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Stepladder Pattern Transverse Sacral Fracture: A Previously Unreported Morphology With Neurological Recovery. 阶梯型骶横骨折：一种以前未报道的神经恢复形态。
JBJS case connector Pub Date : 2026-09-11 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00130
Chitranshu Shrivastava, Tushar Narayan Rathod
{"title":"Stepladder Pattern Transverse Sacral Fracture: A Previously Unreported Morphology With Neurological Recovery.","authors":"Chitranshu Shrivastava, Tushar Narayan Rathod","doi":"10.2106/JBJS.CC.26.00130","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00130","url":null,"abstract":"<p><strong>Case: </strong>A 25-year-old man presented with cauda equina syndrome after a fall from height. Imaging revealed an isolated transverse sacral fracture with contiguous S1 to S4 fracture lines, creating a distinctive \"stepladder\" morphology without significant canal compromise. The fracture was managed conservatively. Neurological status improved from ASIA Grade C to D, with recovery of perianal sensation and bladder function. At 12 months, the patient demonstrated clinical recovery, with improved functional outcome.</p><p><strong>Conclusion: </strong>This unique \"stepladder pattern\" transverse sacral fracture demonstrated excellent neurological recovery with conservative management in selected patients without progressive deficits.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944340","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
Rotational Deformity of Long Finger Caused by Isolated Metacarpophalangeal Joint Capsular Injury: A Case Report. 孤立性掌指关节囊损伤致长指旋转畸形1例。
JBJS case connector Pub Date : 2026-09-10 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00265
Mark Ren, Alirio J deMeireles, Taylor L Paskey, Nathan C Winek, Andrew Boone, Melvin P Rosenwasser
{"title":"Rotational Deformity of Long Finger Caused by Isolated Metacarpophalangeal Joint Capsular Injury: A Case Report.","authors":"Mark Ren, Alirio J deMeireles, Taylor L Paskey, Nathan C Winek, Andrew Boone, Melvin P Rosenwasser","doi":"10.2106/JBJS.CC.26.00265","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00265","url":null,"abstract":"<p><strong>Case: </strong>A 49-year-old woman presented after a leash-pulling injury with ring and small finger proximal phalanx fractures. Pain and supination of the long finger metacarpophalangeal (MCP) joint were noted without collateral ligament injury on examination or imaging. Surgical exploration noted isolated capsular avulsion, which was repaired with restoration of alignment and full range of motion with relief of pain and instability at 1-year follow-up.</p><p><strong>Conclusion: </strong>This is a unique case of isolated finger MCP capsular injury causing rotatory instability. Surgeons should consider exploration and repair in cases of rotatory instability without other cause and failing nonoperative treatment.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148930008","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
Combined Glenoid Osteotomy and Bone Block Augmentation for Severe Posterior Shoulder Dysplasia and Instability: A Case Report. 联合肩关节截骨和骨块增强术治疗严重后肩发育不良和不稳定1例。
JBJS case connector Pub Date : 2026-09-10 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00218
Roy Romem, Dario Fucich, Swara Kalva, Arthury J Perry, Mandeep S Virk, Young W Kwon
{"title":"Combined Glenoid Osteotomy and Bone Block Augmentation for Severe Posterior Shoulder Dysplasia and Instability: A Case Report.","authors":"Roy Romem, Dario Fucich, Swara Kalva, Arthury J Perry, Mandeep S Virk, Young W Kwon","doi":"10.2106/JBJS.CC.26.00218","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00218","url":null,"abstract":"<p><strong>Case: </strong>A 26-year-old man with recurrent posterior shoulder instability in the setting of glenoid dysplasia (41° of glenoid retroversion and 18% posterior glenoid bone loss) underwent combined opening-wedge osteotomy and posterior bone-block augmentation surgery. Postoperative imaging demonstrated retroversion correction to 9° of residual glenoid retroversion and increase in the glenoid arc by 22%. At 18 months, he reports no pain or instability and has regained full motion and strength.</p><p><strong>Conclusion: </strong>Combined glenoid osteotomy and posterior bone block technique is a novel treatment option for posterior shoulder instability in the setting of glenoid dysplasia characterized by severe glenoid retroversion and posterior glenoid bone loss.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148929996","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
Anomalous Vascular Anatomy on Preoperative CT and Surgical Implications for Clavicle Fractures: A Case Report. 锁骨骨折术前CT异常血管解剖及手术意义1例报告。
JBJS case connector Pub Date : 2026-09-10 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00211
Kelly H McFarlane, Alysala Malik, Andrew A Gomella, Julius A Bishop
{"title":"Anomalous Vascular Anatomy on Preoperative CT and Surgical Implications for Clavicle Fractures: A Case Report.","authors":"Kelly H McFarlane, Alysala Malik, Andrew A Gomella, Julius A Bishop","doi":"10.2106/JBJS.CC.26.00211","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00211","url":null,"abstract":"<p><strong>Case: </strong>A 64-year-old woman sustained a right diaphyseal clavicle fracture along with ipsilateral rib fractures after being hit by a motor vehicle while cycling. She underwent open reduction and internal fixation of the right clavicle and was found intraoperatively to have an anomalous external jugular vein coursing anterior to the clavicle.</p><p><strong>Conclusion: </strong>Anomalous vessels around the clavicle are rare but can be a source of significant hemorrhage when injured. Cross-sectional imaging obtained as part of the trauma workup provides surgeons an opportunity to identify these vessels preoperatively; awareness of these variations can optimize the safety of clavicle fracture surgery.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148930031","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
Modified Masquelet Technique for First Metatarsal Salvage in a 14-Year-Old With Chronic Osteomyelitis: A Case Report. 改良面罩小波技术治疗14岁慢性骨髓炎患者第一跖骨修复1例。
JBJS case connector Pub Date : 2026-09-10 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.25.00658
Prasham Shah, Rutuja Wankhade, Chetan Oswal
{"title":"Modified Masquelet Technique for First Metatarsal Salvage in a 14-Year-Old With Chronic Osteomyelitis: A Case Report.","authors":"Prasham Shah, Rutuja Wankhade, Chetan Oswal","doi":"10.2106/JBJS.CC.25.00658","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00658","url":null,"abstract":"<p><strong>Case: </strong>A 14-year-old boy developed chronic first-metatarsal osteomyelitis and was left with a 4-cm defect after thorough debridement. Initial management included radical excision, insertion of a gentamicin polymethyl-methacrylate spacer supplemented with vancomycin and application of a mini external fixator to preserve length and alignment. After normalization of inflammatory markers, the second stage used induced-membrane preservation with reconstruction using a nonvascularized fibular strut graft, cancellous iliac crest graft, and low-profile plate fixation, achieving union and full functional recovery.</p><p><strong>Conclusion: </strong>A modified Masquelet approach with temporary external fixation and structural fibular grafting offers a viable limb-salvage solution for pediatric first-metatarsal osteomyelitis.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148930079","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
Contiguous T12-L1 Recapping Laminoplasty for Myxopapillary Ependymoma at the Conus Medullaris: A Case Report. 连续T12-L1复盖椎板成形术治疗髓圆锥黏液乳头状室管膜瘤1例报告。
JBJS case connector Pub Date : 2026-09-10 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00245
Kosei Ono, Takayoshi Shimizu, Takashi Sono, Koichi Murata, Shuichi Matsuda, Bungo Otsuki
{"title":"Contiguous T12-L1 Recapping Laminoplasty for Myxopapillary Ependymoma at the Conus Medullaris: A Case Report.","authors":"Kosei Ono, Takayoshi Shimizu, Takashi Sono, Koichi Murata, Shuichi Matsuda, Bungo Otsuki","doi":"10.2106/JBJS.CC.26.00245","DOIUrl":"10.2106/JBJS.CC.26.00245","url":null,"abstract":"<p><strong>Case: </strong>A 42-year-old woman presented with bilateral lower-extremity numbness and had a 41-mm ventral intradural extramedullary myxopapillary ependymoma at T12-L1. Contiguous T12-L1 recapping laminoplasty was performed using a T-saw, with T12 osteotomy directed toward the transverse process and L1 pedicle transection. The tumor was removed en bloc with the capsule intact. The posterior elements were reconstructed by T12 suturing and L1 pedicle screw fixation. No neurological deterioration occurred. At 3 years, no recurrence was observed.</p><p><strong>Conclusion: </strong>This technique provides wide thoracolumbar exposure while preserving and reconstructing posterior elements, facilitating safe en bloc resection at the thoracolumbar junction.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148930046","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
Posteromedial Arthroscopic Treatment of a Persistent Baker's Cyst Following Total Knee Arthroplasty: A Case Report. 后内侧关节镜治疗全膝关节置换术后持续性贝克氏囊肿1例。
JBJS case connector Pub Date : 2026-09-10 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00217
Mohammad Ashfaq Konchwalla, Mohammad Eskandar
{"title":"Posteromedial Arthroscopic Treatment of a Persistent Baker's Cyst Following Total Knee Arthroplasty: A Case Report.","authors":"Mohammad Ashfaq Konchwalla, Mohammad Eskandar","doi":"10.2106/JBJS.CC.26.00217","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00217","url":null,"abstract":"<p><strong>Case: </strong>A 55-year-old man underwent total knee arthroplasty (TKA) for advanced osteoarthritis. A small preoperative Baker's cyst enlarged postoperatively, causing progressive posterior knee swelling and restricted flexion. Conservative treatment, including aspiration and corticosteroid injection, failed. Posteromedial arthroscopic decompression was performed. At 14-month follow-up, the patient was pain-free with full range of motion and no clinical evidence of recurrence.</p><p><strong>Conclusion: </strong>Posteromedial arthroscopy is an effective minimally invasive option for persistent symptomatic Baker's cysts following TKA.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148930011","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
Avoiding Vascular Misadventure: Pre-emptive Contralateral Endovascular Access in Revision Total Hip Arthroplasty: A Case Report. 避免血管意外：改良全髋关节置换术中先发制人的对侧血管内通路1例报告。
JBJS case connector Pub Date : 2026-09-10 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00150
David Isaacs, Connor Byrne, Yun Ke Du, Douglas A Troutman, Nathanael D Heckmann, Neil P Sheth
{"title":"Avoiding Vascular Misadventure: Pre-emptive Contralateral Endovascular Access in Revision Total Hip Arthroplasty: A Case Report.","authors":"David Isaacs, Connor Byrne, Yun Ke Du, Douglas A Troutman, Nathanael D Heckmann, Neil P Sheth","doi":"10.2106/JBJS.CC.26.00150","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00150","url":null,"abstract":"<p><strong>Case: </strong>A 73-year-old woman with a custom triflange acetabular component (CTAC) underwent re-revision total hip arthroplasty (THA) with prophylactic contralateral vascular access. Severe acetabular bone loss led to medialization of the CTAC, putting the distal external iliac artery at risk during surgery. Endovascular access allowed for immediate control of hemorrhage if encountered. Patient was symptom-free at 1 year.</p><p><strong>Conclusion: </strong>This case demonstrates the feasibility and safety associated with obtaining pre-emptive vascular access for high-risk revision THAs. This methodology allows for potentially decreasing patients' morbidity and mortality, without incurring significant additional risks.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148930005","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
Concurrent Revision Reverse Total Shoulder Arthroplasty and Scapular Spine ORIF for Periprosthetic Fractures: A Report of 2 Cases Using a Dual-Strategy Solution. 肩胛骨ORIF联合全肩关节置换术治疗假体周围骨折：双策略治疗2例报告
JBJS case connector Pub Date : 2026-09-10 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00106
Cynthis Wong, Eddie Y Lo, Sri Tummala, Sumant G Krishnan
{"title":"Concurrent Revision Reverse Total Shoulder Arthroplasty and Scapular Spine ORIF for Periprosthetic Fractures: A Report of 2 Cases Using a Dual-Strategy Solution.","authors":"Cynthis Wong, Eddie Y Lo, Sri Tummala, Sumant G Krishnan","doi":"10.2106/JBJS.CC.26.00106","DOIUrl":"10.2106/JBJS.CC.26.00106","url":null,"abstract":"<p><strong>Case: </strong>Two septuagenarian women presented with chronic periprosthetic scapular spine fractures after reverse total shoulder arthroplasty (RTSA) placement. Preoperative radiographs revealed a displaced unstable scapular spine fracture with scapula notching and onlay humeral position. One case additionally demonstrated uptilted baseplate placement. Both patients underwent concurrent revision RTSA with fixation of the scapular spine to correct component malposition and reduce glenohumeral tension. At 27-month follow-up, both achieved radiographic union, pain reduction, and functional gains without complications.</p><p><strong>Conclusion: </strong>The authors present a novel strategy to correct the underlying biomechanical stressors of an overtensioned RTSA construct while stabilizing the scapular spine fractures, resulting in excellent healing and functional recovery.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148930034","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
Distal Femoral Osteotomy and Medial Patellofemoral Ligament Reconstruction for Patellar Dislocation in Hereditary Multiple Exostoses: A Case Report. 股骨远端截骨联合髌股内侧韧带重建治疗遗传性多发外骨骼脱位1例。
JBJS case connector Pub Date : 2026-09-10 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00166
Karen Nishikawa, Kyota Ishibashi, Eiji Sasaki, Yuka Kimura, Hikaru Kristi Ishibashi, Yasuyuki Ishibashi
{"title":"Distal Femoral Osteotomy and Medial Patellofemoral Ligament Reconstruction for Patellar Dislocation in Hereditary Multiple Exostoses: A Case Report.","authors":"Karen Nishikawa, Kyota Ishibashi, Eiji Sasaki, Yuka Kimura, Hikaru Kristi Ishibashi, Yasuyuki Ishibashi","doi":"10.2106/JBJS.CC.26.00166","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00166","url":null,"abstract":"<p><strong>Case: </strong>A 44-year-old man with hereditary multiple exostoses (HME) presented with recurrent patellar dislocation of the left knee. Radiographs revealed valgus deformity and trochlear dysplasia. The patient underwent lateral opening-wedge distal femoral osteotomy with medial patellofemoral ligament reconstruction using FiberTape and knotless SwiveLock anchors. Postoperatively, patellar tracking normalized with no recurrence.</p><p><strong>Conclusions: </strong>This case highlights the need to address bony alignment and medial soft-tissue insufficiency concurrently in complex patellofemoral instability, particularly in HME, to achieve stable outcomes.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148930043","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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