JBJS case connectorPub Date : 2024-09-20eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.23.00661
Warid Altaf, Amit Chaudhari, Abhishek Kothari, Parag K Sancheti, Ashok Shyam Murari
{"title":"An Atypically Displaced Scaphoid Fracture With Proximal Fragment in the Flexor Compartment of the Forearm: A Case Report.","authors":"Warid Altaf, Amit Chaudhari, Abhishek Kothari, Parag K Sancheti, Ashok Shyam Murari","doi":"10.2106/JBJS.CC.23.00661","DOIUrl":"10.2106/JBJS.CC.23.00661","url":null,"abstract":"<p><strong>Case: </strong>This case report details the rare presentation of a scaphoid waist fracture in a 27-year-old right-hand-dominant man, with an atypical displacement of the proximal fracture fragment into the flexor compartment of the forearm. Urgent open reduction and internal fixation using a Herbert screw were performed, resulting in fracture union and favorable wrist function at the 1-year follow-up.</p><p><strong>Conclusion: </strong>This case serves as a reminder that tailored, timely interventions for challenging scaphoid fractures can yield favorable long-term results, underscoring the significance of individualized approaches in fracture management.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287615","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":"Elbow Flexion Reconstruction after Traumatic Amputation Using Hinged External Fixator and Muscle Transfer: A Case Report.","authors":"Shunsuke Miyaoka, Hiroshi Yamazaki, Masanori Hayashi, Fumihiro Isobe, Yukiho Abe, Toshiyasu Sakurai","doi":"10.2106/JBJS.CC.24.00189","DOIUrl":"10.2106/JBJS.CC.24.00189","url":null,"abstract":"<p><strong>Case: </strong>A 40-year-old man sustained a traumatic elbow disarticulation without any fracture, accompanied by severe damage of the biceps and brachialis. After replantation, passive elbow motion was used with a hinged external fixator to facilitate elbow joint reduction and mobility. Eight months after the injury, a functional latissimus dorsi transfer for elbow flexion restoration was performed. Ten years postoperatively, he achieved antigravity elbow flexion and 120° of flexion and -15° extension of the elbow.</p><p><strong>Conclusion: </strong>This reconstruction technique was useful for reconstructing elbow flexion after traumatic elbow disarticulation.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287618","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}
JBJS case connectorPub Date : 2024-09-20eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.24.00260
J Terrence Jose Jerome
{"title":"Surgical Management of a Delayed Presentation of Floating First Metacarpal with Multiple Fracture Dislocations: A Case Report.","authors":"J Terrence Jose Jerome","doi":"10.2106/JBJS.CC.24.00260","DOIUrl":"10.2106/JBJS.CC.24.00260","url":null,"abstract":"<p><strong>Case: </strong>A 23-year-old man presented with a 2-month-old injury involving a volar base metacarpal fracture dislocation of carpometacarpal joint (CMC), metacarpophalangeal joint (MP) dislocation, floating metacarpal, and proximal phalanx base fracture. Treatment involved open reduction of volar base metacarpal's fracture and CMC dislocation, MP joint reduction, collateral ligament repair, and proximal phalanx fixation with plates and screws. A modified Eaton-Littler procedure with flexor carpi radialis tendon enhanced CMC joint stability. At 6 weeks, fractures had healed well, achieving good thumb motion. One-year follow-up showed no arthritis or dislocation.</p><p><strong>Conclusion: </strong>Thumb injuries are relatively common and can involve complex fractures and dislocations. Open reduction of the delayed fractures, dislocations, and ligament repair and reconstruction can lead to successful outcome.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307770","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}
JBJS case connectorPub Date : 2024-09-20eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.24.00008
Devendra Kumar Chouhan, Tarkik Thami, Ankit Dadra
{"title":"Total Knee Arthroplasty for Neglected Habitual Dislocation of Patella with Knee Osteoarthritis: A Case Report.","authors":"Devendra Kumar Chouhan, Tarkik Thami, Ankit Dadra","doi":"10.2106/JBJS.CC.24.00008","DOIUrl":"10.2106/JBJS.CC.24.00008","url":null,"abstract":"<p><strong>Case: </strong>We performed total knee arthroplasty (TKA) on a 62-year-old male patient who presented with symptomatic knee osteoarthritis resulting from habitual dislocation of the patella. The patient had a painless unassisted gait with stable patella and 5 to 95° knee range of motion, 23 months after surgery.</p><p><strong>Conclusion: </strong>TKA can be an effective treatment option for geriatric patients with habitual patellar instability and concomitant knee osteoarthritis, but may require surgical modifications based on individual pathoanatomy.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287626","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":"Four-Direction Procedures Involving Tibial Tubercle Osteotomy for Habitual Dislocation of the Patella: A Case Report.","authors":"Patrick Yusin Yeh, En-Rung Chiang, Hsin-Yi Wang, Hsiao-Li Ma, Kun-Hui Chen","doi":"10.2106/JBJS.CC.24.00193","DOIUrl":"10.2106/JBJS.CC.24.00193","url":null,"abstract":"<p><strong>Case: </strong>A 22-year-old man with habitual dislocation of the patella (HDP), characterized by lateral dislocation in flexion with spontaneous relocation with extension, presented with right knee pain and inability to actively extend. Imaging revealed lateral patellar dislocation, flat articular surface of the patella, and trochlear dysplasia. His symptoms persisted despite physical therapy. A 4-directional patellar stabilization surgery, incorporating lateral release, medial tibial tuberosity osteotomy, quadriceps muscle lengthening, and medial patellofemoral ligament reconstruction, was performed, with significant improvement in pain and function postoperatively.</p><p><strong>Conclusion: </strong>The procedure could be feasible in cases of severe HDP when conservative measures failed to relieve the patient's symptoms.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287619","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}
JBJS case connectorPub Date : 2024-09-20eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.24.00279
Kenta Sawamura, Takashi Hamajima, Hiroshi Kitoh
{"title":"Improvement of Fibrous Dysplasia After Burosumab Therapy in a Pediatric Patient with McCune-Albright Syndrome: A Case Report.","authors":"Kenta Sawamura, Takashi Hamajima, Hiroshi Kitoh","doi":"10.2106/JBJS.CC.24.00279","DOIUrl":"10.2106/JBJS.CC.24.00279","url":null,"abstract":"<p><strong>Case: </strong>Burosumab is a novel drug developed to treat hereditary fibroblast growth factor 23 (FGF23)-related disorders. We report the case of an 11-year-old girl with McCune-Albright syndrome (MAS) who sustained hypophosphatemia due to excess FGF23 and multiple bone lesions of fibrous dysplasia (FD). Burosumab therapy markedly improved not only the biochemical parameters but also the radiographic appearance of the FD lesions and clinical symptoms.</p><p><strong>Conclusion: </strong>This is the first report to demonstrate that burosumab is effective in improving FD lesions in a patient with MAS.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287621","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}
JBJS case connectorPub Date : 2024-09-13eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.24.00202
Renzo A Laynes, Shreyaas Aravindan, Benjamin Wharton, Jonathan E Layne, Christopher J Kleck, Vikas V Patel
{"title":"Injury to the Superior Gluteal Artery During Minimally Invasive Sacroiliac Joint Fusion: A Case Series.","authors":"Renzo A Laynes, Shreyaas Aravindan, Benjamin Wharton, Jonathan E Layne, Christopher J Kleck, Vikas V Patel","doi":"10.2106/JBJS.CC.24.00202","DOIUrl":"10.2106/JBJS.CC.24.00202","url":null,"abstract":"<p><strong>Case: </strong>A rarely reported complication with sacroiliac joint fusion (SJF) is an iatrogenic injury to the superior gluteal artery (SGA). This case series includes 3 cases which had a suspected injury to the SGA. Case 1 describes how hemostasis achieved with exploration of the wound followed by embolization by interventional radiology (IR). In Case 2, electrocautery, hemostatic agents, and pressure were used with success. Case 3 highlights the use of IR as the initial method for controlling bleeding.</p><p><strong>Conclusion: </strong>This report describes a rare complication during SJF and provides an algorithm to help guide surgeons in decision making.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287622","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}
JBJS case connectorPub Date : 2024-09-13eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.24.00025
Justin T Samuel, Imani N Nwokeji, Sehrish Ali, Nityananda Rao Jakkula, Jonathan Fung, Andrew Campbell, Naveen Singanamala
{"title":"Immobile to Ambulation: Complex Multijoint Pathologies in a Patient with Advanced HIV Disease: A Case Report.","authors":"Justin T Samuel, Imani N Nwokeji, Sehrish Ali, Nityananda Rao Jakkula, Jonathan Fung, Andrew Campbell, Naveen Singanamala","doi":"10.2106/JBJS.CC.24.00025","DOIUrl":"10.2106/JBJS.CC.24.00025","url":null,"abstract":"<p><strong>Case: </strong>A 30-year-old man with a history of advanced HIV disease (AHD) presented with bilateral equinocavus, leg, and foot muscle paresis, Brooker grade 4 heterotopic ossification of hips and knee stiffness, and was unable to sit upright, stand independently, or walk. Electromyography showed demyelinating sensorimotor and axonal polyneuropathy of lower extremities. Multiple surgeries of bilateral hips, ankles, and feet enabled joint mobility, plantigrade feet, and independent ambulation.</p><p><strong>Conclusion: </strong>Patients with AHD may develop multijoint pathologies, secondary to HIV, antiretroviral therapy, or prolonged immobility, resulting in loss of ambulation and independence. Restoring ambulation may necessitate multiple surgeries, with potential for success.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287620","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}
JBJS case connectorPub Date : 2024-09-13eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.24.00187
R Dinesh Iyer, Mengitsu G Mengesha, Ajoy Prasad Shetty, Shanmuganathan Rajasekaran
{"title":"Odontoid Fracture with Locked Posterolateral Atlantoaxial Dislocation: A Case Report and Review of Literature.","authors":"R Dinesh Iyer, Mengitsu G Mengesha, Ajoy Prasad Shetty, Shanmuganathan Rajasekaran","doi":"10.2106/JBJS.CC.24.00187","DOIUrl":"10.2106/JBJS.CC.24.00187","url":null,"abstract":"<p><strong>Case: </strong>Odontoid fractures with atlantoaxial dislocations are rare injuries. We report a case of a 41-year-old man with a Type 2 odontoid fracture with locket facet and posterolateral dislocation. He underwent single-stage C1-C4 posterior fixation and fusion, and at 2-year follow-up, he is symptom-free without any residual pain. Follow-up radiograph and CT scan show healed odontoid fracture with posterior fusion.</p><p><strong>Conclusion: </strong>This case highlights successful management of a complex odontoid fracture by a single-stage posterior surgery. Closed reduction is usually unsuccessful, and open reduction using posterior approach is preferable.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287624","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}
JBJS case connectorPub Date : 2024-09-13eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.24.00020
Jesse Hu, Patrick J Geraghty, Munish Gupta
{"title":"Vertebral Body Erosions After Glue Embolization of an Aortic Endograft Type II Endoleak: A Case Report.","authors":"Jesse Hu, Patrick J Geraghty, Munish Gupta","doi":"10.2106/JBJS.CC.24.00020","DOIUrl":"10.2106/JBJS.CC.24.00020","url":null,"abstract":"<p><strong>Case: </strong>We present a case of a 66-year-old man with lumbar vertebral body erosions after glue embolization of a Type II endoleak secondary to endovascular repair of an infrarenal aortic aneurysm. Multiple biopsies of the affected vertebrae were culture-negative confirming no evidence of infection. He underwent posterior spinal fusion from L2 to L5 with complete resolution of mechanical low back pain and improved functional outcomes.</p><p><strong>Conclusion: </strong>Vertebral body osseous erosion is a rare complication of aortic endoleak intervention that can be successfully treated with spinal fusion.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287627","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}