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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
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
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