JOS Case ReportsPub Date : 2023-12-01DOI: 10.1016/j.joscr.2023.09.009
J. Terrence Jose Jerome
{"title":"Volar Capsulodesis for a habitual adult dislocation of the thumb metacarpophalangeal joint under wide-awake local anesthesia with no tourniquet","authors":"J. Terrence Jose Jerome","doi":"10.1016/j.joscr.2023.09.009","DOIUrl":"10.1016/j.joscr.2023.09.009","url":null,"abstract":"<div><h3>Background</h3><p>Habitual thumb metacarpophalangeal joint (MCP) dislocation is rare in adults. Little is known about surgical management. This report proposes volar capsulodesis as a reliable surgical procedure.</p></div><div><h3>Case presentation</h3><p>A 19-year-old dental student had multiple dislocation and relocation episodes of the right thumb MCP joint. He demanded to return to his dental profession with the necessary thumb movements. Under wide-awake local anesthesia, with no tourniquet, the volar plate was advanced and secured to the first metacarpal neck using bone anchor suture and stabilized with a dorsal Kirschner wire. The patient returned to his profession with a good functional outcome.</p></div><div><h3>Conclusions</h3><p>MCP joint volar capsulodesis in an adult habitual MCP dislocation restores normal anatomy, allows thumb movement for high-demand activities (professionals), is reliable, and can be performed under wideawake local anesthesia.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 4","pages":"Pages 195-199"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277296482300045X/pdfft?md5=21631da2b3be5b222c4871bea769b337&pid=1-s2.0-S277296482300045X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135962829","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}
{"title":"Peroneus quartus causing severe lower leg pain while walking treated by myotomy: A case report","authors":"Yumiko Kobayashi, Kazuya Ikoma, Masahiro Maki, Yasutaka Sotozono, Kenji Takahashi","doi":"10.1016/j.joscr.2023.09.004","DOIUrl":"10.1016/j.joscr.2023.09.004","url":null,"abstract":"<div><h3>Background</h3><p>Chronic lower exertional compartment syndrome often occurs as a sports injury, and a fasciotomy is performed when conservative treatment is ineffective.</p><p>We report a rare case in which a patient with no history of trauma or sports developed chronic compartment syndrome as a result of compression by peroneus quartus muscles with large muscle bellies.</p></div><div><h3>Case presentation</h3><p>A 21-year-old man presented to our hospital after noticing severe lower leg pain while walking that improved with rest. MRI revealed the presence of peroneus quartus muscles with large bellies, and a diagnosis of chronic compartment syndrome associated with increased internal pressure within the peroneal tendon sheath was made. Subsequently, bilateral peroneus quartus muscle extirpation was performed, and the pain improved.</p></div><div><h3>Conclusions</h3><p>The presence of the peroneus muscles should be considered even in patients with chronic lower exertional compartment syndrome without a history of sports activities, as in the present case.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 4","pages":"Pages 153-156"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000357/pdfft?md5=54c4d832adad18d93de04dd029cb8f1d&pid=1-s2.0-S2772964823000357-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134917275","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}
{"title":"A case of recurrent giant cell tumor of bone in the capitate treated with total resection of the capitate and interosseous fixation of the carpus","authors":"Takeshi Sakai , Keikichi Kawasaki , Naoya Nishinaka , Isao Shibuya , Kouji Kanzaki , Katsunori Inagaki","doi":"10.1016/j.joscr.2023.08.003","DOIUrl":"10.1016/j.joscr.2023.08.003","url":null,"abstract":"<div><h3>Background</h3><p>Giant cell tumors of bone predominantly occur in the metaphysis near the end of the diaphysis, but rarely in carpal bones. We report a case of recurrent giant cell tumor (GCT) of the capitate treated by total resection of the capitate and interosseous fixation of the carpus.</p></div><div><h3>Case presentation</h3><p>A 21-year-old man who first noticed pain in the right hand was diagnosed with capitate bone tumor. Iliac bone autografting was performed with GCT diagnosed histopathologically. Despite initiation of denosumab, the patient suffered recurrence and was referred to our hospital. En bloc resection was performed. Iliac bone, including cortical bone on two sides, was grafted. Fixation was achieved with headless screws in addition to bioabsorbable mesh plate. No recurrence has been seen as of two years postoperatively.</p></div><div><h3>Conclusions</h3><p>GCT of carpal bones is rare. No further recurrence was observed, and the present method seemed to be effective.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 4","pages":"Pages 179-183"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000412/pdfft?md5=ea7285cd8c92d6daf3eaf66009143563&pid=1-s2.0-S2772964823000412-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135810512","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}
{"title":"Extremely longstanding neglected scaphoid nonunion with humpback deformity treated with a palmar radiocarpal artery vascularized bone graft: A report of two cases","authors":"Hiroo Kimura , Taku Suzuki , Noboru Matsumura , Kazuki Sato , Takuji Iwamoto","doi":"10.1016/j.joscr.2023.07.002","DOIUrl":"10.1016/j.joscr.2023.07.002","url":null,"abstract":"<div><h3>Background</h3><p>Scaphoid nonunion (SN) with humpback deformity (HD) may be treated with varying approaches, and there is no consensus regarding the optimal method for longstanding neglected cases. We present two cases of extremely longstanding neglected SN with HD, both successfully treated with palmar radiocarpal artery (PRCA) vascularized bone grafts (VBGs).</p></div><div><h3>Case presentation</h3><p>Two patients, aged 55 and 58 years, who experienced injury 40 and 23 years prior, respectively, presented with neglected SN with HD and underwent surgery. Using a palmar approach, the nonunion site was decorticated and PRCA-VBGs were intercalated and fixed with headless screws. Partial union was confirmed by computed tomography within 3 months postoperatively, and satisfactory clinical and radiographic outcomes were observed at the final follow-up.</p></div><div><h3>Conclusions</h3><p>The method facilitated correction of HD with VBGs from the palmar side of the distal radius. PRCA-VBGs may be suitable for achieving bone union and deformity correction in extremely longstanding cases.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 4","pages":"Pages 130-134"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000291/pdfft?md5=6195ef25059ae01da529330ed94c69c3&pid=1-s2.0-S2772964823000291-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80915200","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}
{"title":"Unrecognized bilateral sternoclavicular joint tuberculosis treated surgically on one side and conservatively on the other side: A case report","authors":"Takanobu Higashi , Keisuke Kinoshita , Takahiro Niikura , Tetsuhiro Iguchi , Koki Togei , Takashi Sadamitsu , Kenichiro Kakutani , Norimasa Ito , Terumasa Sashikata","doi":"10.1016/j.joscr.2023.06.009","DOIUrl":"10.1016/j.joscr.2023.06.009","url":null,"abstract":"<div><h3>Background</h3><p>While tuberculosis is common in developing countries, it remains an important disease in Japan. Diagnosis of sternoclavicular tuberculosis is often delayed due to its rarity, nonspecific symptoms, difficulty in X-ray diagnosis, and low culture positivity rate.</p></div><div><h3>Case presentation</h3><p>A 58-year-old previously healthy man presented with right sternoclavicular joint swelling associated with slight pain. Radiological examination revealed severe destruction and abscess formation in the right joint. The left sternoclavicular joint had an asymptomatic small abscess. Preoperative laboratory data, staining, culture, and cytology showed no definitive findings of tuberculosis. Upon bursting of the abscess, diagnostic curettage was performed. Histopathological examination of the curettage specimen suggested tuberculosis. He received antitubercular therapy for 2 years. The right-sided lesion showed rapid healing while the left-sided lesion shrank gradually.</p></div><div><h3>Conclusions</h3><p>Early diagnosis of tuberculosis of the sternoclavicular joint requires a high level of clinical suspicion. Surgical treatment is a better option for unrecognized chronic cases.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 4","pages":"Pages 126-129"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277296482300028X/pdfft?md5=6ac890bec27e38658403fb19fff16835&pid=1-s2.0-S277296482300028X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85078266","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}
{"title":"A delayed diagnostic case with complaints of severe lower back pain and sciatic nerve symptoms caused by osteoid osteoma of the sacrum: A case report","authors":"Gentaro Kumagai, Kanichiro Wada, Toru Asari, Yohshiro Notobe, Shusa Ohshika, Yasuyuki Ishibashi","doi":"10.1016/j.joscr.2023.09.001","DOIUrl":"10.1016/j.joscr.2023.09.001","url":null,"abstract":"<div><h3>Background</h3><p>Osteoid sacral osteomas are rare. Patients present with severe lower back pain and, rarely, sciatic nerve symptoms.</p></div><div><h3>Case presentation</h3><p>Herein, we report a patient with delayed diagnosis with complaints of severe lower back pain and sciatic nerve symptoms compressed by a sacral osteoid osteoma. En bloc tumor resection was performed using computed tomography (CT)-based navigation. Complete resolution of symptoms was achieved immediately after surgery.</p></div><div><h3>Conclusion</h3><p>Even if a patient with an osteoid osteoma has sciatic symptoms, spinal surgeons should recognize a subgroup of patients with unexpected spinal or pelvic tumors compressing the nerve root.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 4","pages":"Pages 140-144"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000321/pdfft?md5=2cd6bbedd6d9039ea9289ae479326f04&pid=1-s2.0-S2772964823000321-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135347498","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}
JOS Case ReportsPub Date : 2023-12-01DOI: 10.1016/j.joscr.2023.09.002
Kousuke Iba , Takatoshi Yotsuyanagi , Ken Yamashita , Masahiro Onuma , Ayaka Kitada , Naohiro Ueda
{"title":"Two-stage surgical treatment for medially angulated great toes in Apert feet by wedged corrective osteotomy with distraction of the inter-metatarsal space: A case report","authors":"Kousuke Iba , Takatoshi Yotsuyanagi , Ken Yamashita , Masahiro Onuma , Ayaka Kitada , Naohiro Ueda","doi":"10.1016/j.joscr.2023.09.002","DOIUrl":"10.1016/j.joscr.2023.09.002","url":null,"abstract":"<div><h3>Background</h3><p>One of most severe clinical problems related to Apert foot anomalies is medial angulation deformities of the great toe as the foot grows.</p></div><div><h3>Case presentation</h3><p>The patient was a 22-month-old Japanese child with Apert syndrome, who had broad bilateral great toe showing medially angulated deformity. We performed two-stage surgical treatment including distraction of the remarkable narrowing the first inter-metatarsal space using an external distractor device, and the corrective wedge-osteotomy of the first metatarsal with a graft of wedged bone in the reverse direction and inter-positioning of the resected local bone between the first and second metatarsal to preserve the space. At 3 years after surgery, the patient did not have any disturbance of gait and could wear normal shoes without weight-bearing pain, and was satisfied with the appearance of the great toes.</p></div><div><h3>Conclusion</h3><p>The two-stage surgical method could be an option for surgical treatment of Apert feet.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 4","pages":"Pages 145-149"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772964823000333/pdfft?md5=21fc8ffb4274655f1bd5117adda61b97&pid=1-s2.0-S2772964823000333-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135346672","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}
{"title":"Positional vertebrobasilar insufficiency induced by head rotation due to cervical disc herniation: A case report","authors":"Kentaro Mataki , Masao Koda , Kengo Takahashi , Ryoko Takeuchi , Toshinori Tsukanishi , Shuuichi Miyamoto , Yuuichi Yoshii , Tomoo Ishii , Akihiko Saida , Masashi Yamazaki","doi":"10.1016/j.joscr.2023.06.003","DOIUrl":"https://doi.org/10.1016/j.joscr.2023.06.003","url":null,"abstract":"<div><h3>Background</h3><p>Of the many causes of vertebrobasilar insufficiency (VBI), extrinsic compression of the vertebral artery (VA) is relatively rare.</p></div><div><h3>Case presentation</h3><p>We report a case of VBI caused by VA compression due to a herniated cervical disc in a 54-year-old male patient who presented with syncope, manifesting when he turned his head to the left. Magnetic resonance imaging confirmed disc herniation at C5-6 on his left side. CT scan showed no osteophyte formation or bony compression elements were noted in the left C5-6 vertebrae. Cervical angiography showed that the left VA was occluded when he turned his head to the left. The contralateral right VA on one side was hypoplastic and posterior inferior cerebellar artery (PICA)-end. He was successfully treated with an anterior cervical discectomy and fusion.</p></div><div><h3>Conclusions</h3><p>Cervical disc herniation can be a cause of VBI. Preoperative and intraoperative dynamic angiography can be useful in confirming this condition.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 3","pages":"Pages 96-99"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195111","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.2023.05.001
Masanori Wako, Kai Mizukami, Hirotaka Haro
{"title":"Stress fracture of the medial malleolus in an elderly patient with paralytic talipes equinovarus: A case report","authors":"Masanori Wako, Kai Mizukami, Hirotaka Haro","doi":"10.1016/j.joscr.2023.05.001","DOIUrl":"https://doi.org/10.1016/j.joscr.2023.05.001","url":null,"abstract":"<div><h3>Background</h3><p>Stress fractures in the lower extremities have usually been described in young adults. Moreover, reports of such fractures, specifically, of the medial malleolus are very few.</p></div><div><h3>Case presentation</h3><p>We report a rare case of stress fracture of the medial malleolus in an elderly patient with paralytic disease of the lower extremity. This was assumed to be caused by the concentration of mechanical stress on the medial malleolus owing to the deformity of the lower limb associated with paralysis and osteoporosis.</p></div><div><h3>Conclusions</h3><p>In the presented case, in addition to screw fixation of the medial malleolus to fix the fracture, correction of foot deformity and treatment of osteoporosis led to a good outcome.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 3","pages":"Pages 66-68"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195156","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":"Intradural extramedullary cavernous hemangioma involving S2 nerve root: A case report and review of the literature","authors":"Kazuki Mamoto , Haruki Funao , Norihiro Isogai , Yutaka Sasao , Shigeto Ebata , Ken Ishii","doi":"10.1016/j.joscr.2023.05.004","DOIUrl":"https://doi.org/10.1016/j.joscr.2023.05.004","url":null,"abstract":"<div><h3>Background</h3><p>Intradural extramedullary cavernous hemangioma involving the nerve fiber is a rare clinical entity. Here, we report an extremely rare case of cavernous hemangioma that presented as an intradural extramedullary tumor involving the left S2 nerve fiber.</p></div><div><h3>Case presentation</h3><p>A 28-year-old female presented with intractable left leg pain. Her lumbar magnetic resonance image showed an intradural and extramedullary neoplastic lesion at left S1-2 level. Because her symptoms had deteriorated, surgical treatment was performed. The neoplasm was involving the left S2 nerve fiber mimicking a schwannoma. The neoplasm was completely resected, and diagnosis of cavernous hemangioma was confirmed by the histopathological findings. The patient's symptoms improved after surgery, and there is no recurrence at the 1-year follow-up.</p></div><div><h3>Conclusions</h3><p>To the best of our knowledge, this is the most caudal level of intradural extramedullary cavernous hemangioma involving the nerve fiber in the literatures. Complete resection was performed, and clinical outcome was favorable.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 3","pages":"Pages 78-82"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195161","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}