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Surgical Management of Neglected Hallux Interphalangeal Joint Dislocation with Incarcerated Ossicle: A Report of 2 Cases. 忽视拇指间关节脱位伴小骨嵌顿2例的手术治疗。
JBJS case connector Pub Date : 2026-08-11 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.25.00711
David Escalante-Martínez, Marco Carrion-Monsalve, Diego Pañi-Riera, Paúl Proaño-Pozo
{"title":"Surgical Management of Neglected Hallux Interphalangeal Joint Dislocation with Incarcerated Ossicle: A Report of 2 Cases.","authors":"David Escalante-Martínez, Marco Carrion-Monsalve, Diego Pañi-Riera, Paúl Proaño-Pozo","doi":"10.2106/JBJS.CC.25.00711","DOIUrl":"10.2106/JBJS.CC.25.00711","url":null,"abstract":"<p><strong>Cases: </strong>We report 2 rare cases of irreducible traumatic hallux interphalangeal joint dislocation caused by sesamoid ossicle interposition in otherwise healthy young men. Delays between the injury and treatment (4 and 6 weeks) required open surgical reduction using a medial approach. Both patients achieved a favorable outcome at 5- and 2-year follow-up.</p><p><strong>Conclusion: </strong>This rare condition requires a high index of suspicion and prompt percutaneous or open surgical reduction to ensure a favorable outcome. These cases contribute to the limited global literature on this condition and may support future research.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712449","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
Accessory Flexor Digitorum Superficialis Indicis as Likely Cause of Recalcitrant Carpal Tunnel Syndrome: A Case Report. 副指浅屈肌是顽固性腕管综合征的可能病因：1例报告。
JBJS case connector Pub Date : 2026-08-11 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00233
Caroline M Wu, Jackson M Cathey, Warren C Hammert, Tyler S Pidgeon
{"title":"Accessory Flexor Digitorum Superficialis Indicis as Likely Cause of Recalcitrant Carpal Tunnel Syndrome: A Case Report.","authors":"Caroline M Wu, Jackson M Cathey, Warren C Hammert, Tyler S Pidgeon","doi":"10.2106/JBJS.CC.26.00233","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00233","url":null,"abstract":"<p><strong>Case: </strong>A 35-year-old woman with prior bilateral open carpal tunnel release presented with recurrent right-hand pain, numbness, tingling, nocturnal awakening, and weakness. Examination showed positive Phalen compression and Tinel signs at the carpal tunnel. Electrodiagnostic testing revealed mild median neuropathy, and ultrasonography demonstrated a bifid median nerve with focal enlargement. Revision exploration identified an accessory flexor digitorum superficialis (FDS) indicis muscle within the carpal tunnel. Repeat decompression, muscle excision, and hypothenar fat flap coverage resulted in resolution of symptoms at 5 months postrevision surgery.</p><p><strong>Conclusion: </strong>Accessory FDS indicis is a rare but possible structural cause of recalcitrant carpal tunnel syndrome.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712383","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
Bilateral Congenitally Absent Trapezius Musculature and Anomalous Scapuloclavicular Accessory Muscle: A Case Report. 双侧先天性斜方肌缺失及肩锁副肌异常1例。
JBJS case connector Pub Date : 2026-08-11 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00162
Naomi Kelley, William Curtis, Nathan T Morrell
{"title":"Bilateral Congenitally Absent Trapezius Musculature and Anomalous Scapuloclavicular Accessory Muscle: A Case Report.","authors":"Naomi Kelley, William Curtis, Nathan T Morrell","doi":"10.2106/JBJS.CC.26.00162","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00162","url":null,"abstract":"<p><strong>Case: </strong>An otherwise healthy 10-year-old boy presented with severe bilateral shoulder dysfunction because of lateral scapular winging. He underwent bilateral modified Eden-Lange tendon transfers, resulting in near-normal restoration of shoulder range of motion at the 1-year follow-up. Intraoperatively, he was found to have bilateral absent trapezial muscles and an anomalous scapuloclavicular muscle spanning from the superomedial scapula to the posterolateral clavicle.</p><p><strong>Conclusion: </strong>This case represents the only known report of bilateral absent trapezius muscles without involvement of other trunk musculature or congenital abnormalities. In addition, the patient exhibited a previously unidentified anomalous muscle.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712467","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
Bilateral Distal Myotendinous Biceps Ruptures: A Case Report. 双侧远端肌腱二头肌断裂1例。
JBJS case connector Pub Date : 2026-08-11 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.25.00294
Taylor Schumann, Mitchell J Christiansen, Dane Salazar, Mary K Mulcahey
{"title":"Bilateral Distal Myotendinous Biceps Ruptures: A Case Report.","authors":"Taylor Schumann, Mitchell J Christiansen, Dane Salazar, Mary K Mulcahey","doi":"10.2106/JBJS.CC.25.00294","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00294","url":null,"abstract":"<p><strong>Case: </strong>A 41-year-old man presented with bilateral distal biceps tendon ruptures at the distal myotendinous junction, sustained in 2 separate incidents 15 months apart. This injury pattern is rare and differs from the more common avulsion from the radial tuberosity. Initial imaging was inconclusive, and the diagnosis was aided by physical examination. He elected to undergo open repair of the right side after persistent weakness with elbow flexion and supination.</p><p><strong>Conclusion: </strong>This case illustrates an uncommon location of distal biceps rupture and emphasizes the importance of careful clinical evaluation, surgical decision-making, and focused rehabilitation to achieve functional recovery.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712401","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
Late Central Screw Breakage of a Monoblock Glenoid Baseplate Placed With Bone Graft: A Report of 3 Cases. 移植骨置入单块盂底钢板后中心螺钉断裂3例报告。
JBJS case connector Pub Date : 2026-07-30 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.25.00538
Roy Romem, Swara R Kalva, Dario Fucich, Arthur J Perry, Jie J Yao, Young W Kwon
{"title":"Late Central Screw Breakage of a Monoblock Glenoid Baseplate Placed With Bone Graft: A Report of 3 Cases.","authors":"Roy Romem, Swara R Kalva, Dario Fucich, Arthur J Perry, Jie J Yao, Young W Kwon","doi":"10.2106/JBJS.CC.25.00538","DOIUrl":"10.2106/JBJS.CC.25.00538","url":null,"abstract":"<p><strong>Cases: </strong>Three patients (61-81 years) experienced abrupt shoulder pain and functional decline more than 5 months after reverse total shoulder arthroplasty (RTSA) using a monoblock central-screw baseplate in graft-reconstructed glenoids. Imaging revealed central screw breakage with variable baseplate displacement. Two underwent successful revision with restoration of stable fixation; in the third, revision was deferred for medical comorbidities.</p><p><strong>Conclusion: </strong>Central screw breakage is an important marker of glenoid fixation failure after RTSA. These cases suggest an association with graft-dependent baseplate fixation, limited native bone support, and consequently late fatigue failure. Prompt diagnosis and timely management are essential.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630498","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
Fracture of an 18-mm Diameter Extensively Porous-Coated Femoral Stem 17.9 Years After Primary Total Hip Arthroplasty: A Case Report. 初次全髋关节置换术后17.9年直径18mm广泛多孔包膜股骨干骨折1例报告。
JBJS case connector Pub Date : 2026-07-30 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00127
Jacqueline R Ray, Christopher M Jaicks, Henry Ho, Robert H Hopper, Craig J McAsey
{"title":"Fracture of an 18-mm Diameter Extensively Porous-Coated Femoral Stem 17.9 Years After Primary Total Hip Arthroplasty: A Case Report.","authors":"Jacqueline R Ray, Christopher M Jaicks, Henry Ho, Robert H Hopper, Craig J McAsey","doi":"10.2106/JBJS.CC.26.00127","DOIUrl":"10.2106/JBJS.CC.26.00127","url":null,"abstract":"<p><strong>Case: </strong>A 79-year-old man presented with progressive right thigh pain over 6 months and reliance on a cane. He had undergone primary total hip arthroplasty (THA) with a metal-on-metal bearing in 2007. In 2025, radiographs revealed a fracture of his 18-mm diameter extensively porous-coated, cobalt-chrome alloy femoral stem (Prodigy, DePuy Orthopaedics), prompting revision THA. To the best of our knowledge, this case represents the largest diameter fracture of this type of component reported to date.</p><p><strong>Conclusion: </strong>While fractures of smaller diameter stems are well-documented, clinicians should be aware that fatigue fractures can also occur in very large diameter components with a cylindrical distal geometry.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630564","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
Shoulder Spica Cast as a Salvage Technique for Instability After Reverse Shoulder Arthroplasty: A Report of 3 Cases. 肩胛骨石膏作为肩关节置换术后失稳的修复技术：附3例报告。
JBJS case connector Pub Date : 2026-07-30 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00178
Tarishi Parmar, Miguel Fiandeiro, Mohammad Daher, Jawad Saad, Peter Boufadel, Joseph A Abboud
{"title":"Shoulder Spica Cast as a Salvage Technique for Instability After Reverse Shoulder Arthroplasty: A Report of 3 Cases.","authors":"Tarishi Parmar, Miguel Fiandeiro, Mohammad Daher, Jawad Saad, Peter Boufadel, Joseph A Abboud","doi":"10.2106/JBJS.CC.26.00178","DOIUrl":"10.2106/JBJS.CC.26.00178","url":null,"abstract":"<p><strong>Case: </strong>Three patients (71-year-old woman with cuff tear arthropathy; 40-year-old man with failed hemiarthroplasty; 92-year-old woman with cuff tear arthropathy) underwent reverse shoulder arthroplasty and developed early recurrent instability. Imaging confirmed repeated dislocations with contributing factors including soft-tissue insufficiency, prior surgery, postoperative fracture, periprosthetic infection, and noncompliance with immobilization due to delirium. Despite closed reduction and multiple revision procedures, instability persisted. All patients underwent shoulder spica cast immobilization, resulting in maintained reduction and improved clinical outcomes (1 patient lost to follow-up).</p><p><strong>Conclusion: </strong>Shoulder spica casting may serve as an effective salvage strategy for managing refractory instability after shoulder arthroplasty.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630544","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
Surgical Treatment of Multifocal Nonbilateral Juvenile Osteochondritis Dissecans in the Ankle and Shoulder: A Case Report. 踝关节和肩部多灶性非双侧幼年性分离性骨软骨炎的手术治疗：1例报告。
JBJS case connector Pub Date : 2026-07-30 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.25.00483
Benjamin R Wharton, Eric Cleveland McCarty, Joshua A Metzl, Jay C Albright, Eric Cleveland McCarty
{"title":"Surgical Treatment of Multifocal Nonbilateral Juvenile Osteochondritis Dissecans in the Ankle and Shoulder: A Case Report.","authors":"Benjamin R Wharton, Eric Cleveland McCarty, Joshua A Metzl, Jay C Albright, Eric Cleveland McCarty","doi":"10.2106/JBJS.CC.25.00483","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00483","url":null,"abstract":"<p><strong>Case: </strong>We report a unique case of a 14-year-old girl with juvenile osteochondritis dissecans (JOCD) lesions of the talus and humeral head. She presented with painful motion of the ankle and shoulder that failed conservative treatment and was treated with surgical intervention. Four-year follow-up was achieved.</p><p><strong>Conclusion: </strong>A paucity of literature exists regarding the incidence and treatment of JOCD lesions occurring in multiple joint areas of a single patient. Our case highlights a unique presentation of contralateral, multijoint JOCD lesions and describes the treatment modalities subsequently used to address symptoms and assist in return to sport.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630541","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
Systemic Lead Poisoning Secondary to Retained Intra-articular Bullet: A Case Report. 关节内残留子弹继发系统性铅中毒1例报告。
JBJS case connector Pub Date : 2026-07-30 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00055
Damon Dunwody, Jack Lambert, Andrew Register, Matthew Martell, William Padget
{"title":"Systemic Lead Poisoning Secondary to Retained Intra-articular Bullet: A Case Report.","authors":"Damon Dunwody, Jack Lambert, Andrew Register, Matthew Martell, William Padget","doi":"10.2106/JBJS.CC.26.00055","DOIUrl":"10.2106/JBJS.CC.26.00055","url":null,"abstract":"<p><strong>Case: </strong>A 49-year-old man presented with confusion, hallucinations, and seizure-like episodes. Evaluation revealed severe anemia and knee imaging showed lead synovitis from a gunshot wound received 27 years previously. Substance-related causes initially complicated the clinical picture, but further testing identified a critically elevated blood lead level. The patient was treated with chelation therapy and surgery to remove a retained bullet fragment and inflamed, metal-stained synovial tissue. After treatment, his mental status normalized and blood lead levels steadily declined.</p><p><strong>Conclusion: </strong>This case highlights that retained intra-articular bullets can cause severe lead poisoning decades later, requiring early recognition and combined medical/surgical management.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630528","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
C6 Pedicle Fatigue Fracture Nonunion Causing Unilateral Cervical Radiculopathy Through Hypertrophic Foraminal Stenosis: A Case Report. C6椎弓根疲劳骨折不愈合经增生性椎间孔狭窄致单侧颈椎神经根病1例报告。
JBJS case connector Pub Date : 2026-07-30 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.25.00709
Sho Hineno, Takafumi Murakami, Eiji Wada
{"title":"C6 Pedicle Fatigue Fracture Nonunion Causing Unilateral Cervical Radiculopathy Through Hypertrophic Foraminal Stenosis: A Case Report.","authors":"Sho Hineno, Takafumi Murakami, Eiji Wada","doi":"10.2106/JBJS.CC.25.00709","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00709","url":null,"abstract":"<p><strong>Case: </strong>A 56-year-old woman presented with progressive weakness of the left shoulder abduction and elbow flexion. She had cervical dystonia. Imaging revealed bilateral chronic C6 pedicle fatigue fracture nonunion, with left hypertrophic changes causing C5 to 6 foraminal stenosis and C5 to C6 radiculopathy. Posterior C4 to C7 fixation with left foraminotomies was performed. Motor function improved, and follow-up computed tomography (CT) confirmed healing of the nonunion.</p><p><strong>Conclusion: </strong>Cervical pedicle fatigue fracture nonunion is a rare but underrecognized cause of radiculopathy when hypertrophic changes cause foraminal stenosis. CT with multiplanar reconstruction is essential, and combined stabilization and decompression can achieve excellent motor recovery.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630532","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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