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The Use of a Distal Radius Allograft for Severe Glenoid Bone Loss in the Setting of Revision Shoulder Arthroplasty: A Case Report. 使用桡骨远端同种异体移植治疗肩关节翻修成形术中的严重盂骨缺损：病例报告。
JBJS case connector Pub Date : 2024-07-05 eCollection Date: 2024-07-01 DOI: 10.2106/JBJS.CC.23.00656
Joseph A Abboud, Mohamad Y Fares, Adam Z Khan, Gerald R Williams
{"title":"The Use of a Distal Radius Allograft for Severe Glenoid Bone Loss in the Setting of Revision Shoulder Arthroplasty: A Case Report.","authors":"Joseph A Abboud, Mohamad Y Fares, Adam Z Khan, Gerald R Williams","doi":"10.2106/JBJS.CC.23.00656","DOIUrl":"10.2106/JBJS.CC.23.00656","url":null,"abstract":"<p><strong>Case: </strong>A 71-year-old female patient presented with severe glenoid bone loss and deformity after 2 subsequent failed arthroplasty procedures because of baseplate failures. The patients then underwent a conversion from reverse shoulder arthroplasty to hemiarthroplasty, while using a distal radius allograft to augment the deformed glenoid. At the 2-year follow-up, the patient reported minimal pain and satisfactory outcomes.</p><p><strong>Conclusion: </strong>This case presents the distal radius as a potentially useful allograft option for augmenting severe glenoid bone loss in the setting of revision shoulder arthroplasty.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141537857","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
Novel Dual Bicolumnar Fibula Graft Reconstruction of Distal Humerus in Pediatric Patients After Massive Bone Resection: A Report of Two Cases. 大块骨切除术后小儿肱骨远端的新型双柱腓骨移植重建术：两个病例的报告
JBJS case connector Pub Date : 2024-06-24 eCollection Date: 2024-04-01 DOI: 10.2106/JBJS.CC.23.00539
Mohamed Abdel Rahman Mustafa, Aaron Lam, Ariel N Rodriguez, Ayman Mohammad El Masry, Sherif Ishak Azmy, Maghrabi Mohamed Abdel Aal, Amr Atef Abdelgawad
{"title":"Novel Dual Bicolumnar Fibula Graft Reconstruction of Distal Humerus in Pediatric Patients After Massive Bone Resection: A Report of Two Cases.","authors":"Mohamed Abdel Rahman Mustafa, Aaron Lam, Ariel N Rodriguez, Ayman Mohammad El Masry, Sherif Ishak Azmy, Maghrabi Mohamed Abdel Aal, Amr Atef Abdelgawad","doi":"10.2106/JBJS.CC.23.00539","DOIUrl":"10.2106/JBJS.CC.23.00539","url":null,"abstract":"<p><strong>Case: </strong>We describe 2 case studies, involving a 10-year-old girl with an aneurysmal bone cyst and a 12-year-old adolescent boy with Ewing sarcoma. The patient with Ewing sarcoma was previously managed with wide surgical excision and fibular graft reconstruction and subsequently experienced significant graft resorption, hardware failure, and fracture 24 months after operation. A revision limb salvage attempt was undertaken. In both cases, fibular strut grafts were harvested and fixed with intramedullary k-wires to recreate the medial and lateral columns of the distal humeral triangle.</p><p><strong>Conclusion: </strong>The technique achieved complete osseous integration, structural support, and functional restoration of the elbow in both cases, with good functional outcomes.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141446195","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
Proximal Tibia Fracture Through Suture Augmentation Sites Following ACL/MCL Repairs: A Case Report. 前交叉韧带（ACL）/后交叉韧带（MCL）修复术后胫骨近端通过缝合增高点发生骨折：病例报告。
JBJS case connector Pub Date : 2024-06-24 eCollection Date: 2024-04-01 DOI: 10.2106/JBJS.CC.24.00124
Scott M Feeley, Arash Kamali, Donald F Colantonio, Christopher H Renninger
{"title":"Proximal Tibia Fracture Through Suture Augmentation Sites Following ACL/MCL Repairs: A Case Report.","authors":"Scott M Feeley, Arash Kamali, Donald F Colantonio, Christopher H Renninger","doi":"10.2106/JBJS.CC.24.00124","DOIUrl":"10.2106/JBJS.CC.24.00124","url":null,"abstract":"<p><strong>Case: </strong>A 35-year-old man sustained a proximal tibia fracture from a low-energy mechanism 1 year after anterior cruciate and medial collateral ligament repairs with suture augmentation (SA). The fracture propagated through both tibial SA anchor sites. Following intramedullary tibial nailing, he returned to his prior level of function.</p><p><strong>Conclusion: </strong>While complications of SA for ligamentous procedures are rare, these techniques are being implemented more frequently and the full complication profile is yet to be determined. Our report documents a new complication and potential risk factors that surgeons should consider when performing SA for multiligament knee surgery in active individuals.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141446196","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
Thirty-Three-Year Follow-up Following Silicone Scaphoid Arthroplasty: A Case Report. 硅胶肩胛骨关节置换术后三十三年随访：病例报告。
JBJS case connector Pub Date : 2024-06-24 eCollection Date: 2024-04-01 DOI: 10.2106/JBJS.CC.24.00027
James C Rex, Zachary Crawford, John Stout, Peter J Stern
{"title":"Thirty-Three-Year Follow-up Following Silicone Scaphoid Arthroplasty: A Case Report.","authors":"James C Rex, Zachary Crawford, John Stout, Peter J Stern","doi":"10.2106/JBJS.CC.24.00027","DOIUrl":"10.2106/JBJS.CC.24.00027","url":null,"abstract":"<p><strong>Case: </strong>A 64-year-old man presented with a 3-year history of right wrist pain and swelling 33 years after a silicone scaphoid arthroplasty for chronic scaphoid nonunion. Radiographs demonstrated a deformed scaphoid implant, carpal and distal radius cysts, and mild carpal collapse. He elected to undergo a wrist arthrodesis with a dorsal fusion plate after failing conservative management.</p><p><strong>Conclusion: </strong>Although carpal bone silicone implant arthroplasties of the wrist have long been abandoned, our patient was pain free and fully functional for 3 decades. He was pleased to undergo serial examinations with radiographs for 30 years without any therapeutic intervention.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141446197","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
Nontraumatic Pseudoaneurysm of the Deep Palmar Arch in a 10-Month-Old Infant: A Case Report. 一名 10 个月大婴儿的掌弓深部非创伤性假性动脉瘤：病例报告。
JBJS case connector Pub Date : 2024-06-24 eCollection Date: 2024-04-01 DOI: 10.2106/JBJS.CC.23.00527
Rafat H Solaiman, Will Freking, Sergio M Navarro, Emilian Racila, Robert D Acton, Ann Van Heest
{"title":"Nontraumatic Pseudoaneurysm of the Deep Palmar Arch in a 10-Month-Old Infant: A Case Report.","authors":"Rafat H Solaiman, Will Freking, Sergio M Navarro, Emilian Racila, Robert D Acton, Ann Van Heest","doi":"10.2106/JBJS.CC.23.00527","DOIUrl":"10.2106/JBJS.CC.23.00527","url":null,"abstract":"<p><strong>Case: </strong>Pseudoaneurysms of the hand are rare among the adult population and even more rare in pediatric patients. We report a case of a 10-month-old boy who presented with a nontraumatic pseudoaneurysm of the deep palmar arch, likely of congenital etiology. Magnetic resonance imaging and angiography identified the growing left hand palmar mass. Surgical excision without the need for vascular reconstruction was performed successfully with no recurrence or complications at 1-year follow-up.</p><p><strong>Conclusion: </strong>Surgical excision is an effective treatment for large or symptomatic palmar pseudoaneurysms of likely congenital origin. Vascular reconstruction after excision must be considered on a case-by-case basis to ensure adequate hand perfusion.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141446194","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
Mixed Reality Navigation in Hip Fusion Conversion: A Novel Utilization of Advanced Technology: A Case Report. 髋关节融合转换中的混合现实导航：先进技术的创新应用：病例报告
JBJS case connector Pub Date : 2024-06-24 eCollection Date: 2024-04-01 DOI: 10.2106/JBJS.CC.24.00128
Justin Leal, Mark M Cullen, Michael P Bolognesi, Samuel S Wellman, Sean P Ryan
{"title":"Mixed Reality Navigation in Hip Fusion Conversion: A Novel Utilization of Advanced Technology: A Case Report.","authors":"Justin Leal, Mark M Cullen, Michael P Bolognesi, Samuel S Wellman, Sean P Ryan","doi":"10.2106/JBJS.CC.24.00128","DOIUrl":"10.2106/JBJS.CC.24.00128","url":null,"abstract":"<p><strong>Case: </strong>A 32-year-old woman with a history of hip fusion presented with significant lower back, hip, and knee pain as well as severely limited hip mobility and function. Single-stage fusion takedown and conversion to total hip arthroplasty (THA) was performed using augmented reality navigation. At 1 year, the patient was pain free with improved function. This study is the first to report the technique and outcomes of surgical fusion conversion to THA, using mixed reality navigation.</p><p><strong>Conclusion: </strong>Mixed reality navigation in complex conversion THA can be useful for identifying the patient's true acetabulum and for patient-specific acetabular component placement to maximize outcomes.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141446193","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
Failure of the Yoke With a Rotating-Hinge Total Knee Arthroplasty: A Case Report. 旋转铰链全膝关节置换术轭失败：病例报告。
JBJS case connector Pub Date : 2024-06-13 eCollection Date: 2024-04-01 DOI: 10.2106/JBJS.CC.24.00100
Kevin Ilo, Rosie Gnap, Hosam E Matar, Reshid Berber, Benjamin V Bloch
{"title":"Failure of the Yoke With a Rotating-Hinge Total Knee Arthroplasty: A Case Report.","authors":"Kevin Ilo, Rosie Gnap, Hosam E Matar, Reshid Berber, Benjamin V Bloch","doi":"10.2106/JBJS.CC.24.00100","DOIUrl":"10.2106/JBJS.CC.24.00100","url":null,"abstract":"<p><strong>Case: </strong>A patient underwent revision of a total knee replacement to a cementless rotating-hinge prosthesis. The femoral component became loose, but due to the patient's frailty and cognitive decline, revision was not performed. Subsequently, the yoke failed, dissociating the femoral and tibial components, necessitating a single-stage revision.</p><p><strong>Conclusion: </strong>This case underlines the need for robust fixation of components of rotating-hinge knee replacements to avoid mechanical failures. It contributes valuable insights to the limited literature on yoke failure in total knee arthroplasty, emphasizing the importance of implant design, patient selection, and surgical technique to prevent such complications.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317315","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
Conversion Birmingham Hip Resurfacing in Managing Post-traumatic Arthritis With Retained Femoral Hardware: A Case Report. 转用伯明翰髋关节置换术治疗股骨硬件残留的创伤后关节炎：病例报告。
JBJS case connector Pub Date : 2024-06-13 eCollection Date: 2024-04-01 DOI: 10.2106/JBJS.CC.23.00559
Shujaa T Khan, Ignacio Pasqualini, Nathan Mesko, John McLaughlin, Peter J Brooks, Nicolas S Piuzzi
{"title":"Conversion Birmingham Hip Resurfacing in Managing Post-traumatic Arthritis With Retained Femoral Hardware: A Case Report.","authors":"Shujaa T Khan, Ignacio Pasqualini, Nathan Mesko, John McLaughlin, Peter J Brooks, Nicolas S Piuzzi","doi":"10.2106/JBJS.CC.23.00559","DOIUrl":"10.2106/JBJS.CC.23.00559","url":null,"abstract":"<p><strong>Case: </strong>A 70-year-old man with a year-long history of arthritic pain in his left hip presented to our clinic. He had a left intertrochanteric hip fracture 6 years ago, fixed with an open reduction internal fixation with a cephalomedullary nail. He underwent a conversion Birmingham Hip Resurfacing (BHR) with removal of the proximal helicoidal blade and retention of the intramedullary nail. At 7-year follow-up, the patient reported satisfactory clinical outcomes and excellent radiographic fixation.</p><p><strong>Conclusion: </strong>This case highlights using conversion BHR in patients with post-traumatic arthritis with retained femoral hardware as an alternative to conventional total hip arthroplasty.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317314","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
Internal Joint Stabilization for Recurrent Nontraumatic Elbow Dislocation in a Skeletally Immature Patient. 关节内固定治疗骨骼不成熟患者的复发性非创伤性肘关节脱位
JBJS case connector Pub Date : 2024-06-13 eCollection Date: 2024-04-01 DOI: 10.2106/JBJS.CC.24.00074
Adam C S Stoneham, Edward Lindisfarne, David Hargreaves, John J Heifner
{"title":"Internal Joint Stabilization for Recurrent Nontraumatic Elbow Dislocation in a Skeletally Immature Patient.","authors":"Adam C S Stoneham, Edward Lindisfarne, David Hargreaves, John J Heifner","doi":"10.2106/JBJS.CC.24.00074","DOIUrl":"10.2106/JBJS.CC.24.00074","url":null,"abstract":"<p><strong>Case: </strong>A 14-year-old adolescent boy with SCN1B mutation experienced frequent seizures and recurrent elbow dislocation, occurring up to 30 times per day. Following failed conservative treatment, the decision was made to surgically repair the lateral collateral ligament complex and stabilize the elbow with the internal joint stabilizer (IJS). At more than 3 years postoperatively, the patient has not had a dislocation event and will retain the device for the foreseeable future to maintain predictable elbow stability.</p><p><strong>Conclusion: </strong>Although there is scant evidence supporting the use of the IJS in pediatric cases, the current case supports its use in pediatric elbow instability.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11168785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317317","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
Rare Variant of the Radial Artery Causing Compression of the Superficial Radial Nerve: A Case Report. 桡动脉罕见变异导致桡浅神经受压：病例报告。
JBJS case connector Pub Date : 2024-06-13 eCollection Date: 2024-04-01 DOI: 10.2106/JBJS.CC.24.00118
Michael J Sayegh, Joshua M Keefer, Zhongyu Li
{"title":"Rare Variant of the Radial Artery Causing Compression of the Superficial Radial Nerve: A Case Report.","authors":"Michael J Sayegh, Joshua M Keefer, Zhongyu Li","doi":"10.2106/JBJS.CC.24.00118","DOIUrl":"10.2106/JBJS.CC.24.00118","url":null,"abstract":"<p><strong>Case: </strong>This case report describes a patient with paresthesia in the distribution of the superficial sensory branch of the radial nerve that was treated with surgery. Intraoperatively, there was a unique cause of internal compression by a rare superficial radial artery variant running adjacent to it. The nerve was mobilized from the artery with fascial releases. The patient had symptom resolution postoperatively.</p><p><strong>Conclusion: </strong>To our knowledge, this cause of compression has not been described before and should be considered in a differential diagnosis. In addition, clinicians should be aware of this anatomical variant during venipunctures and surgical approaches.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317318","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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