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Reimplanting a 35-cm Extruded Femoral Bone Segment with Maintained Osteoinductive Properties: A Case Report.
JBJS case connector Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00594
Ahmed O Sabry, Mariam Hegazy, Hassan El Barbary, Mohamed Hegazy
{"title":"Reimplanting a 35-cm Extruded Femoral Bone Segment with Maintained Osteoinductive Properties: A Case Report.","authors":"Ahmed O Sabry, Mariam Hegazy, Hassan El Barbary, Mohamed Hegazy","doi":"10.2106/JBJS.CC.24.00594","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00594","url":null,"abstract":"<p><strong>Case: </strong>We report a rare case of successful reimplantation of a 35-cm extruded femoral bone segment, including the articular portion, following trauma, which is the largest reported reimplanted bone segment to date. Meticulous debridement and soaking in antibiotics prepared the bone for reimplantation and preserved the bone's osteoinductive properties, which may have played a role in structural and functional recovery.</p><p><strong>Conclusion: </strong>This case highlights the feasibility of reimplanting large bone segments with articular components, offering a viable approach for orthopaedic reconstructions.</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":"143468135","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
A Rare Cause of Lateral Antebrachial Cutaneous Neuropathy Secondary to Internal Fixation of a Supracondylar Humeral Fracture: A Case Report. 继发于肱骨髁上骨折内固定的外侧肱骨前皮肤神经病的罕见病因：病例报告。
JBJS case connector Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00347
Stephen J DeMartini, Christopher J Dy, David M Brogan
{"title":"A Rare Cause of Lateral Antebrachial Cutaneous Neuropathy Secondary to Internal Fixation of a Supracondylar Humeral Fracture: A Case Report.","authors":"Stephen J DeMartini, Christopher J Dy, David M Brogan","doi":"10.2106/JBJS.CC.24.00347","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00347","url":null,"abstract":"<p><strong>Case: </strong>We discuss a patient with a 6-month history of episodic elbow and forearm pain 6 years after supracondylar humeral fracture fixed with Steinmann pins at the age of 10 years and 5-year follow-up data at the age of 21 years. Electrodiagnostic studies exhibited no response from the lateral antebrachial cutaneous (LABC) nerve, and anesthetic injection demonstrated relief. Surgical intervention provided immediate relief of symptoms without recurrence for 5 years postsurgery.</p><p><strong>Conclusion: </strong>Atypical LABC neuromas can be found after operative fixation of supracondylar humerus fractures. Neuroma excision and intramuscular burying of affected nerve ends remains a viable treatment option for patients with late-presenting traumatic neuromas.</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":"143468057","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
Lyme Prosthetic Joint Infection May Be Underappreciated and Can Be Treated Without Surgery: A Case Report.
JBJS case connector Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00600
Andy O Miller, Alberto V Carli, Cynthia Kahlenberg
{"title":"Lyme Prosthetic Joint Infection May Be Underappreciated and Can Be Treated Without Surgery: A Case Report.","authors":"Andy O Miller, Alberto V Carli, Cynthia Kahlenberg","doi":"10.2106/JBJS.CC.24.00600","DOIUrl":"10.2106/JBJS.CC.24.00600","url":null,"abstract":"<p><strong>Case: </strong>A 68-year-old woman with a well-functioning total knee replacement presented with signs and symptoms of acute periprosthetic joint infection (PJI). Lyme serology and synovial fluid PCR were performed due to Borrelia burgdorferi. The patient was treated with oral doxycycline, had prompt resolution of symptoms, and remained asymptomatic 2 years later.</p><p><strong>Conclusion: </strong>Lyme PJI may be underappreciated as a cause of culture-negative PJI, cannot be diagnosed in routine culture, and can be cured without surgery.</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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468121","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
Extruded Epiphysis of the Distal Clavicle Resulting in Painful Nonunion: A Case Report.
JBJS case connector Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00492
Kiyohisa Ogawa, Yusuke Kawano, Hirokazu Tochigi
{"title":"Extruded Epiphysis of the Distal Clavicle Resulting in Painful Nonunion: A Case Report.","authors":"Kiyohisa Ogawa, Yusuke Kawano, Hirokazu Tochigi","doi":"10.2106/JBJS.CC.24.00492","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00492","url":null,"abstract":"<p><strong>Case: </strong>A 17-year-old adolescent boy sustained right lateral clavicle physeal separation with the epiphysis displaced superiorly in the acromioclavicular joint (ACJ). The ossified epiphysis formed a painful nonunion with the clavicular metaphysis. Resection of the epiphysis has achieved an excellent outcome.</p><p><strong>Conclusion: </strong>Children and adolescents with lateral clavicle injuries often develop pseudodislocation of the ACJ in which the metaphysis is displaced due to physeal separation. By contrast, displacement of the unossified epiphysis is extremely difficult to diagnose both radiographically and clinically at the time of injury.</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":"143468065","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
Anterior Tibial Hemiepiphysiodesis to Correct Increased Tibial Slope in Pediatric ACL Rupture: Report of Two Cases.
JBJS case connector Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00430
Sofia Hansen, Alexander Korthaus, Lena Eggeling, Maximilian Müller, Norbert M Meenene, Tobias Drenck, Karl-Heinz Frosch, Ralph Akoto
{"title":"Anterior Tibial Hemiepiphysiodesis to Correct Increased Tibial Slope in Pediatric ACL Rupture: Report of Two Cases.","authors":"Sofia Hansen, Alexander Korthaus, Lena Eggeling, Maximilian Müller, Norbert M Meenene, Tobias Drenck, Karl-Heinz Frosch, Ralph Akoto","doi":"10.2106/JBJS.CC.24.00430","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00430","url":null,"abstract":"<p><strong>Case: </strong>A 13-year-old adolescent boy and a 12-year-old girl, with torn anterior cruciate ligament (ACL) and increased posterior tibial slopes (PTS) of 17° and 19°, underwent transphyseal anterior tibial hemiepiphysiodesis and ACL reconstruction using a quadriceps autograft. Epiphysiodesis plates were removed after epiphyseal closure in the girl and after 12 months in the boy. Follow-up at 12 and 15 months showed Tegner and Lysholm scores of 4 and 100, with PTS reduced to 8° and 9°. Both resumed sports without further instability.</p><p><strong>Conclusion: </strong>Anterior tibial hemiepiphysiodesis effectively reduced the increased PTS to physiological levels in both cases.</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":"143468061","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
Guided Growth for Posterior Tibial Slope Correction Followed by ACL Reconstruction in an Adolescent Male: A Case Report.
JBJS case connector Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00536
Benjamin Blackman, Manpreet Singh Sidhu, Ajay Shah, Jennah Mann, Paul Marks, David Wasserstein
{"title":"Guided Growth for Posterior Tibial Slope Correction Followed by ACL Reconstruction in an Adolescent Male: A Case Report.","authors":"Benjamin Blackman, Manpreet Singh Sidhu, Ajay Shah, Jennah Mann, Paul Marks, David Wasserstein","doi":"10.2106/JBJS.CC.24.00536","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00536","url":null,"abstract":"<p><strong>Case: </strong>A 13-year-old adolescent boy presented with chronic anterior cruciate ligament (ACL) insufficiency and prior medial meniscectomy. Radiographic evaluation revealed a posterior tibial slope (PTS) of 20°, putting him at high risk of reinjury following ACL reconstruction (ACLR). Guided growth using anteriorly placed eight plates was used for 9 months, which reduced his PTS to 6°. Two months following plate removal, the patient underwent ACLR with lateral extra-articular tenodesis.</p><p><strong>Conclusion: </strong>This previously proposed but never reported approach suggests that guided growth is a viable option to correct excessive PTS before ACLR in skeletally immature patients.</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":"143468067","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
Vertebral Body Tethering in an Adult With Lumbar Idiopathic Scoliosis: Rationale and 6-Year Outcomes. 腰椎特发性脊柱侧凸成人患者的椎体拴系术：原理与 6 年疗效
JBJS case connector Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00394
Jonathan Markowitz, Rene Castelein, Baron Lonner
{"title":"Vertebral Body Tethering in an Adult With Lumbar Idiopathic Scoliosis: Rationale and 6-Year Outcomes.","authors":"Jonathan Markowitz, Rene Castelein, Baron Lonner","doi":"10.2106/JBJS.CC.24.00394","DOIUrl":"10.2106/JBJS.CC.24.00394","url":null,"abstract":"<p><strong>Case: </strong>We report a case of adolescent-onset idiopathic scoliosis of the lumbar spine in a 43-year-old woman treated with nonfusion vertebral body tethering (VBT), a controversial and unreported technique in this age group. At 6-year follow-up, clinical and radiographic improvements are maintained. She continues to live an active lifestyle and reports being pain free.</p><p><strong>Conclusion: </strong>We demonstrate intermediate term safety and efficacy of VBT in a single adult patient. Careful ongoing assessment of this patient is needed to determine if this procedure will have a durable outcome and lend support for adequately powered prospective multicenter studies.</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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468094","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
Reconstruction of the Charcot Spine with a Vascularized Pedicle: A Report of 3 Cases.
JBJS case connector Pub Date : 2025-02-13 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00499
Nicholas Schaper, Alexander Hoffman, Catherine Wittgen, Howard M Place
{"title":"Reconstruction of the Charcot Spine with a Vascularized Pedicle: A Report of 3 Cases.","authors":"Nicholas Schaper, Alexander Hoffman, Catherine Wittgen, Howard M Place","doi":"10.2106/JBJS.CC.24.00499","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00499","url":null,"abstract":"<p><strong>Case: </strong>We present 3 patients with Charcot spinal arthropathy (CSA) as a result of previous spine trauma treated initially with spinal instrumentation. All developed CSA in a delayed presentation years after the original injury and surgery. All were reconstructed with anterior and posterior surgery. In each case, the anterior reconstruction was supplemented with a vascularized pedicle graft.</p><p><strong>Conclusion: </strong>All 3 patients went on to fusion after previously demonstrated bone loss after a vascularized pedicle was used.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414230","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
Terrible Triad Injury in a Skeletally Immature Patient: A Case Report.
JBJS case connector Pub Date : 2025-02-13 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00412
Ophélie Lavoie-Gagné, Huub de Klerk, Krystle R Tuaño, Abhiram R Bhashyam
{"title":"Terrible Triad Injury in a Skeletally Immature Patient: A Case Report.","authors":"Ophélie Lavoie-Gagné, Huub de Klerk, Krystle R Tuaño, Abhiram R Bhashyam","doi":"10.2106/JBJS.CC.24.00412","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00412","url":null,"abstract":"<p><strong>Case: </strong>A 7-year-old girl presented with an elbow terrible triad injury (coronoid fracture, Salter-Harris IV radial head fracture, and lateral collateral ligament avulsion) diagnosed after magnetic resonance imaging was obtained to evaluate subtle subluxation on radiographs. The patient underwent physeal-sparing fixation using the anconeus-extensor carpi ulnaris interval. One year postoperatively, she had full, stable symmetric range of motion compared with the contralateral side without complication.</p><p><strong>Conclusion: </strong>Pediatric terrible triad injuries are rare, are easily missed, and have poor results after late reconstruction. Subtle radiographic abnormalities may benefit from evaluation with advanced imaging since early diagnosis and treatment can lead to excellent results as demonstrated in this case.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414262","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 Hip Containment Technique in Setting of Unstable Hip Joint in a Trauma Setting: A Case Report. 新颖的髋关节固定技术用于创伤后不稳定的髋关节：病例报告
JBJS case connector Pub Date : 2025-02-13 eCollection Date: 2025-01-01 DOI: 10.2106/JBJS.CC.24.00436
Reza Firoozabadi, Andrew P Collins
{"title":"Novel Hip Containment Technique in Setting of Unstable Hip Joint in a Trauma Setting: A Case Report.","authors":"Reza Firoozabadi, Andrew P Collins","doi":"10.2106/JBJS.CC.24.00436","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00436","url":null,"abstract":"<p><strong>Case: </strong>A 39-year-old woman who was involved in a motor vehicle collision sustained a right hip posterior wall acetabular fracture-dislocation. Subsequent dislocation was noted at the 4-week point with gross instability and heterotopic ossification. She underwent a hip containment technique using a transfemoral neck tunnel through the quadrilateral surface and FiberTape. At 1-year postoperatively, she reported improvement in mobility without evidence of repeat dislocation.</p><p><strong>Conclusion: </strong>This technique can be used for unstable hip sockets with a small posterior wall acetabular fracture to maintain hip stability. This is the first reported technique using an open intrapelvic approach to stabilize the hip.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414232","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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