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Case Report of Scapular and Clavicular Malunion Reconstruction After Rib Stabilization: Six-Year Outcome After a Bull Attack. 肋骨稳定后肩胛骨和锁骨畸形愈合重建病例报告：公牛发作后6年的结果。
JBJS case connector Pub Date : 2026-04-24 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00690
Carlos Moreno-Castillo, Alejandra A Huaco, Jeffrey D Winter, Peter A Cole
{"title":"Case Report of Scapular and Clavicular Malunion Reconstruction After Rib Stabilization: Six-Year Outcome After a Bull Attack.","authors":"Carlos Moreno-Castillo, Alejandra A Huaco, Jeffrey D Winter, Peter A Cole","doi":"10.2106/JBJS.CC.25.00690","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00690","url":null,"abstract":"<p><strong>Case: </strong>A 63-year-old man sustained multiple bilateral rib fractures, left scapula, and clavicle displaced fractures after being gored by a bull. He underwent surgical stabilization of the ribs, and the shoulder injuries were managed nonoperatively. Three months later, the patient presented with scapula and clavicle malunions and disabling shoulder ankylosis, which were addressed in a single reconstruction. Six-year follow-up manifested in nearly asymptomatic, normal function.</p><p><strong>Conclusion: </strong>Single-staged reconstruction of all indicated fractures in forequarter lateral implosion injuries is recommended.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772028","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
Beyond Cement: A Case Report of Cadaveric Allograft and Vertebral Body Stenting for a Traumatic Thoracolumbar Burst Fracture. 非骨水泥：尸体异体骨移植和椎体支架置入术治疗外伤性胸腰椎爆裂骨折1例报告。
JBJS case connector Pub Date : 2026-04-24 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00553
Adriano Francesco Borace, Tomas F Vega, Carla Castro
{"title":"Beyond Cement: A Case Report of Cadaveric Allograft and Vertebral Body Stenting for a Traumatic Thoracolumbar Burst Fracture.","authors":"Adriano Francesco Borace, Tomas F Vega, Carla Castro","doi":"10.2106/JBJS.CC.25.00553","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00553","url":null,"abstract":"<p><strong>Case: </strong>A 48-year-old woman sustained an L1 burst fracture (AO Spine A4, N0, M1) after a 4-meter fall. Imaging demonstrated >50% vertebral height loss, posterior wall retropulsion, and regional kyphosis without neurologic deficit. She underwent posterior segment pedicle screw fixation (T12-L2) with vertebral body stenting, an intravertebral graft scaffold filled with morselized cadaveric cancellous allograft. She mobilized within 48 hours, remained asymptomatic at 12 months, and follow-up CT demonstrated maintained alignment and consolidation.</p><p><strong>Conclusion: </strong>This case highlights operative considerations when using intravertebral stents in a young adult trauma patient, using cancellous allograft with posterior fixation for immediate stability.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771981","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
Complete Trochlear Aplasia in the Knee-An Extreme Form of Trochlear Dysplasia: A Case Report. 膝关节完全性滑车发育不全——滑车发育不良的一种极端形式：1例报告。
JBJS case connector Pub Date : 2026-04-24 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00617
Valentine Schneebeli, Lukas Jud, Lazaros Vlachopoulos, Sandro F Fucentese
{"title":"Complete Trochlear Aplasia in the Knee-An Extreme Form of Trochlear Dysplasia: A Case Report.","authors":"Valentine Schneebeli, Lukas Jud, Lazaros Vlachopoulos, Sandro F Fucentese","doi":"10.2106/JBJS.CC.25.00617","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00617","url":null,"abstract":"<p><strong>Case: </strong>A 39-year-old healthy woman without known genetic condition presented with bilateral patellar dislocations. Imaging demonstrated complete absence of the trochlear groove, defined as trochlear aplasia. Surgical treatment was initially performed on the left knee with refixation of an osteochondritis dissecans lesion, medial patellofemoral ligament reconstruction, and medializing tibial tubercle osteotomy. Intraoperative confirmation of the absence of trochlear groove made trochleoplasty unfeasible. At the 1-year follow-up, VAS was 0/10 without patellar dislocation.</p><p><strong>Conclusion: </strong>Trochlear aplasia represents an extreme form of trochlear dysplasia and poses diagnostic and surgical challenges because conventional measurements and trochleoplasty cannot be applied.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772031","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
Ablation, Osteoplasty, Reinforcement, and Internal Fixation Allows for Subsequent Hip Arthroplasty Reconstruction. 消融、骨成形术、加固和内固定允许随后的髋关节置换术重建。
JBJS case connector Pub Date : 2026-04-24 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00562
Gustavo J Molina Beheran, Enrique A Cifuentes Espinosa, Saul Gutiérrez Rojas, Christopher J Tabilo Heavey, Cinzia C Di Carlo Kitchen, Francisco Bengoa
{"title":"Ablation, Osteoplasty, Reinforcement, and Internal Fixation Allows for Subsequent Hip Arthroplasty Reconstruction.","authors":"Gustavo J Molina Beheran, Enrique A Cifuentes Espinosa, Saul Gutiérrez Rojas, Christopher J Tabilo Heavey, Cinzia C Di Carlo Kitchen, Francisco Bengoa","doi":"10.2106/JBJS.CC.25.00562","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00562","url":null,"abstract":"<p><strong>Case: </strong>A 34-year-old woman with stage IV breast cancer presented with bilateral acetabular metastases, a right pathological femoral fracture, and a left subtrochanteric impending fracture. Imaging confirmed extensive metastatic disease of bone. A staged approach included prophylactic femoral nailing of the left femur, ablation, osteoplasty, reinforcement, and internal fixation (AORIF) of both acetabula, followed with a right hybrid arthroplasty and prophylactic fixation of the right femur. She regained independent ambulation, remained pain-free, and continued systemic therapy after 1 year.</p><p><strong>Conclusion: </strong>AORIF provided rapid pain relief and increased mechanical resistance, allowing a successful secondary arthroplasty with standard implants, demonstrating its value as a minimally invasive option in periacetabular metastatic bone disease.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772042","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
Intercuneiform Instability Following Triplanar Tarsometatarsal Arthrodesis: A Case Report. 三平面跗跖关节融合术后关节间不稳1例。
JBJS case connector Pub Date : 2026-04-24 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00697
Farhad A Marzook, Reyhan Meetheen, Ashton R Davis, Jie Chen
{"title":"Intercuneiform Instability Following Triplanar Tarsometatarsal Arthrodesis: A Case Report.","authors":"Farhad A Marzook, Reyhan Meetheen, Ashton R Davis, Jie Chen","doi":"10.2106/JBJS.CC.25.00697","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00697","url":null,"abstract":"<p><strong>Case: </strong>A 78-year-old man with osteoarthritis and progressive hallux valgus underwent triplanar first tarsometatarsal (TMT) arthrodesis using the Lapiplasty system. Despite successful fusion, postoperative radiographs demonstrated progressive intercuneiform diastasis with recurrence of deformity and midfoot discomfort.</p><p><strong>Conclusion: </strong>Intercuneiform instability may progress despite successful first TMT fusion and adjunct intercuneiform stabilization. In cases of ligamentous insufficiency, fixation alone may be inadequate, and supplemental intercuneiform fixation or arthrodesis should be considered.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771222","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
Isolated Retroverted Osteochondral Fracture of the Third Metatarsal Head in an Adult Ballet Dancer: A Case Report. 成人芭蕾舞者第三跖骨头孤立性后向骨软骨骨折1例。
JBJS case connector Pub Date : 2026-04-16 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00593
Moamen Elhaddad, Alexander Carrillo-Kashani, David J Soomekh
{"title":"Isolated Retroverted Osteochondral Fracture of the Third Metatarsal Head in an Adult Ballet Dancer: A Case Report.","authors":"Moamen Elhaddad, Alexander Carrillo-Kashani, David J Soomekh","doi":"10.2106/JBJS.CC.25.00593","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00593","url":null,"abstract":"<p><strong>Case: </strong>A 33-year-old healthy male ballet dancer presented with acute dorsal forefoot pain and swelling after rehearsal without antecedent trauma. CT demonstrated an isolated dorsally displaced, intra-articular osteochondral fracture of the third metatarsal head, a rare injury. The fragment was anatomically reduced and fixed with a 2.4 mm compression pin. Postoperatively, the patient underwent protected weight-bearing, early range-of-motion, and delayed push-off for 6 weeks, followed by rehabilitation. At 8 months, he was pain-free with full motion and returned to unrestricted dance.</p><p><strong>Conclusion: </strong>This case underscores the rarity of isolated third metatarsal head osteochondral fractures and highlights intraoperative features that aid accurate identification and anatomic reduction.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698666","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 Row Carpectomy for Stage IIIB Kienböck Disease in a 17-Year-Old Boy: A Case Report with 2 Years of Follow-Up. 近端行腕骨切除术治疗IIIB期Kienböck疾病的17岁男孩：2年随访的病例报告。
JBJS case connector Pub Date : 2026-04-16 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00731
Marven Aoun, Ziad Feghaly, Tonine Younane, Rami El Abiad
{"title":"Proximal Row Carpectomy for Stage IIIB Kienböck Disease in a 17-Year-Old Boy: A Case Report with 2 Years of Follow-Up.","authors":"Marven Aoun, Ziad Feghaly, Tonine Younane, Rami El Abiad","doi":"10.2106/JBJS.CC.25.00731","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00731","url":null,"abstract":"<p><strong>Case: </strong>A 17-year-old right-hand dominant boy presented with severe, progressive wrist pain refractory to conservative treatment. Imaging confirmed Stage IIIB Kienböck disease with lunate collapse and fixed scaphoid rotation. Despite his young age and advanced stage, proximal row carpectomy was selected after shared decision-making to preserve motion and rapidly relieve pain. At the 2-year follow-up, the patient was pain-free, had full wrist motion and strength, and returned to competitive basketball.</p><p><strong>Conclusion: </strong>This case highlights that, in carefully selected adolescents, proximal row carpectomy can achieve excellent outcomes, challenging traditional age-based and stage-based contraindications and emphasizing individualized, patient-centered surgical decision-making.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698841","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
Arthroscopic Hip Remplissage Using a Greater Trochanter Autograft: Preserved Hip at 14 Years. 关节镜下自体大转子髋关节修复术：保存髋关节14年。
JBJS case connector Pub Date : 2026-04-16 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00434
Nicholas A Felan, Ioanna K Bolia, Bradley M Kruckeberg, Joseph Featherall, Christopher J Hawryluk, Alyson Speshock, Marc J Philippon
{"title":"Arthroscopic Hip Remplissage Using a Greater Trochanter Autograft: Preserved Hip at 14 Years.","authors":"Nicholas A Felan, Ioanna K Bolia, Bradley M Kruckeberg, Joseph Featherall, Christopher J Hawryluk, Alyson Speshock, Marc J Philippon","doi":"10.2106/JBJS.CC.25.00434","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00434","url":null,"abstract":"<p><strong>Case: </strong>A 21-year-old woman with a surgical history of 2 prior right hip surgeries presented with ongoing right hip pain. Radiographic findings demonstrated a labral tear, osteoarthritic changes, and cam over-resection. Arthroscopic iliotibial band autograft labral reconstruction and bony remplissage of the femoral defect using a greater trochanter autograft were performed.</p><p><strong>Conclusion: </strong>Arthroscopic bony hip remplissage is a viable treatment option for young patients who present after failed hip arthroscopy with cam over-resection.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698698","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
Extramedullary Lengthening After a Distal Femoral Replacement to Improve Bone Stock and Restore Leg Length: A Case Report. 股骨远端置换术后髓外延长以改善骨存量和恢复腿长：1例报告。
JBJS case connector Pub Date : 2026-04-16 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00001
Lee M Zuckerman
{"title":"Extramedullary Lengthening After a Distal Femoral Replacement to Improve Bone Stock and Restore Leg Length: A Case Report.","authors":"Lee M Zuckerman","doi":"10.2106/JBJS.CC.26.00001","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00001","url":null,"abstract":"<p><strong>Case: </strong>A 10-year-old boy with a left femur osteosarcoma treated with a growing distal femoral prosthesis developed a 6.5 cm limb-length discrepancy with erosion of the remaining femur. He underwent revision of the replacement with femoral transport and lengthening using an extramedullary lengthening nail. After treatment, his bone stock increased by 14 cm and his discrepancy decreased to 3.6 cm. He ambulates without assistive device using a shoe insert.</p><p><strong>Conclusions: </strong>Extramedullary lengthening can increase bone stock and improve leg lengths. Multiple procedures may be required, and deformities can occur if lengthening is attempted beyond the tip of the intramedullary stem.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698734","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
Ponseti-Based Hybrid Approach for Bilateral Teratologic Clubfoot With Congenital Peroneal Nerve Dysfunction: A Case Report. 庞塞蒂为基础的混合入路治疗双侧畸形畸形畸形足伴先天性腓神经功能障碍1例。
JBJS case connector Pub Date : 2026-04-16 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00720
Kenichi Mishima, Kenta Sawamura, Masaki Matsushita, Shiro Imagama
{"title":"Ponseti-Based Hybrid Approach for Bilateral Teratologic Clubfoot With Congenital Peroneal Nerve Dysfunction: A Case Report.","authors":"Kenichi Mishima, Kenta Sawamura, Masaki Matsushita, Shiro Imagama","doi":"10.2106/JBJS.CC.25.00720","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00720","url":null,"abstract":"<p><strong>Case: </strong>We report the case of a newborn boy with bilateral clubfoot associated with congenital peroneal nerve dysfunction who responded poorly to the standard Ponseti method. Successful initial correction was achieved through multiple tenotomies of the Achilles, posterior tibialis, flexor digitorum longus, and flexor hallucis longus tendons. Recurrence of equinus deformity without hindfoot varus was treated with posterior soft tissue release, during which all previously transected tendons were found to have completely regenerated.</p><p><strong>Conclusion: </strong>This case highlights the value of a Ponseti-based treatment combined with selective open soft-tissue release and documents spontaneous regeneration of flexor tendons following complete tenotomy in infancy.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698850","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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