Journal of Orthopaedic Reports最新文献

{"title":"Stress-shielding mimicking recurrence in a paediatric left proximal femur unicameral bone cyst with pathological fracture – A case report","authors":"Erel Kane Tan Yun En ,&nbsp;Arjandas Mahadev ,&nbsp;Mohammad Bin Zainuddin Ashik ,&nbsp;Kenneth Pak Leung Wong","doi":"10.1016/j.jorep.2024.100459","DOIUrl":"10.1016/j.jorep.2024.100459","url":null,"abstract":"<div><h3>Background</h3><p>Simple/unicameral bone cyst (SBC) is a common bone lesion found especially in the pediatric population often diagnosed incidentally on X-ray or due to a pathological fracture. Most of such fractures require curettage with or without fixation depending on fracture stability. Those that require fixation may pose an issue to post-operative surveillance of cyst recurrence due to the stress shielding phenomenon.</p></div><div><h3>Case report</h3><p>We present a case of a pathological subtrochanteric femoral fracture on the background of an SBC in a 6-year-old boy. Curettage of the lesion and surgical fixation of the femur were performed for the patient with favourable outcomes.</p></div><div><h3>Conclusion</h3><p>Pathological fractures of SBCs that need fixation should be have a less rigid fixation with the intent of allowing better visualization/monitoring under CT scan to better allow surveillance of cyst recurrence, and also reduce the effect of stress shielding.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 3","pages":"Article 100459"},"PeriodicalIF":0.0,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001541/pdfft?md5=72adbfd317ad80992cd315959d07f56c&pid=1-s2.0-S2773157X24001541-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047980","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":"Pediatric giant cell tumor of tendon sheath: A case report","authors":"Blaire McCarthy,&nbsp;Joseph Romano ,&nbsp;Jonathon Yu ,&nbsp;Jed I. Maslow","doi":"10.1016/j.jorep.2024.100458","DOIUrl":"10.1016/j.jorep.2024.100458","url":null,"abstract":"<div><h3>Background</h3><p>Giant cell tumor of the tendon sheath (GCTTS) is rare in children. The largest retrospective single series in children only included 29 patients over a 16-year period with a mean age of 11.</p></div><div><h3>Case report</h3><p>We present for discussion a 21-month-old female as the youngest known patient with confirmed GCTTS and review the differential diagnosis.</p></div><div><h3>Conclusion</h3><p>GCTTS should be included in the differential in patients under ten years of age. Presentation and pathology mimic adult GCTTS, however pediatric anatomy complicates excision. Children can have successful outcomes following excision, although no long-term outcomes have been reported, making patient counseling difficult.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 3","pages":"Article 100458"},"PeriodicalIF":0.0,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X2400153X/pdfft?md5=2bfd585a1150ab1f2841d38322629ad1&pid=1-s2.0-S2773157X2400153X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163599","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":"Delayed diagnosis and surgical management of a subungual glomus tumor: A case report highlighting diagnostic challenges and the importance of clinical vigilance","authors":"Osscar Gonzalez Sandoval ,&nbsp;Zainab Sumra ,&nbsp;Rachael Lee ,&nbsp;Owolabi Shonuga","doi":"10.1016/j.jorep.2024.100456","DOIUrl":"10.1016/j.jorep.2024.100456","url":null,"abstract":"<div><p>Glomus tumors are rare, accounting for only 1–5% of hand soft tissue tumors, typically located beneath the nail. This case report presents a 56-year-old female who experienced severe pain from a glomus tumor that went undiagnosed for five years. Despite an equivocal Hildreth's sign, magnetic resonance imaging successfully identified the tumor, which was surgically excised and confirmed histologically. This case underscores the critical role of clinical tests, imaging, and physical examination in the diagnosis and management of glomus tumors. It also highlights the ongoing issue of misdiagnosis and the need for continued medical education to improve diagnostic accuracy and reduce healthcare inefficiencies associated with delayed diagnoses.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 3","pages":"Article 100456"},"PeriodicalIF":0.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001516/pdfft?md5=180d16233b9f6c0690f41998ba228c67&pid=1-s2.0-S2773157X24001516-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047979","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":"Research topics and trends of isthmic spondylolisthesis: A bibliometric analysis and review of Literature","authors":"Mellisa Gani ,&nbsp;Rieva Ermawan ,&nbsp;Nanang Wiyono ,&nbsp;Rhyan Darma Saputra ,&nbsp;Hubertus Corrigan","doi":"10.1016/j.jorep.2024.100457","DOIUrl":"10.1016/j.jorep.2024.100457","url":null,"abstract":"<div><h3>Introduction</h3><p>As the second most common type of spondylolisthesis, there is no bibliometric analysis on isthmic spondylolisthesis. This study aims to fill that gap by exploring its research topics and trends through bibliometric analysis.</p></div><div><h3>Methods</h3><p>We conducted a Scopus database search on isthmic spondylolisthesis, yielding 700 articles. After refining our criteria, the count reduced to 519 articles. We extracted all 519 obtained articles in CSV extension and further analyzed with VOSviewer 1.6.19 and Biblioshiny.</p></div><div><h3>Result</h3><p>and Discussion: The first article published in 1975 was the top globally cited article. Scientific production fluctuated since 1975 with steady growth peaking in 2022, while citations have tended to decrease. The United States leads in terms of published research on isthmic spondylolisthesis. Spine is the top journal with the highest number of articles, citations, and impact factor. The top 10 most common author’s keywords used related to operative treatment. VOSviewer identified 6 clusters of co-occurrences. Strategic diagrams from 2002 to 2012 and 2013 to 2024 show the evolution of the theme.</p></div><div><h3>Conclusion</h3><p>This study is the first to summarize the publication growth on isthmic spondylolisthesis. Publications are expected to decline in 2024. The optimal surgical approach for isthmic spondylolisthesis remains controversial. Consequently, surgical techniques are the primary research focus, with analysis indicating ongoing development in spinal fusion techniques. Recently, ESS and PROMs have emerged as new but still infrequent topics. The absence of research on the correlation between those topics present a significant opportunity for researchers to investigate PROMs in patients undergoing ESS for isthmic spondylolisthesis.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 3","pages":"Article 100457"},"PeriodicalIF":0.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001528/pdfft?md5=5bcebe9a60a54cd0b39f1768c94dc2e2&pid=1-s2.0-S2773157X24001528-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142050388","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":"Bilateral ankle charcot neuro-arthropathy following intra-articular steroid injections: Case report","authors":"Adrian J. Talia ,&nbsp;Robert Sharp","doi":"10.1016/j.jorep.2024.100455","DOIUrl":"10.1016/j.jorep.2024.100455","url":null,"abstract":"<div><h3>Background</h3><p>Charcot neuroarthropathy is a common presentation for the orthopaedic surgeon in the diabetic population. Other aetiologies such as alcoholism and spinal pathology are less common. Other diagnoses should be suspected in the patient who is non-diabetic. Charcot neuroarthropathy following intra-articular corticosteroid injections have never been previously reported in the ankle joint and there is a single case report in the shoulder joint. We present such a case of a patient presenting with bilateral ankle charcot neuroarthropathy following intra-articular steroid injections.</p></div><div><h3>Case report</h3><p>A 55 year old male presented to our outpatient Foot &amp; Ankle clinic 3 months after steroid injections into both ankles with florid joint destruction and deformity with skin threatening to ulcerate. A thorough diagnostic workup ruled out aetiologies other than charcot. None of the usual underlying causes for charcot were identified, other than the preceding intra-articular injections. The patient underwent left side tibiotalocalcaneal fusion via an intramedullary nail. The right side was treated in a total contact cast.</p></div><div><h3>Conclusions</h3><p>We report a successfully treated case of bilateral charcot neuroarthropathy in both ankle joints following by intra-articular steroid injections. With no other underlying aetiology.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 3","pages":"Article 100455"},"PeriodicalIF":0.0,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001504/pdfft?md5=b1533464e55951ee13fd5e3d19ab66c8&pid=1-s2.0-S2773157X24001504-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142050437","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":"Lead arthropathy from a wrist gunshot wound: A rare case report","authors":"Collen Sandile Nkosi,&nbsp;Tatolo Ishmael Sefeane","doi":"10.1016/j.jorep.2024.100452","DOIUrl":"10.1016/j.jorep.2024.100452","url":null,"abstract":"<div><h3>Introduction</h3><p>Lead arthropathy results from gunshot wounds with retained bullet fragments in the intraarticular spaces. Lead arthropathy's mode of manifestation may cause a delay in diagnosis.</p></div><div><h3>Case report</h3><p>We present an atypical case of a 32-year-old male patient who presented with a wrist mass after a gunshot injury and wrist arthropathy with a retained bullet fragment. Lead arthritis features are reviewed on radiographs and intraoperatively.</p></div><div><h3>Conclusion</h3><p>The presence of chronic retained bullet fragments following gunshot may go unreported for years, leading to severe lead arthritis. To mitigate the risk of lead arthropathy, orthopaedic hand facilities with experienced surgeons should treat hand gunshot injuries. We advocate for the removal of bullets from non-weight-bearing joints.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 2","pages":"Article 100452"},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001474/pdfft?md5=e12906c7127fb13737015dbaac8d21a0&pid=1-s2.0-S2773157X24001474-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848765","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":"Superior outcomes of cementless total hip arthroplasty in elderly osteoarthritis patients: Findings from a 5-year retrospective cohort study","authors":"Shahzad Waqas Munazzam ,&nbsp;Muhammad Yasin Khan ,&nbsp;Shaista Nousheen ,&nbsp;Noman Ullah Wazir","doi":"10.1016/j.jorep.2024.100453","DOIUrl":"10.1016/j.jorep.2024.100453","url":null,"abstract":"<div><h3>Background</h3><p>Total hip arthroplasty (THA) is a common and effective procedure for treating hip osteoarthritis in elderly patients. However, debate persists regarding the optimal fixation method - cemented or cementless. This study aimed to compare outcomes between cemented and cementless THA in elderly patients over a 5-year period.</p></div><div><h3>Methods</h3><p>This retrospective cohort study analyzed 121 THAs (93 cemented and 28 uncemented) performed on elderly patients (≥50 years) with advanced hip osteoarthritis from April 2018 to October 2023. Outcomes assessed included pain (Visual Analog Scale), functional mobility (WOMAC), postoperative complications, and quality of life (EQ-5D-5L). Statistical analysis included t-tests and chi-square tests to compare outcomes between groups.</p></div><div><h3>Results</h3><p>Cementless THA demonstrated significantly better outcomes across all measures at an average follow-up of 36 months. Patients in the cementless group reported lower postoperative pain levels (p &lt; 0.001), improved functional mobility (p &lt; 0.001), fewer complications (p &lt; 0.001), and higher quality of life scores (p &lt; 0.001) compared to the cemented group.</p></div><div><h3>Conclusion</h3><p>This study provides strong evidence supporting the superiority of cementless THAover cemented THA in elderly patients with hip osteoarthritis. Cementless fixation resulted in better pain relief, functional outcomes, safety profile, and overall quality of life. These findings suggest that cementless THA should be considered the preferred option for suitable elderly patients undergoing hip replacement surgery.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 3","pages":"Article 100453"},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001486/pdfft?md5=025ed0b6cc256584b237cf6a80df300b&pid=1-s2.0-S2773157X24001486-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849845","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":"ACL femoral cortical button failure with subsequent abscess formation case report","authors":"William Wardell ,&nbsp;Alexander Edelstein ,&nbsp;Jeffrey Alwine ,&nbsp;Mason Stilwell","doi":"10.1016/j.jorep.2024.100449","DOIUrl":"10.1016/j.jorep.2024.100449","url":null,"abstract":"<div><p>Anterior cruciate ligament (ACL) tears are a common athletic injury, and account for a large proportion of knee injuries. ACL reconstruction is a common procedure with typically excellent results. This procedure is not without risk of complication, which can be devastating to the patient/athlete. Common complications include graft tunnel mismatch, malposition of bone tunnel, posterior blowout of the femoral wall, graft failure, arthrofibrosis and infection, including septic arthritis. Infection is rare in ACL reconstruction procedures and is typically superficial in nature. There is limited literature reporting on failure of the femoral cortical button, as it is a rather rare complication. We present a case of femoral cortical button failure with a concomitant abscess formation in a 59-year-old female, who was subsequently treated with operative debridement, removal of the femoral cortical button, and intravenous antibiotics with complete resolution of her symptoms. There are a small number of cases in the literature of femoral cortical button failure, these cases identify tunnel malposition as the most likely reason for failure and their observed findings. In these cases there was no finding of an infectious process or abscess related to the suture button migration. There are several proposed mechanisms for suture button failure in this case including implant contamination, ACL failure, and tunnel malposition. In this reported case it is unclear which occurred first, the displacement of the suture button fixation device providing a nidus for infection, or the infectious process leading to disruption of the suspensory fixation device, ultimately leading to migration.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 2","pages":"Article 100449"},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001449/pdfft?md5=5fd46fae3a4390ab8695f1eda853d0c5&pid=1-s2.0-S2773157X24001449-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842984","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":"PROMIS outcomes following operative and non-operative treatment of distal biceps ruptures","authors":"Akhil Dondapati ,&nbsp;Thomas J. Carroll ,&nbsp;Samuel Florentino ,&nbsp;Jonathan Minto ,&nbsp;Warren C. Hammert ,&nbsp;Bilal Mahmood","doi":"10.1016/j.jorep.2024.100451","DOIUrl":"10.1016/j.jorep.2024.100451","url":null,"abstract":"<div><h3>Introduction</h3><p>Our study sought to determine outcomes of patients who underwent non-operative and surgical treatment of distal biceps ruptures utilizing both PROMIS and Patient Acceptable Symptoms State (PASS).</p></div><div><h3>Methods</h3><p>This study was a 7-year study performed retrospectively at a single, large academic institution. There were 468 patients included. Treatment method, demographics, PROMIS scores, PASS, and range of motion were noted for each patient for follow-up visits through 12 months. Chi-squared and paired and unpaired t-tests were used for statistical analyses.</p></div><div><h3>Results</h3><p>There were 243 patients in the non-operative group, while 225 patients underwent primary operative repair. The non-operative cohort showed an average change in PROMIS Pain Interference (PI), Upper Extremity (UE), and Physical Function (PF) scores from initial injury to 12-months follow-up were −1.19 (p = 0.13), 5.10 (p &lt; 0.001), and 3.60 (p &lt; 0.01), respectively. In contrast, this change in PROMIS PI, UE, and PF scores from initial visit to 12-months were −3.24 (p = 0.02), 4.18 (p &lt; 0.01), and 0.01 (p = 0.91), respectively, in the operative cohort. Minimal change in PROMIS UE was observed between 6 and 12 months, indicated a relative plateau by 6 months. PROMIS UE demonstrated minimally clinically important differences (MCID) at 12 months, but not any other time point.</p></div><div><h3>Conclusions</h3><p>PROMIS PI and PF showed statistically significant changes within the individual treatment groups over the 12-month follow-up period, but largely did not differ between the two groups. Only PROMIS UE met mean clinically important difference at 12-month follow-up and correlated with PASS. PROMIS UE is potentially sensitive enough to detect functional differences following the treatment of a distal biceps injury.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 1","pages":"Article 100451"},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001462/pdfft?md5=4bb44cff8775610c05df3d53268e8a89&pid=1-s2.0-S2773157X24001462-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852990","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":"Effect of osteoporosis on hidden hemorrhage after TKA: A retrospective study","authors":"Yao Han,&nbsp;Hualin Tang","doi":"10.1016/j.jorep.2024.100447","DOIUrl":"10.1016/j.jorep.2024.100447","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the relationship between the degree of osteoporosis and TBL, DBL and HBL during perioperative in elderly patients after TKA.</p></div><div><h3>Methods</h3><p>From October 2022 to December 2023, 70 patients were enrolled into the study.According to the WHO classification of osteoporosis, all patients were divided into three groups: normal group (n = 12), osteopenia group (n = 21), osteoporosis group (n = 37). The latest statistical software SPSS22.0 was used for data analysis.</p></div><div><h3>Results</h3><p>TBL of the three groups were (787.88 ± 173.48)ml, (856.09 ± 213.54)ml and (1046.78 ± 207.36)ml respectively, DBL of the three groups were (262.04 ± 37.14)ml, (260.55 ± 29.99)ml and (264.48 ± 35.09)ml respectively, and HBL were (529.84 ± 113.15)ml、(595.54 ± 128.11)ml、(782.30 ± 123.53)ml respectively. For TBL and HBL, the osteoporosis group was significantly higher than the osteopenia group and the normal group(P &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>Osteoporosis can significantly increase blood loss for patients with TKA, especially increase the TBL and HBL, but have no obvious effect on the amount of DBL.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 2","pages":"Article 100447"},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001425/pdfft?md5=5bfbb3c147968759209ec3144f73c411&pid=1-s2.0-S2773157X24001425-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842176","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}