lee
{"title":"Hypersensitivity reaction after total knee arthroplasty caused by titanium nitride coated implant: A case report","authors":"Jung-Ro Yoon, Jin-Uk Jeong, Seung Hoon Lee","doi":"10.1016/j.joscr.2023.03.001","DOIUrl":"https://doi.org/10.1016/j.joscr.2023.03.001","url":null,"abstract":"<div><h3>Background</h3><p>Hypersensitivity reaction to implants after total knee arthroplasty (TKA) is an area-specific complication. Although titanium nitride is relatively safe, hypersensitivity reaction may occur and revision surgery might be necessary.</p></div><div><h3>Case presentation</h3><p>A 60-year-old man presented with persistent swelling and pain that occurred after TKA. The patient had undergone TKA before 3 years and open debridement was performed once due to persistent swelling before his visit to our hospital. After eliminating all the possible causes of persistent swelling after TKA, a skin patch test was performed, which revealed a positive reaction to titanium nitride. A revision TKA was performed using an implant made of a material not known to cause hypersensitivity reaction. One year after revision TKA, significant reduction was observed in pain and swelling did not recur.</p></div><div><h3>Conclusion</h3><p>Metal hypersensitivity reaction after TKA is a rare occurrence and is difficult to diagnose because the symptom is non-specific. In this study, we reported a case of hypersensitivity reaction to a titanium nitride coated implant, which is considered relatively safe. It is important to eliminate other causes such as infection and implant loosening in cases of painful swelling that occurs after TKA. If a revision surgery is indicated, the treatment should be implemented with a material that does not cause hypersensitivity reaction.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 2","pages":"Pages 30-33"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192330","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}
{"title":"Tendon rupture after local steroid injection for stenosing tenosynovitis of hand: A report of three cases and literature review","authors":"Yusuke Inomori , Haruhiko Shimura , Yoshiaki Wakabayashi , Koji Fujita , Akimoto Nimura","doi":"10.1016/j.joscr.2023.02.001","DOIUrl":"https://doi.org/10.1016/j.joscr.2023.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Local steroid injection is a common treatment for stenosing tenosynovitis. We experienced three cases of tendon rupture after steroid injections and reviewed previous reports describing similar cases.</p></div><div><h3>Case presentation</h3><p>In one case, a 43-year-old female with De Quervain disease received injections of 20 mg of triamcinolone acetonide and/or 1.65 mg of dexamethasone and the extensor pollicis brevis and abductor pollicis longus tendon ruptured. In another case, a 60-year-old female with trigger thumb received injections of 10 mg of methylprednisolone and flexor pollicis longus tendon rupture occurred. In the third case, a 56-year-old female with trigger thumb received injections of 20 mg of triamcinolone acetonide and flexor pollicis longus tendon rupture occurred.</p></div><div><h3>Conclusion</h3><p>In previous reports and our cases of tendon rupture associated with stenosing tenosynovitis, triamcinolone acetonide was used at a dose of 10 mg or more. Orthopedists should be careful when selecting the dosage of injected steroids.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 2","pages":"Pages 19-22"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192331","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}
{"title":"Long-term survival after multidisciplinary treatment for large-size secondary osteosarcoma of the rib: A case report","authors":"Kei Takeuchi , Naofumi Asano , Kyohei Masai , Kayo Yoshida , Satoshi Kamio , Sayaka Yamaguchi , Tomoaki Mori , Robert Nakayama , Hajime Ohkita , Hisao Asamura , Morio Matsumoto , Masaya Nakamura","doi":"10.1016/j.joscr.2023.02.002","DOIUrl":"https://doi.org/10.1016/j.joscr.2023.02.002","url":null,"abstract":"<div><h3>Background</h3><p>Secondary high-grade rib osteosarcoma is a very rare condition.</p></div><div><h3>Case presentation</h3><p>A 27-year-old woman presented with a bulging rib discovered on chest radiography, and fibrous dysplasia is suspected. A 15-cm chest wall tumor with osteolytic and sclerosing changes was observed 10 years later. Histologically, osteosarcoma was diagnosed, and no distant metastasis was found. Chemotherapy was performed, but the tumor grew over time, eventually filling the entire left thoracic cavity. Consequently, the patient had a pneumonectomy with wide chest wall resection. Despite allowing for an en bloc resection, the surgical margin was positive, necessitating postoperative radiotherapy. There has been no recurrence 5 years after surgery.</p></div><div><h3>Conclusions</h3><p>This is most likely a secondary osteosarcoma arising from rib fibrous dysplasia. It is suggested that imaging follow-up is important for early detection of malignant transformation.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 2","pages":"Pages 23-29"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192332","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}
JOS Case ReportsPub Date : 2023-07-01DOI: 10.1016/j.joscr.2023.04.003
Toshinori Kurashige
{"title":"Minimally invasive surgery for symptomatic nonunion after fracture of the fourth toe interphalangeal coalition: A case report","authors":"Toshinori Kurashige","doi":"10.1016/j.joscr.2023.04.003","DOIUrl":"https://doi.org/10.1016/j.joscr.2023.04.003","url":null,"abstract":"<div><h3>Background</h3><p>The interphalangeal coalition is common in the fifth toe and relatively less in the fourth toe. Fractures may be overlooked, which could prolong fusion and cause further pain. Although reports of conservative treatment are limited, only one case was treated surgically with painful nonunion.</p></div><div><h3>Case presentation</h3><p>We report a very rare case of painful nonunion after a fracture of the fourth toe interphalangeal coalition. Surgery was performed following an unpublished minimally invasive procedure. The patient started full weight-bearing the day after surgery and returned to sports activity 3 months later. No postoperative complications occurred 6 months after surgery.</p></div><div><h3>Conclusion</h3><p>To the best of our knowledge, this is the second report of painful nonunion after a fracture of toe interphalangeal coalition treated surgically and the first report of minimally invasive surgery.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 2","pages":"Pages 44-47"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192333","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}