JOS Case Reports最新文献

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Efficacy of thoracoscopic assistance using a mesh plate for nonunion of the sternal fracture: A case report 胸腔镜辅助下使用网状钢板治疗胸骨骨折不愈合的疗效:病例报告
JOS Case Reports Pub Date : 2024-07-01 Epub Date: 2024-01-26 DOI: 10.1016/j.joscr.2024.01.005
Takenori Azumi, Hiroshi Sasaki, Takuya Tamaoka, Fumimasa Maruno
{"title":"Efficacy of thoracoscopic assistance using a mesh plate for nonunion of the sternal fracture: A case report","authors":"Takenori Azumi,&nbsp;Hiroshi Sasaki,&nbsp;Takuya Tamaoka,&nbsp;Fumimasa Maruno","doi":"10.1016/j.joscr.2024.01.005","DOIUrl":"10.1016/j.joscr.2024.01.005","url":null,"abstract":"<div><h3>Background</h3><p>Sternal fractures are rare injuries caused by blunt trauma. There is no clear consensus regarding the surgical treatment of sternal nonunion. We report a rare case of thoracoscopically assisted osteosynthesis using a mesh plate for sternal nonunion.</p></div><div><h3>Case presentation</h3><p>The patient was a 53-year-old male with a sternal fracture with multiple rib and thoracic compression fractures caused by a traffic accident. Despite conservative treatment, the sternal fracture resulted in nonunion. Thoracoscopically assisted osteosynthesis was performed using a mesh plate secured with sufficient locking screws and autogenous bone grafting. Following surgery, the bone was successfully fused and the symptoms disappeared.</p></div><div><h3>Conclusion</h3><p>We encountered a case of sternal nonunion with multiple rib fractures and thoracic kyphosis due to a Th3 compression fracture. We successfully performed thoracoscopically assisted osteosynthesis using a mesh plate and safely inserted more screws and improved fixation. This approach was effective in achieving proper fixation while avoiding damage to the nearby organs.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 2","pages":"Pages 122-126"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964824000066/pdfft?md5=5a0e3e4ba49485070aaf2061aaf5b4c5&pid=1-s2.0-S2772964824000066-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139636391","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
Three cases of missed Monteggia fracture underwent surgical treatment within one to two months after the injury 三例漏诊的蒙特加骨折患者在伤后一至两个月内接受了手术治疗
JOS Case Reports Pub Date : 2024-07-01 Epub Date: 2024-01-04 DOI: 10.1016/j.joscr.2023.12.002
Takashi Kuroiwa , Yusuke Kawano , Takuya Funahashi , Yuki Uraya , Maeda Atsushi , Kanae Shizu , Katsuji Suzuki , Nobuyuki Fujita
{"title":"Three cases of missed Monteggia fracture underwent surgical treatment within one to two months after the injury","authors":"Takashi Kuroiwa ,&nbsp;Yusuke Kawano ,&nbsp;Takuya Funahashi ,&nbsp;Yuki Uraya ,&nbsp;Maeda Atsushi ,&nbsp;Kanae Shizu ,&nbsp;Katsuji Suzuki ,&nbsp;Nobuyuki Fujita","doi":"10.1016/j.joscr.2023.12.002","DOIUrl":"10.1016/j.joscr.2023.12.002","url":null,"abstract":"<div><h3>Background</h3><p>Monteggia fractures in childhood are occasionally missed until radial head dislocation is diagnosed after the acute phase. Herein, we report the characteristics and clinical outcomes of three missed Monteggia fracture cases, diagnosed at relatively early stages that required surgical treatment.</p></div><div><h3>Case presentation</h3><p>All the cases consisted of a fracture of the proximal ulna with anterior dislocation of the radial head and an ossified focus around the radial head.</p></div><div><h3>Conclusions</h3><p>In cases of missed Monteggia fractures in children that are discovered at a relatively early stage, tissue interposition between the radial head and the capitellum, and bowing of the ulna are frequently observed, suggesting that concomitant use of open reduction of the radial head and corrective osteotomy of the ulna might be effective.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 2","pages":"Pages 78-81"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000631/pdfft?md5=29023c994b7d794cccc6583de9faecf6&pid=1-s2.0-S2772964823000631-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139392714","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
A case with multiple recurrent arachnoid webs after simple web resections and the successful treatment by subarachnoid-subarachnoid (S–S) bypass assisted with a fiberscope 一例简单蛛网膜切除术后复发的多发性蛛网膜,在纤维镜辅助下通过蛛网膜下腔-蛛网膜下腔(S-S)分流术成功治疗
JOS Case Reports Pub Date : 2024-07-01 Epub Date: 2024-01-09 DOI: 10.1016/j.joscr.2023.12.003
Yasushi Fujiwara , Ryo Ohta , Shinji Kotaka , Yuji Tsuchikawa , Masahiro Yamamoto , Yasushi Murakami , Toshio Nakamae , Naosuke Kamei , Nobuo Adachi , Hideki Manabe
{"title":"A case with multiple recurrent arachnoid webs after simple web resections and the successful treatment by subarachnoid-subarachnoid (S–S) bypass assisted with a fiberscope","authors":"Yasushi Fujiwara ,&nbsp;Ryo Ohta ,&nbsp;Shinji Kotaka ,&nbsp;Yuji Tsuchikawa ,&nbsp;Masahiro Yamamoto ,&nbsp;Yasushi Murakami ,&nbsp;Toshio Nakamae ,&nbsp;Naosuke Kamei ,&nbsp;Nobuo Adachi ,&nbsp;Hideki Manabe","doi":"10.1016/j.joscr.2023.12.003","DOIUrl":"10.1016/j.joscr.2023.12.003","url":null,"abstract":"<div><h3>Background</h3><p>A spinal arachnoid web causes myelopathy because of cerebrospinal fluid (CSF) flow disturbance. Although a simple web resection is the standard treatment, the ideal surgical treatment is still controversial.</p></div><div><h3>Case presentation</h3><p>A multiple recurrent arachnoid web case is reported. The first recurrence occurred at five years after the first simple web resection and the second recurrence occurred at seven years after the second simple web resection.</p><p>A third web resection surgery was performed with a subarachnoid-subarachnoid (S–S) bypass assisted with a fiberscope because a pre-operative cine MRI showed an additional hidden arachnoid web located at two levels caudal. Through a fiberscope, a silicon tube was inserted while penetrating the additional web. For the last five years after the third surgery, there has been no recurrence.</p></div><div><h3>Conclusions</h3><p>A fiberscopic S–S bypass is useful method to prevent recurrence of arachnoid webs.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 2","pages":"Pages 82-87"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000643/pdfft?md5=baeaa3b5011421dac9d6eacf67c3ebd1&pid=1-s2.0-S2772964823000643-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458236","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
Osteomyelitis of the femur caused by Mycobacterium chelonae: A case report 克氏分枝杆菌引起的股骨骨髓炎:病例报告
JOS Case Reports Pub Date : 2024-07-01 Epub Date: 2024-01-08 DOI: 10.1016/j.joscr.2023.12.005
XiaoKun Zhao , Rui Ding , Kuo Sun , Wei Wang , Qiao Zhang , XiGao Cheng
{"title":"Osteomyelitis of the femur caused by Mycobacterium chelonae: A case report","authors":"XiaoKun Zhao ,&nbsp;Rui Ding ,&nbsp;Kuo Sun ,&nbsp;Wei Wang ,&nbsp;Qiao Zhang ,&nbsp;XiGao Cheng","doi":"10.1016/j.joscr.2023.12.005","DOIUrl":"10.1016/j.joscr.2023.12.005","url":null,"abstract":"<div><h3>Background</h3><p><em>Mycobacterium chelonae</em> can cause infections of the lungs and soft tissues. However, osteomyelitis of the proximal femur caused by <em>M. chelonae</em> has not previously been reported. Here, we present such a case in an elderly patient.</p></div><div><h3>Case presentation</h3><p>A 69-year-old man presented with right hip pain for 1 month. The combination of MRI, laboratory examination, and next generation sequencing yielded the diagnosis of femoral osteomyelitis due to <em>M. chelonae</em>. Clarithromycin, moxifloxacin hydrochloride, linezolid, and amikacin were treated for 2 months. However, there was no significant improvement. Therefore, surgical debridement was taken, followed by combined treatment with amikacin, imipenem/cilastatin sodium, and clarithromycin 4 months. Re-examination a year later showed a significant reduction in the extent of disease.</p></div><div><h3>Conclusion</h3><p>Femoral osteomyelitis caused by <em>M. chelonae</em> is difficult to diagnose and treat. The key to successful treatment of this case is surgical debridement, as well as the combined antimicrobial agents.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 2","pages":"Pages 92-96"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000667/pdfft?md5=b330e69b97bbf34de29e772491688724&pid=1-s2.0-S2772964823000667-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454179","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
Stab wound to the spinal canal at the craniocervical junction with a glass fragment causing pseudoaneurysm of vertebral artery and normal pressure hydrocephalus 玻璃碎片刺伤颅颈交界处的椎管,导致椎动脉假性动脉瘤和正常压力脑积水
JOS Case Reports Pub Date : 2024-03-01 Epub Date: 2023-12-08 DOI: 10.1016/j.joscr.2023.11.004
Tomoaki Koakutsu , Akira Sekiguchi , Toshimi Aizawa
{"title":"Stab wound to the spinal canal at the craniocervical junction with a glass fragment causing pseudoaneurysm of vertebral artery and normal pressure hydrocephalus","authors":"Tomoaki Koakutsu ,&nbsp;Akira Sekiguchi ,&nbsp;Toshimi Aizawa","doi":"10.1016/j.joscr.2023.11.004","DOIUrl":"10.1016/j.joscr.2023.11.004","url":null,"abstract":"<div><h3>Background</h3><p>Non-missile penetrating injuries to the spinal canal are rare in most parts of the world, and their optical management is unclear.</p></div><div><h3>Case presentation</h3><p>A 57-year-old male fell backwards through a glass bathroom window and a glass fragment penetrated the right side of his neck. Computed tomography revealed a glass fragment traversing the spinal canal at the atlanto-occipital junction. He underwent emergency operation and the glass fragment was withdrawn without obvious bleeding or spinal cord injury. A postoperative magnetic resonance angiography revealed two pseudoaneurysms arising from the right vertebral artery (VA). Two months after the injury, he demonstrated abnormal behavior, including wandering and incontinence. He was diagnosed as normal pressure hydrocephalus (NPH). He underwent right ventriculoperitoneal shunting, and he became fully conscious.</p></div><div><h3>Conclusions</h3><p>Patients with penetrating injuries to the spinal canal at the craniocervical junction should be closely monitored for complications of VA injury and secondary NPH.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 1","pages":"Pages 68-72"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000606/pdfft?md5=9f5d9228a05fc1c0799cd2dfc92203e7&pid=1-s2.0-S2772964823000606-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138622154","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
Atypical femoral fractures treated using the Ender method in patients with femoral bowing: A report of two cases 使用埃德尔法治疗股骨弓形患者的非典型股骨骨折:两个病例的报告
JOS Case Reports Pub Date : 2024-03-01 Epub Date: 2023-10-17 DOI: 10.1016/j.joscr.2023.09.014
Koshiro Shimasaki , Harumitsu Ichimura , Masafumi Uesugi , Tomofumi Nishino , Hajime Mishima , Masashi Yamazaki
{"title":"Atypical femoral fractures treated using the Ender method in patients with femoral bowing: A report of two cases","authors":"Koshiro Shimasaki ,&nbsp;Harumitsu Ichimura ,&nbsp;Masafumi Uesugi ,&nbsp;Tomofumi Nishino ,&nbsp;Hajime Mishima ,&nbsp;Masashi Yamazaki","doi":"10.1016/j.joscr.2023.09.014","DOIUrl":"10.1016/j.joscr.2023.09.014","url":null,"abstract":"<div><h3>Background</h3><p>Internal fixation is often challenging in patients with severe femoral bowing deformity. We report two cases of atypical femoral fracture in patients with femoral bowing treated with internal fixation using the Ender method.</p></div><div><h3>Case presentations</h3><p>Case 1: An 85-year-old woman presented with an injury to the left thigh due to a self-inflicted fall. Case 2: An 89-year-old woman presented with a right thigh injury due to a self-inflicted fall. Plain radiographic examinations revealed atypical femoral fracture of the femoral diaphysis with femoral bowing. Both patients underwent internal fixation using the Ender method. Postoperatively, in Cases 1 and 2, a callus appeared around the fracture site at 5 and 6 weeks, respectively. Bone union was achieved at 5 months postoperatively in both patients.</p></div><div><h3>Conclusions</h3><p>The Ender method may be effective for atypical femoral fracture with femoral bowing.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 1","pages":"Pages 20-24"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000503/pdfft?md5=0c6840e400004a196412167ed13021ab&pid=1-s2.0-S2772964823000503-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135811801","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
Isolated recurrent subluxation of the radial head: A report of two cases 桡骨头孤立性复发性脱位:两个病例的报告
JOS Case Reports Pub Date : 2024-03-01 Epub Date: 2023-11-07 DOI: 10.1016/j.joscr.2023.10.002
Mitsutoshi Ota , Daisuke Kawamura , Norimasa Iwasaki
{"title":"Isolated recurrent subluxation of the radial head: A report of two cases","authors":"Mitsutoshi Ota ,&nbsp;Daisuke Kawamura ,&nbsp;Norimasa Iwasaki","doi":"10.1016/j.joscr.2023.10.002","DOIUrl":"10.1016/j.joscr.2023.10.002","url":null,"abstract":"<div><h3>Background</h3><p>Isolated anterior subluxation of the radial head without ulnar shaft fracture is extremely rare, and no reports have been published about recurrent subluxation.</p></div><div><h3>Case presentation</h3><p>We describe two rare cases of isolated recurrent radial head subluxation. Intraoperatively, the annular ligament was displaced, which resembled a pulled elbow in children. Lengthening of the shortened lateral collateral ligament, followed by an open reduction of the annular ligament, was successful in both cases.</p></div><div><h3>Conclusions</h3><p>Pulled elbow, or annular ligament displacement, is a common pediatric elbow injury rarely seen in adults. This report indicates that annular ligament displacement in adults could cause recurrent instability of the radial head.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 1","pages":"Pages 34-38"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000539/pdfft?md5=1125d779e91cde49f0955250743b99d3&pid=1-s2.0-S2772964823000539-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135509828","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
A case report of open knee dislocation of rotating hinge knee prosthesis for the reconstruction of bone tumor resection 用于骨肿瘤切除术重建的旋转铰链膝关节假体膝关节开放性脱位病例报告
JOS Case Reports Pub Date : 2024-03-01 Epub Date: 2023-11-18 DOI: 10.1016/j.joscr.2023.11.002
Yoshihiro Ito, Nokitaka Setsu, Nobuhiko Yokoyama
{"title":"A case report of open knee dislocation of rotating hinge knee prosthesis for the reconstruction of bone tumor resection","authors":"Yoshihiro Ito,&nbsp;Nokitaka Setsu,&nbsp;Nobuhiko Yokoyama","doi":"10.1016/j.joscr.2023.11.002","DOIUrl":"10.1016/j.joscr.2023.11.002","url":null,"abstract":"<div><h3>Background</h3><p>There have been sporadic reports of dislocation following rotating hinge knee arthroplasty, but there is no consensus on preventive measures.</p></div><div><h3>Case presentation</h3><p>A 31-year-old male with severe obesity underwent wide resection and knee arthroplasty for distal femoral osteosarcoma. Postoperatively, lateral dislocation of the patella occurred, which persisted even after the rotation correction of the tibial implant and lateral patellar retinacular release. Fifteen days after the revision surgery, the patient experienced knee joint open dislocation with anterior protrusion of the femur during the unsuccessful attempt to stand up, leading to excessive knee flexion.</p></div><div><h3>Conclusions</h3><p>The etiology of dislocation in this patient was ascribed to the substantial posterior soft tissue thickness resulting from severe obesity, along with the lateral instability of the patella. If an observable gap between the rotational stem and tibial implant was identified intraoperatively during knee flexion, consideration should be given to implementing postoperative limitations on knee flexion.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 1","pages":"Pages 59-62"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000588/pdfft?md5=3e758a0c2ac92fd036c7902bd9d418ff&pid=1-s2.0-S2772964823000588-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139299250","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
Return to play after Achilles tendon rupture in elite athletes by Uchiyama surgical repair technique (Q1) 采用内山外科修复技术治疗精英运动员跟腱断裂后重返赛场(Q1)
JOS Case Reports Pub Date : 2024-03-01 Epub Date: 2023-11-03 DOI: 10.1016/j.joscr.2023.09.015
Eiji Uchiyama , Takaki Sanada , Rei Yamaguchi , Masaki Kobayashi
{"title":"Return to play after Achilles tendon rupture in elite athletes by Uchiyama surgical repair technique (Q1)","authors":"Eiji Uchiyama ,&nbsp;Takaki Sanada ,&nbsp;Rei Yamaguchi ,&nbsp;Masaki Kobayashi","doi":"10.1016/j.joscr.2023.09.015","DOIUrl":"10.1016/j.joscr.2023.09.015","url":null,"abstract":"<div><h3>Background</h3><p>Modification of the Achilles tendon repair technique accomplish a high return-to-play rate at the early period.</p></div><div><h3>Case presentation</h3><p>This study involved sixteen elite athletes with Achilles tendon rupture were treated using the Uchiyama method, which adjusted the total tendon length via Tsuge and half-Bunnell sutures. Postoperative clinical outcomes, return-to-play time, accomplishment time of heel raise abilities were measured. The tendon functions were also evaluated: heel raise height difference (HRH) in single-leg heel raise and toe height distance (THD) between bilateral feet in the prone and knee-bended positions. The mean return-to-play time was 22.4 weeks. All athletes returned to their original activities, with 94 % (15/16) returning within seven months. The average achievement time of single-leg heel raise was 10.8 weeks. The average THD and HRH were 0.4 and 0.5 cm.</p></div><div><h3>Conclusions</h3><p>Elite athletes were able to accomplish a return-to-sports in the early period, with a reliable recovery of the heel-raise function by Uchiyama Achilles tendon repair technique.</p></div><div><h3>Level of Clinical Evidence</h3><p>Level 4, Case series.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 1","pages":"Pages 25-28"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000515/pdfft?md5=f61184ef978ff2e0e00529ebc23ad5b5&pid=1-s2.0-S2772964823000515-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135410757","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
A case report of chronic posterior shoulder dislocation complicated with the incarcerated rotator cuff and the malunion of the greater tuberosity on the bicipital groove 慢性肩关节后脱位并发肩袖嵌顿和大结节与肱二头肌沟错位的病例报告
JOS Case Reports Pub Date : 2024-03-01 Epub Date: 2023-10-29 DOI: 10.1016/j.joscr.2023.10.003
Shotaro Teruya , Takeshi Makihara , Takuya Iyo , Tomohiro Yoshizawa , Katsuya Aoto , Masashi Iwasashi
{"title":"A case report of chronic posterior shoulder dislocation complicated with the incarcerated rotator cuff and the malunion of the greater tuberosity on the bicipital groove","authors":"Shotaro Teruya ,&nbsp;Takeshi Makihara ,&nbsp;Takuya Iyo ,&nbsp;Tomohiro Yoshizawa ,&nbsp;Katsuya Aoto ,&nbsp;Masashi Iwasashi","doi":"10.1016/j.joscr.2023.10.003","DOIUrl":"10.1016/j.joscr.2023.10.003","url":null,"abstract":"<div><h3>Background</h3><p>There have been no reports of combined humeral greater tuberosity fracture malunion and intra-articular incarceration of the rotator cuff.</p></div><div><h3>Case presentation</h3><p>A 19-year-old man presented to the emergency department with multiple traumatic injuries. He was diagnosed with a fracture of the greater tuberosity of the humerus and a brachial nerve injury. The patient was managed conservatively; however, his external rotational muscle strength did not improve. Eight months post-injury, magnetic resonance imaging was performed and a diagnosis of combined malunion of the greater tuberosity and incarceration of the rotator cuff was made. Open reduction, disincarceration, and internal fixation were performed, and the patient showed good progress.</p></div><div><h3>Conclusions</h3><p>Extremely rare conditions including combined malunion of a greater tuberosity fracture and incarceration of the rotator cuff muscles are caused by posterior shoulder dislocations. These conditions can be successfully treated by open reduction, disincarceration, and internal fixation.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 1","pages":"Pages 39-44"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000540/pdfft?md5=7bb76aaad73915d6434596af7baf2af7&pid=1-s2.0-S2772964823000540-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136153995","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
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