JOS Case Reports最新文献_第7页

Corrective osteotomy for cubitus varus using the Image Fusion System 利用图像融合系统对拇趾外翻进行矫正截骨术

JOS Case Reports Pub Date : 2024-09-01 Epub Date: 2024-03-08 DOI: 10.1016/j.joscr.2024.02.001

Junichiro Morita , Yuichi Yoshii , Takushi Nakatani , Takeshi Ogawa , Hajime Mishima , Tomoo Ishii

{"title":"Corrective osteotomy for cubitus varus using the Image Fusion System","authors":"Junichiro Morita , Yuichi Yoshii , Takushi Nakatani , Takeshi Ogawa , Hajime Mishima , Tomoo Ishii","doi":"10.1016/j.joscr.2024.02.001","DOIUrl":"10.1016/j.joscr.2024.02.001","url":null,"abstract":"<div><h3>Background</h3><p>An Image Fusion System was developed and clinically applied to project preoperative planning images onto intraoperative fluoroscopic images. We herein report a case of corrective osteotomy for cubitus varus using the Image Fusion System.</p></div><div><h3>Case presentation</h3><p>The present case is a 34-year-old female with cubitus varus. The patient had a varus elbow deformity and elbow pain due to the malunion of a distal humerus fracture in childhood. We performed corrective osteotomy under general anesthesia using the Image Fusion System.</p><p>Bone union was achieved approximately 3 months after surgery. The Mayo elbow performance score increased from 60 before surgery to 100 after surgery. The postoperative carrying angle of the elbow joint increased from −17° before surgery to 7° after surgery.</p></div><div><h3>Conclusion</h3><p>The Image Fusion System may be one of the methods used to assist corrective osteotomy for cubitus varus.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 3","pages":"Pages 151-154"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964824000121/pdfft?md5=3f6a619f710a3f6c86040442c96f40cb&pid=1-s2.0-S2772964824000121-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142149548","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

Chronic Achilles tendon sleeve avulsion treated by combination of V–Y tendon plasty and suture bridge technique: A case report 结合 V-Y 肌腱成形术和缝合桥接技术治疗慢性跟腱套撕脱：病例报告

JOS Case Reports Pub Date : 2024-09-01 Epub Date: 2024-04-01 DOI: 10.1016/j.joscr.2024.03.003

{"title":"Chronic Achilles tendon sleeve avulsion treated by combination of V–Y tendon plasty and suture bridge technique: A case report","authors":"","doi":"10.1016/j.joscr.2024.03.003","DOIUrl":"10.1016/j.joscr.2024.03.003","url":null,"abstract":"<div><h3>Background</h3><p>In the cases of Achilles tendon sleeve avulsion with a larger tendon defect, the surgeon should be prepared to perform reconstruction of the tendon insertion as well as the tendon defect. This report details a case of a chronic Achilles tendon sleeve avulsion in a 52-year-old female who was successfully treated with a combination of V–Y tendon plasty and suture bridge technique.</p></div><div><h3>Case presentation</h3><p>A 52-year-old female presented to our hospital with a 3-month history of persistent posterior ankle pain. Based on physical examination and image findings, the patient was diagnosed with chronic Achilles tendon sleeve avulsion and treated operatively. <u>Because of a large tendon defect, a combination of V</u>–<u>Y tendon plasty and suture bridge technique was performed.</u> At 2 years postoperatively, the patient had no symptoms or functional impairment.</p></div><div><h3>Conclusions</h3><p>Although a long-term follow-up is required in this case, this operative procedure yielded good short-term results.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 3","pages":"Pages 168-171"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964824000169/pdfft?md5=e1956dee539d21243361ea0d92e56784&pid=1-s2.0-S2772964824000169-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140772291","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

Long-term outcomes of BCG osteomyelitis in infants: Epiphyseal regeneration and minimal leg-length discrepancy after 10 years 卡介苗骨髓炎对婴儿的长期影响：骺板再生和 10 年后最小腿长差异

JOS Case Reports Pub Date : 2024-07-01 Epub Date: 2024-02-01 DOI: 10.1016/j.joscr.2024.01.003

Satomi Abe, Yusuke Sasaki, Keisuke Matsukura, Hiroshi Ito

{"title":"Long-term outcomes of BCG osteomyelitis in infants: Epiphyseal regeneration and minimal leg-length discrepancy after 10 years","authors":"Satomi Abe, Yusuke Sasaki, Keisuke Matsukura, Hiroshi Ito","doi":"10.1016/j.joscr.2024.01.003","DOIUrl":"10.1016/j.joscr.2024.01.003","url":null,"abstract":"<div><h3>Background</h3><p>Bacillus Calmette-Guérin (BCG) is a vaccine to prevent tuberculosis. Complications in infants and children include BCG osteitis and osteomyelitis of the metaphysis or epiphysis of long bones. There have been few reports of long-term follow-up. We investigated 10-year outcomes based on X-rays and physical examinations.</p></div><div><h3>Case presentation</h3><p>We described two individuals who developed BCG osteomyelitis after vaccination (Tokyo 172 strain) at 3 months old. Both cases underwent a biopsy of the infected epiphyseal lesion, irrigation from the metaphysis through the center of the growth plates, and received two anti-tuberculosis drugs: rifampicin and isoniazid. At the 10-year follow-up, the affected epiphysis had regenerated and both cases showed a leg-length discrepancy of less than 1 cm due to overgrowth.</p></div><div><h3>Conclusions</h3><p>This study reported on the long-term outcomes of two cases of BCG epiphyseal osteomyelitis in infants, revealing favorable results with regenerated epiphysis and minimal leg-length discrepancy.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 2","pages":"Pages 111-116"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964824000042/pdfft?md5=edf2960070463c4dff0c97283222d7ff&pid=1-s2.0-S2772964824000042-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139873521","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

Iatrogenic spinal subarachnoid hematoma and cauda equina compression after preoperative myelography for lumbar revision surgery: A case report 腰椎翻修手术术前髓鞘造影术后先天性脊柱蛛网膜下腔血肿和马尾受压：病例报告

JOS Case Reports Pub Date : 2024-07-01 Epub Date: 2024-01-09 DOI: 10.1016/j.joscr.2023.12.006

Naoki Okamoto, Rentaro Okazaki, Seiichi Azuma

{"title":"Iatrogenic spinal subarachnoid hematoma and cauda equina compression after preoperative myelography for lumbar revision surgery: A case report","authors":"Naoki Okamoto, Rentaro Okazaki, Seiichi Azuma","doi":"10.1016/j.joscr.2023.12.006","DOIUrl":"10.1016/j.joscr.2023.12.006","url":null,"abstract":"<div><h3>Background</h3><p>Lumbar puncture for myelography can cause incidental vascular injury, but rarely results in spinal hematoma formation.</p></div><div><h3>Case presentation</h3><p>A 73-year-old man without coagulopathy underwent preoperative myelography for lumbar revision. Magnetic resonance imaging revealed L2/3 and L4/5 canal stenoses. A subsequent atraumatic lumbar puncture was performed in the previously decompressed L3/4 interlaminar space. After the procedure, the patient presented with gradually worsening neurological disorder. Emergency magnetic resonance imaging revealed localized subarachnoid hematoma at the L3-4 level. The neurological disorder improved remarkably after L2-L5 laminectomy and hematoma removal.</p></div><div><h3>Conclusions</h3><p>During preoperative myelography for lumbar revision, lumbar puncture of a previously decompressed segment should be avoided if canal stenotic lesions exist in both craniocaudal adjacent segments. Incidental vascular injury and impaired cerebrospinal fluid flow due to adjacent canal stenoses may cancel the washout process of hemorrhage and cause subarachnoid hematoma.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 2","pages":"Pages 97-100"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964824000017/pdfft?md5=ef3a241da513c8ae782ffa4c718304e5&pid=1-s2.0-S2772964824000017-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456924","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

Metastatic malignant glomus tumor resistant to pazopanib, a multikinase inhibitor: A case report and review of literature 对多激酶抑制剂帕唑帕尼耐药的转移性恶性胶状体瘤：病例报告和文献综述

JOS Case Reports Pub Date : 2024-07-01 Epub Date: 2024-01-12 DOI: 10.1016/j.joscr.2024.01.001

Kengo Kawaguchi , Makoto Endo , Suguru Fukushima , Takeshi Hirose , Akira Nabeshima , Toshifumi Fujiwara , Yoshinao Oda , Yasuharu Nakashima

{"title":"Metastatic malignant glomus tumor resistant to pazopanib, a multikinase inhibitor: A case report and review of literature","authors":"Kengo Kawaguchi , Makoto Endo , Suguru Fukushima , Takeshi Hirose , Akira Nabeshima , Toshifumi Fujiwara , Yoshinao Oda , Yasuharu Nakashima","doi":"10.1016/j.joscr.2024.01.001","DOIUrl":"10.1016/j.joscr.2024.01.001","url":null,"abstract":"<div><h3>Background</h3><p>Malignant glomus tumors are extremely rare soft tissue tumors that are rich in tumor vessels. Due to its rarity, no treatment strategy other than resection has been established. Pazopanib, a multikinase inhibitor, is expected to improve the prognosis of patients with soft tissue sarcoma. However, there are no reports on the clinical outcomes of pazopanib in patients with malignant glomus tumors.</p></div><div><h3>Case presentation</h3><p>A 74-year-old man with a history of neurofibromatosis type 1 was diagnosed with a malignant glomus tumor on his left thigh, with multiple lung metastases at initial presentation. Doxorubicin was administered followed by pazopanib; however, tumor progression was not arrested.</p></div><div><h3>Conclusion</h3><p>To the best of our knowledge, this is the first reported case of a malignant glomus tumor treated with pazopanib. Further investigations on chemotherapy in patients with malignant glomus tumors are needed.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 2","pages":"Pages 101-104"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964824000029/pdfft?md5=02fd4be3c2650aaa5bdf199f735ebb97&pid=1-s2.0-S2772964824000029-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139538055","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

Compartment syndrome of the foot with Lisfranc fracture dislocation treated by a 2-incision approach: A case report 采用双切口方法治疗伴有Lisfranc骨折脱位的足部室间隔综合征：病例报告

JOS Case Reports Pub Date : 2024-07-01 Epub Date: 2024-01-26 DOI: 10.1016/j.joscr.2024.01.004

Hozumi Kumano , Keisoh Tsuboi , Tomohiko Murakami , Kazuki Yonei , Hiroshi Murao

{"title":"Compartment syndrome of the foot with Lisfranc fracture dislocation treated by a 2-incision approach: A case report","authors":"Hozumi Kumano , Keisoh Tsuboi , Tomohiko Murakami , Kazuki Yonei , Hiroshi Murao","doi":"10.1016/j.joscr.2024.01.004","DOIUrl":"10.1016/j.joscr.2024.01.004","url":null,"abstract":"<div><h3>Background</h3><p>Compartment syndrome of the foot（CSF）can be triggered by Lisfranc fracture dislocations. CSF has been generally treated using a 3-incision approach. We report a case in which CSF with Lisfranc fracture dislocation was treated by a 2-incision approach.</p></div><div><h3>Case presentation</h3><p>A 50-year-old man who suffered from a motorcycle accident was presented at our hospital. The patient had severe pain and swelling of his foot. A Lisfranc fracture dislocation was observed, and intracompartmental pressure showed 104 mmHg in the medial compartment. We diagnosed CSF with Lisfranc fracture dislocation. Decompression of all compartments of the foot and open reduction and fixation were performed using a 2-incision approach. Six months after surgery, the patient returned to work. The Japanese Society for Surgery of the Foot midfoot scale score was 74 points 13 months after surgery.</p></div><div><h3>Conclusions</h3><p>The 2-incision approach is useful for CSF associated with Lisfranc fracture dislocations.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 2","pages":"Pages 117-121"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964824000054/pdfft?md5=9e0d8c1a31961bdd3a12b52f9c0a5301&pid=1-s2.0-S2772964824000054-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139633049","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

Masquelet technique for reconstruction of a large osteomyelitis defect following open fracture of the radius: A pediatric case report 用 Masquelet 技术重建桡骨开放性骨折后的大面积骨髓炎缺损：儿科病例报告

JOS Case Reports Pub Date : 2024-07-01 Epub Date: 2024-01-24 DOI: 10.1016/j.joscr.2024.01.006

Koh Terauchi , Yohei Shimada , Yosuke Kano , Shu Somemura , Takeshi Arai , Kenichi Murakami , Jun Kakizaki , Hisateru Niki

{"title":"Masquelet technique for reconstruction of a large osteomyelitis defect following open fracture of the radius: A pediatric case report","authors":"Koh Terauchi , Yohei Shimada , Yosuke Kano , Shu Somemura , Takeshi Arai , Kenichi Murakami , Jun Kakizaki , Hisateru Niki","doi":"10.1016/j.joscr.2024.01.006","DOIUrl":"10.1016/j.joscr.2024.01.006","url":null,"abstract":"<div><h3>Background</h3><p>We report a case of a child who underwent the Masquelet technique for the reconstruction of bone defects caused by osteomyelitis of the radius.</p></div><div><h3>Case presentation</h3><p>A 9-year-old girl fell off playground equipment and sustained an open fracture of the forearm. She underwent emergency debridement and K-wire fixation. Swelling and redness of the forearms developed 1 month after the injury. Simple radiography revealed bone destruction of the radius, and osteomyelitis was diagnosed. Debridement was performed, and 6.5 cm of the radius was resected. After 8 weeks of treatment with antibiotics effective against the causative agent <em>Enterobacter cloacae</em>, the bone defect was reconstructed using the Masquelet technique. Bone fusion was achieved 3 months postoperatively, with no recurrence of infection during a 4-year follow-up.</p></div><div><h3>Conclusions</h3><p>The Masquelet technique could be an effective treatment option for upper-extremity bone defects in children.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 2","pages":"Pages 127-130"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964824000078/pdfft?md5=f3c2881a5375a2e3550b80be32dba0cf&pid=1-s2.0-S2772964824000078-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139638757","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

Paraneoplastic syndrome due to dedifferentiated liposarcoma producing granulocyte colony-stimulating factor and interleukin-6 产生粒细胞集落刺激因子和白细胞介素-6的分化型脂肪肉瘤导致的副肿瘤综合征

JOS Case Reports Pub Date : 2024-07-01 Epub Date: 2023-12-22 DOI: 10.1016/j.joscr.2023.12.001

Tomoya Matsunobu , Akira Maekawa , Masato Yoshimoto , Kosuke Makihara , Masanori Hisaoka , Yukihide Iwamoto

{"title":"Paraneoplastic syndrome due to dedifferentiated liposarcoma producing granulocyte colony-stimulating factor and interleukin-6","authors":"Tomoya Matsunobu , Akira Maekawa , Masato Yoshimoto , Kosuke Makihara , Masanori Hisaoka , Yukihide Iwamoto","doi":"10.1016/j.joscr.2023.12.001","DOIUrl":"10.1016/j.joscr.2023.12.001","url":null,"abstract":"<div><h3>Background</h3><p>Pyrexia and leukocytosis are rare symptoms of paraneoplastic syndrome in patients with solid tumors.</p></div><div><h3>Case presentation</h3><p>A 56-year-old man presented with a large mass in the left thigh, and intermittent high fevers and leukocytosis. Core-needle biopsy resulted in a pathological diagnosis of dedifferentiated liposarcoma. Laboratory test revealed that granulocyte colony-stimulating factor (G-CSF) and interleukin-6 (IL-6) production levels were significantly elevated. Soon after surgical excision of the soft tissue sarcoma, the leukocytosis and systemic symptoms had dramatically resolved. After completing adjuvant chemotherapy, no tumor local recurrence or distant metastases have been found during 26 months of follow-up.</p></div><div><h3>Conclusions</h3><p>To the best of our knowledge, this is the second case report of a patient with dedifferentiated liposarcoma producing both G-CSF and IL-6. Clinicians should be aware that soft tissue sarcoma could cause pyrexia and leukocytosis as part of a paraneoplastic syndrome due to G-CSF and IL-6 production.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 2","pages":"Pages 73-77"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277296482300062X/pdfft?md5=4ee89d4e8c2ee30dcba438eb97f9e1c2&pid=1-s2.0-S277296482300062X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139022635","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

Essex-Lopresti injury treated with radial head replacement and interosseous membrane reconstruction using synthetic graft: A case report 使用合成移植物进行桡骨头置换和骨间膜重建术治疗埃塞克斯-洛普雷斯蒂损伤：病例报告

JOS Case Reports Pub Date : 2024-07-01 Epub Date: 2024-01-05 DOI: 10.1016/j.joscr.2023.12.004

Keisuke Koizumi, Hiroshi Yamazaki

{"title":"Essex-Lopresti injury treated with radial head replacement and interosseous membrane reconstruction using synthetic graft: A case report","authors":"Keisuke Koizumi, Hiroshi Yamazaki","doi":"10.1016/j.joscr.2023.12.004","DOIUrl":"10.1016/j.joscr.2023.12.004","url":null,"abstract":"<div><h3>Background</h3><p>Essex-Lopresti injury (ELI) is a rare injury accompanied by radioulnar dissociation with radial head (RH) fracture, interosseous membrane (IOM) rupture, and distal radioulnar joint (DRUJ) disruption. The reconstruction of IOM for the acute ELI remains controversial and challenging.</p></div><div><h3>Case presentation</h3><p>We report an acute ELI successfully treated with RH replacement, triangular fibrocartilage complex (TFCC) repair, and IOM reconstruction using synthetic graft through the radial and ulnar bone tunnels, in a 59-year-old man. Seven years after the injury, he had no complaints of wrist pain. The radiographs revealed no evidence of hardware loosening or enlargement in the size of the bone tunnels, in spite of <u>slight accelerated capitellar wear and osteoarthritic change in DRUJ.</u></p></div><div><h3>Conclusion</h3><p>This study presents an alternative treatment for acute ELI by the combination with RH replacement, TFCC repair and IOM reconstruction using a synthetic graft. Longitudinal forearm stability may have reduced load transfer to the RH prosthesis.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 2","pages":"Pages 88-91"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000655/pdfft?md5=d7be87c5b76aa67d11a268b57a3c852d&pid=1-s2.0-S2772964823000655-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139394070","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

Chronic proximal tibial aseptic osteitis diagnosed as SAPHO syndrome ameliorated with oral methotrexate: A case report 被诊断为 SAPHO 综合征的慢性胫骨近端无菌性骨炎在口服甲氨蝶呤后有所好转：病例报告

JOS Case Reports Pub Date : 2024-07-01 Epub Date: 2024-01-13 DOI: 10.1016/j.joscr.2024.01.002

Takuya Izumiyama , Yu Mori , Yasuaki Kuriyama , Ryuichi Kanabuchi , Naoko Mori , Toshimi Aizawa

{"title":"Chronic proximal tibial aseptic osteitis diagnosed as SAPHO syndrome ameliorated with oral methotrexate: A case report","authors":"Takuya Izumiyama , Yu Mori , Yasuaki Kuriyama , Ryuichi Kanabuchi , Naoko Mori , Toshimi Aizawa","doi":"10.1016/j.joscr.2024.01.002","DOIUrl":"10.1016/j.joscr.2024.01.002","url":null,"abstract":"<div><h3>Background</h3><p>Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome is a multiple disease group affecting the bones and joints. However, treatment for severe SAPHO syndrome is sometimes difficult, and treatment strategies have not been constructed.</p></div><div><h3>Case presentation</h3><p>We experienced a 23-year-old male with isolated chronic aseptic osteitis of the right proximal tibia, which was detected with magnetic resonance imaging and bone scintigraphy. We administered oral nonsteroidal anti-inflammatory drugs and local steroid injection, but his symptoms were not improved. Next, we administered oral methotrexate, which caused improvement effects, including decreased swelling and knee pain. In addition, the contrasted osteitis lesion in the proximal tibia demonstrated by magnetic resonance imaging completely disappeared.</p></div><div><h3>Conclusions</h3><p>Reports of osteitis in SAPHO syndrome resolved by methotrexate were rare. Although the effect of methotrexate on SAPHO syndrome was controversial, methotrexate should be considered for patients with refractory SAPHO syndrome before biologics.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 2","pages":"Pages 105-110"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964824000030/pdfft?md5=c55f6ab858475e62f1fa4702d2d9e2f0&pid=1-s2.0-S2772964824000030-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139539132","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