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Multidisciplinary Approach to a Transverse Periprosthetic Femur Fracture in a Short-Statured Patient: A Case Report.
JBJS case connector Pub Date : 2025-03-07 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00523
Pravjit Bhatti, Simon Ortiz, Colin C Neitzke, Joseph M Lane, Elizabeth B Gausden
{"title":"Multidisciplinary Approach to a Transverse Periprosthetic Femur Fracture in a Short-Statured Patient: A Case Report.","authors":"Pravjit Bhatti, Simon Ortiz, Colin C Neitzke, Joseph M Lane, Elizabeth B Gausden","doi":"10.2106/JBJS.CC.24.00523","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00523","url":null,"abstract":"<p><strong>Case: </strong>A 43-year-old woman with VACTERL sustained a Vancouver B1 periprosthetic femur fracture (PFF) following right revision total hip arthroplasty with a cemented femoral component. She underwent open reduction and internal fixation (ORIF) with dual plate fixation, and later received abaloparatide and autologous bone grafting with iliac crest aspirate at 10 months post-ORIF. The fracture achieved radiographic union 2 years post-ORIF.</p><p><strong>Conclusion: </strong>PFFs in patients with metabolic bone disease may require prolonged healing. Use of dual-implant fixation and a multidisciplinary approach to treat underlying metabolic bone disorders can help overcome delayed healing in these cases.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143575753","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}
引用次数: 0
Unusual Presentation of Metachronous Multicentric Giant Cell Tumor of Forearm Bones with Literature Review.
JBJS case connector Pub Date : 2025-03-07 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00566
Lavanya Goyal, Arihant Kataria, Swati Gupta, Prerna Arora, Sumit Arora, Lalit Maini
{"title":"Unusual Presentation of Metachronous Multicentric Giant Cell Tumor of Forearm Bones with Literature Review.","authors":"Lavanya Goyal, Arihant Kataria, Swati Gupta, Prerna Arora, Sumit Arora, Lalit Maini","doi":"10.2106/JBJS.CC.24.00566","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00566","url":null,"abstract":"<p><strong>Case: </strong>We present an unusual case of metachronous multicentric giant cell tumor (GCT) of forearm bones in a 38-year-old male patient with an 8-year follow-up. The diagnosis was established by imaging and histopathology. He underwent multiple surgeries with extraperiosteal resection of lesions with free fibular grafts. No new lesion was detected in the last 3 years. When last seen, the patient was asymptomatic (apart from restricted supination). A literature review is also presented.</p><p><strong>Conclusion: </strong>Metachronous multicentric GCT involving only the forearm bones is rare. A high index of suspicion is necessary to differentiate it from other polyostotic lesions.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143575862","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}
引用次数: 0
Augmenting Osteosynthesis in Rotationplasty for Proximal Tibial Tumors: A Report of 2 Cases.
JBJS case connector Pub Date : 2025-03-07 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00527
Davinder Mand, Robert C Weinschenk, Russell A Ward
{"title":"Augmenting Osteosynthesis in Rotationplasty for Proximal Tibial Tumors: A Report of 2 Cases.","authors":"Davinder Mand, Robert C Weinschenk, Russell A Ward","doi":"10.2106/JBJS.CC.24.00527","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00527","url":null,"abstract":"<p><strong>Case: </strong>Two pediatric patients were treated with rotationplasty for proximal tibia sarcomas. Both patients had an uneventful postoperative course with minimum radiographic and clinical follow-up of 5.7 years. We describe a novel technique to augment osteosynthesis when performing rotationplasty specifically for proximal tibial pathology.</p><p><strong>Conclusion: </strong>Imbrication of the fibula within a femoral periosteal sleeve facilitates an additional site of bone healing and mechanical support in rotationplasty for proximal tibial tumors.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143575807","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}
引用次数: 0
Open Reduction and Internal Fixation of Femoral Head Fracture After Firearm Injury: A Case Report.
JBJS case connector Pub Date : 2025-03-07 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00329
Anuj V Mehta, Robert M Sangrigoli, David K Galos, Saqib Rehman
{"title":"Open Reduction and Internal Fixation of Femoral Head Fracture After Firearm Injury: A Case Report.","authors":"Anuj V Mehta, Robert M Sangrigoli, David K Galos, Saqib Rehman","doi":"10.2106/JBJS.CC.24.00329","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00329","url":null,"abstract":"<p><strong>Case: </strong>A 21-year-old man presented with a femoral head (FH) fracture from a firearm injury. The FH had a comminuted, minimally displaced fracture with intertrochanteric extension and a retained bullet. This patient was treated with surgical hip dislocation (SHD) and open reduction internal fixation (ORIF). This case describes the operative management of a fracture pattern of the FH not covered within the Pipkin classification. The patient was noted to be progressing well at 1-year follow-up.</p><p><strong>Conclusion: </strong>FH fractures from firearm injuries may present with unique fracture patterns. SHD and ORIF is a viable option for these unique fractures.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143575858","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}
引用次数: 0
Spontaneous Recovery of Common Peroneal Nerve Function After Multiligamentous Knee Injury: A Case Report.
JBJS case connector Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00524
Kaelli N Thiel, Andrew S Cuthbert, Nicholas G Poulos, Zylyftar Gorica, Robert S O'Connell
{"title":"Spontaneous Recovery of Common Peroneal Nerve Function After Multiligamentous Knee Injury: A Case Report.","authors":"Kaelli N Thiel, Andrew S Cuthbert, Nicholas G Poulos, Zylyftar Gorica, Robert S O'Connell","doi":"10.2106/JBJS.CC.24.00524","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00524","url":null,"abstract":"<p><strong>Case: </strong>This case report describes an 18-year-old man with a complete common peroneal nerve motor palsy after sustaining a multiligamentous knee injury while jumping on a trampoline. He underwent anterior cruciate ligament, posterior cruciate ligament, and posterolateral corner reconstruction with neurolysis of the peroneal nerve. Despite poor initial electromyography findings, he began showing evidence of spontaneous recovery of the peroneal nerve 13 months postinjury.</p><p><strong>Conclusion: </strong>Late spontaneous recovery of common peroneal nerve function is possible after a multiligamentous knee injury with complete nerve palsy, signifying that conservative management with physical therapy alone may not be unreasonable.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523269","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}
引用次数: 0
Long-term Outcome of Pediatric Arthroscopic Surgery for Avulsion Fracture of the Ligamentum Teres: A Case Report.
JBJS case connector Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.25.00018
Yohei Matsushita, Hajime Sugiyama, Tetsuo Hayama, Ryuichi Sato, Mitsuru Saito
{"title":"Long-term Outcome of Pediatric Arthroscopic Surgery for Avulsion Fracture of the Ligamentum Teres: A Case Report.","authors":"Yohei Matsushita, Hajime Sugiyama, Tetsuo Hayama, Ryuichi Sato, Mitsuru Saito","doi":"10.2106/JBJS.CC.25.00018","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00018","url":null,"abstract":"<p><strong>Case: </strong>An 8-year-old boy experienced a traffic accident resulting in avulsion fracture of the ligamentum teres, preventing maintenance of hip joint congruity. Hip arthroscopy was performed to remove the teres and bone fragments. Three months postoperatively, he could walk without a cane. Fourteen years postoperatively, the patient remains well, and his International Hip Outcome Tool (iHOT-12, short version) score improved from 23 points preoperatively to 100.</p><p><strong>Conclusion: </strong>We performed arthroscopic hip surgery for managing a ligamentum teres avulsion fracture. This is the first report of the long-term results of arthroscopic treatment of this type of fracture in a pediatric patient.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523349","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}
引用次数: 0
Staged Correction of Hip Contractures, Severe Knee Flexion, and Clubfoot in Arthrogryposis: Enabling Assisted Ambulation.
JBJS case connector Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00516
María Galán-Olleros, Jaime García-Fernández, María Jesús Figueroa-Gatica, Carmen Martínez-González, Sara García-García, Carlos Alfonso-Bravo, Ignacio Martínez-Caballero
{"title":"Staged Correction of Hip Contractures, Severe Knee Flexion, and Clubfoot in Arthrogryposis: Enabling Assisted Ambulation.","authors":"María Galán-Olleros, Jaime García-Fernández, María Jesús Figueroa-Gatica, Carmen Martínez-González, Sara García-García, Carlos Alfonso-Bravo, Ignacio Martínez-Caballero","doi":"10.2106/JBJS.CC.24.00516","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00516","url":null,"abstract":"<p><strong>Case report: </strong>A 10-year-old boy with arthrogryposis multiplex congenita (AMC) presented in a \"Buddha position\" with severely limited mobility, including bilateral hip, severe knee flexion, and clubfoot deformities. Surgical correction involved (1) bilateral femoral derotation and shortening osteotomies, knee capsulotomies, and soft-tissue releases; (2) gradual left knee extension using an external fixator; and (3) distal femoral extension osteotomies and Verebelyi-Ogston procedures for clubfoot correction. Postoperative recovery involved intensive rehabilitation and orthotic support. Improved lower limb alignment enabled the patient to transition from non-ambulatory to assisted walking with knee-ankle-foot orthosis.</p><p><strong>Conclusions: </strong>This proximal-to-distal approach significantly enhances autonomy in AMC patients with severe deformities.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523271","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}
引用次数: 0
Pasteurella Multocida Paravertebral Abscess Following Cat Scratch in Revision Spine Surgery: A Case Report.
JBJS case connector Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00610
Bradley Richey, Aditya Muralidharan, Raj Lele, Rakesh Patel, Ilyas Aleem
{"title":"Pasteurella Multocida Paravertebral Abscess Following Cat Scratch in Revision Spine Surgery: A Case Report.","authors":"Bradley Richey, Aditya Muralidharan, Raj Lele, Rakesh Patel, Ilyas Aleem","doi":"10.2106/JBJS.CC.24.00610","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00610","url":null,"abstract":"<p><strong>Case: </strong>A 71-year-old man with a history of multiple revision lumbar spine surgeries following rod exchange with local and systemic infection symptoms including purulent drain output. Imaging demonstrated extensive submuscular fluid collection. Subsequent surgical debridement with deep cultures demonstrated Pasturella multocida; retrospectively, the patient recalled being scratched by his cat 1 week before presentation.</p><p><strong>Conclusion: </strong>Pasturella multocida is a rare cause of paravertebral abscess following spinal surgery, but prevalent in cat flora. As domesticated animals are extremely common, clinicians and patients need to be aware of cat scratch as a potential source for postoperative infection through hematogenous seeding of the surgical site in the immediate postoperative period.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523262","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}
引用次数: 0
Open Talar Body Fracture With Dislocation of the Ankle and Subtalar Joint Accompanying Acute Rupture of the Peroneal Tendons in an Elite Female Gymnast: A Case Report.
JBJS case connector Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00421
Kimio Miura, Kazuya Sugimoto, Shinji Isomoto, Rieko Kuramochi, Yuki Kawashima, Akira Taniguchi, Yasuhito Tanaka
{"title":"Open Talar Body Fracture With Dislocation of the Ankle and Subtalar Joint Accompanying Acute Rupture of the Peroneal Tendons in an Elite Female Gymnast: A Case Report.","authors":"Kimio Miura, Kazuya Sugimoto, Shinji Isomoto, Rieko Kuramochi, Yuki Kawashima, Akira Taniguchi, Yasuhito Tanaka","doi":"10.2106/JBJS.CC.24.00421","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00421","url":null,"abstract":"<p><strong>Case: </strong>A 20-year-old elite female gymnast injured her right ankle on landing during a vaulting attempt. Diagnosis revealed an open fracture of the talar body, prompting referral to our center after wound flushing and closure. Peroneal tendon and lateral ligament ruptures were observed during surgery, necessitating one-stage repair. The patient successfully resumed competitive gymnastics 9 months postoperatively.</p><p><strong>Conclusion: </strong>This case underscores the importance of preventing muscle atrophy and contracture of ankle and hindfoot motion in athletes during the extended postoperative period of talar unloading.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523357","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}
引用次数: 0
Significant Arterial Injury by Referencing Pin Placement in Robotic-Assisted Total Hip Arthroplasty: A Case Report. 机器人辅助全髋关节置换术中的参考针放置造成重大动脉损伤：病例报告。
JBJS case connector Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00505
Stephen Meixner, Daniel Sylvestre, Robert Sherman
{"title":"Significant Arterial Injury by Referencing Pin Placement in Robotic-Assisted Total Hip Arthroplasty: A Case Report.","authors":"Stephen Meixner, Daniel Sylvestre, Robert Sherman","doi":"10.2106/JBJS.CC.24.00505","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00505","url":null,"abstract":"<p><strong>Case: </strong>The patient was a 61-year-old woman who underwent robotic-assisted total hip arthroplasty (THA) for left hip osteoarthritis. Postoperatively, the patient became hypotensive, and computed tomography angiography (CTA) demonstrated a retroperitoneal hematoma with active bleeding. An iatrogenic injury to the ascending branch of the deep circumflex iliac artery from a referencing pin was identified and managed with coiling.</p><p><strong>Conclusion: </strong>Referencing pin placement during robotic-assisted THA introduces the risk of iatrogenic injury to the ascending branch of deep circumflex iliac artery. Avoidance of referencing pin placement near the anterior superior iliac spine can decrease the risk of this complication.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468145","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}
引用次数: 0
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