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The Cork-Screwed Humerus Leading to a Spiraling Arm Deformity: A Rare Case Report. 软木螺钉肱骨导致旋臂畸形：一例罕见病例报告。
JBJS case connector Pub Date : 2026-07-30 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.25.00647
K Venkatadass, Praveen Bhardwaj, S Rajasekaran
{"title":"The Cork-Screwed Humerus Leading to a Spiraling Arm Deformity: A Rare Case Report.","authors":"K Venkatadass, Praveen Bhardwaj, S Rajasekaran","doi":"10.2106/JBJS.CC.25.00647","DOIUrl":"10.2106/JBJS.CC.25.00647","url":null,"abstract":"<p><strong>Case: </strong>Fractures involving the physeal plate can lead to physeal bar formation and growth disturbance. Rotational deformities due to growth arrest is not widely reported in literature. We present a rare case of proximal humerus growth arrest leading to humerus varus, shortening, and a 360 external rotation deformity of the humerus which was surgically treated and had a reasonable clinical outcome.</p><p><strong>Conclusion: </strong>We report an extremely rare case of 360° rotational deformity of humerus along with varus and shortening caused by growth arrest. This case reiterates the potential use of growth modulation for correcting rotational deformities.</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":"148630578","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
Valgus Slipped Capital Femoral Epiphysis Associated With Osteosclerotic Dysplasia Due to Hyperphosphatemic Tumoral Calcinosis: A Case Report. 高磷性肿瘤钙质沉着引起的外翻性股骨头骨骺滑移伴骨质硬化性发育不良1例报告。
JBJS case connector Pub Date : 2026-07-30 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00054
Jonathan Reddy, Siddarth Kamath, Kumar Amerendra Singh, Hitesh Shah
{"title":"Valgus Slipped Capital Femoral Epiphysis Associated With Osteosclerotic Dysplasia Due to Hyperphosphatemic Tumoral Calcinosis: A Case Report.","authors":"Jonathan Reddy, Siddarth Kamath, Kumar Amerendra Singh, Hitesh Shah","doi":"10.2106/JBJS.CC.26.00054","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00054","url":null,"abstract":"<p><strong>Case: </strong>A 13-year-old boy presented with a painful limp for 2 weeks without trauma and guarded (L) hip movements with spasm. Radiographs revealed a valgus slipped capital femoral epiphysis (SCFE) of the left hip with generalized osteosclerosis. Elevated serum calcium, phosphate, and parathyroid hormone levels were noted. Whole-exome sequencing identified a homozygous FGF23 variant, confirming hyperphosphatemic tumoral calcinosis. He was managed with phosphate binders, dietary restriction, and in situ fixation of both hips. At the 2-year follow-up, alignment and function were normal.</p><p><strong>Conclusion: </strong>Association of valgus SCFE with metabolic or sclerosing bone dysplasia requires careful assessment to achieve favorable outcomes.</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":"148630557","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 Use of Axial Cage With Nonvascularized Fibula Autograft for Ankle Arthrodesis After Bone Loss: A Case Report. 轴向保持器与无血管化腓骨自体移植物在骨丢失后踝关节融合术中的新应用：1例报告。
JBJS case connector Pub Date : 2026-07-30 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.25.00696
Rilee Epley, Joel M Post
{"title":"Novel Use of Axial Cage With Nonvascularized Fibula Autograft for Ankle Arthrodesis After Bone Loss: A Case Report.","authors":"Rilee Epley, Joel M Post","doi":"10.2106/JBJS.CC.25.00696","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00696","url":null,"abstract":"<p><strong>Case: </strong>A 56-year-old morbidly obese woman sustained a high energy motor vehicle collision resulting in an isolated Gustilo-Anderson type IIIA open pilon fracture of the right ankle, with massive distal tibial bone loss. Limb salvage was achieved through the novel use of an off-the-shelf axial titanium spine cage combined with a nonvascularized fibula autograft and hindfoot intramedullary nail arthrodesis.</p><p><strong>Conclusion: </strong>This technique may offer a practical and durable alternative for limb salvage in cases of massive distal tibial bone loss, particularly in resource-constrained settings when access to custom 3D-printed implants or microvascular reconstruction is limited.</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":"148630492","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
Adipofascial Flap Coverage of Lumbosacral Soft Tissue Defect With Persistent CSF Leak in Revision Spine Surgery: A Case Report. 脂肪筋膜瓣覆盖脊柱翻修手术中腰骶部软组织缺损伴持续性脑脊液漏1例。
JBJS case connector Pub Date : 2026-07-30 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.25.00670
Stephen J Lewis, Fan Jiang, Ian H Y Wong, Hailey Bensky, Siba Haykal
{"title":"Adipofascial Flap Coverage of Lumbosacral Soft Tissue Defect With Persistent CSF Leak in Revision Spine Surgery: A Case Report.","authors":"Stephen J Lewis, Fan Jiang, Ian H Y Wong, Hailey Bensky, Siba Haykal","doi":"10.2106/JBJS.CC.25.00670","DOIUrl":"10.2106/JBJS.CC.25.00670","url":null,"abstract":"<p><strong>Case: </strong>This case describes the novel use of a local adipofascial flap for the surgical management of a cerebrospinal fluid (CSF) draining lumbosacral wound, after revision decompression and fusion for a high-grade spondylolisthesis in a 20-year-old woman.</p><p><strong>Conclusion: </strong>The local medially based flap can be considered for coverage of uncontrollable CSF leaks at the lumbosacral junction where limited options are available. In this case, the flap successfully filled the dead space and provided the necessary dural coverage for successful healing of the wound.</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":"148630500","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
Impaired Consciousness Following Cerebrospinal Fluid Leakage After Halo Vest Fixation for Odontoid Fracture: A Case Report. 齿状突骨折Halo背心固定后脑脊液漏后意识受损1例。
JBJS case connector Pub Date : 2026-07-16 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00103
Taisuke Kurokawa, Shunsuke Katsumi, Akira Shinohara, Daigo Arimura, Shintaro Obata, Mitsuru Saito
{"title":"Impaired Consciousness Following Cerebrospinal Fluid Leakage After Halo Vest Fixation for Odontoid Fracture: A Case Report.","authors":"Taisuke Kurokawa, Shunsuke Katsumi, Akira Shinohara, Daigo Arimura, Shintaro Obata, Mitsuru Saito","doi":"10.2106/JBJS.CC.26.00103","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00103","url":null,"abstract":"<p><strong>Case: </strong>An 82-year-old woman sustained an Anderson Type II odontoid fracture after a fall and underwent halo vest fixation. Eight weeks later, she developed eyelid edema and altered consciousness. Computed tomography revealed intracranial pin penetration, cerebrospinal fluid (CSF) leakage, and pneumocephalus. The halo vest was removed, and subsequent conservative treatment with bed rest and antibiotics led to full neurological recovery.</p><p><strong>Conclusion: </strong>This rare case of intracranial pin penetration and CSF leakage following halo vest fixation emphasizes the importance of close monitoring and early imaging in patients presenting with neurological symptoms during prolonged immobilization.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470553","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
Ankle Arthrodesis After Joint Destruction from Septic Arthritis in a High-Risk Patient Using a Novel Intra-Articular Pinning Technique: A Case Report. 一种新型关节内钉钉技术应用于感染性关节炎致高危患者关节破坏后的踝关节融合术：一例报告。
JBJS case connector Pub Date : 2026-07-16 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00077
Yong Ng, Steesy Benedicta, Choon Chiet Hong
{"title":"Ankle Arthrodesis After Joint Destruction from Septic Arthritis in a High-Risk Patient Using a Novel Intra-Articular Pinning Technique: A Case Report.","authors":"Yong Ng, Steesy Benedicta, Choon Chiet Hong","doi":"10.2106/JBJS.CC.26.00077","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00077","url":null,"abstract":"<p><strong>Case: </strong>A 75-year-old man presented with left ankle septic arthritis on a background of multiple surgeries for bilateral lower limb necrotizing fasciitis involving free flap and skin grafting. We employed a unique technique of ankle arthrodesis using intra-articular pinning with a combination of Schanz pins and Kirschner wires for ankle arthrodesis after joint destruction from septic arthritis following adequate debridement and curettage achieving partial union at 3 months and complete union by 6 months, with the patient returning to full activities of daily living at 1 year.</p><p><strong>Conclusion: </strong>This case demonstrates an effective and viable alternative strategy for ankle arthrodesis using a unique intra-articular pinning construct which functioned as a removable internal fixation construct in a patient with complex soft-tissue envelope.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470610","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
Magnetic Resonance Neurography Detection of the Wedge-Sickle Sign Fibromuscular Bands in Neurogenic Thoracic Outlet Syndrome: A Case Report. 核磁共振神经造影检测神经源性胸廓出口综合征楔镰状征纤维肌束1例。
JBJS case connector Pub Date : 2026-07-16 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.25.00435
Delaram Shakoor, Ajul Shah, Ek T Tan, Sophie Queler, Maggie Fung, Darryl B Sneag
{"title":"Magnetic Resonance Neurography Detection of the Wedge-Sickle Sign Fibromuscular Bands in Neurogenic Thoracic Outlet Syndrome: A Case Report.","authors":"Delaram Shakoor, Ajul Shah, Ek T Tan, Sophie Queler, Maggie Fung, Darryl B Sneag","doi":"10.2106/JBJS.CC.25.00435","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00435","url":null,"abstract":"<p><strong>Case: </strong>A 17-year-old girl presented with chronic right arm numbness, cramping, burning pain, and weakness. Initial nerve studies showed slowing in the median and ulnar nerves, but an outside magnetic resonance imaging was negative. Repeat magnetic resonance neurography (MRN) revealed right C8 nerve root and lower trunk enlargement, compressed by a fibrous band from a small cervical rib. The lower trunk appeared indented in a \"sickle\" shape-termed the wedge-sickle sign. Surgery confirmed the MRN findings.</p><p><strong>Conclusion: </strong>MRN can depict the wedge-sickle sign previously seen only on ultrasound, potentially improving sensitivity of MRN for detecting thin fibromuscular bands in neurogenic thoracic outlet syndrome.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470647","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 Medial Patellofemoral Ligament and Lateral Patellofemoral Ligament Reconstruction Using a Pedicled Quadriceps Graft for Iatrogenic Patellar Instability: A Case Report. 带蒂股四头肌联合髌股内侧韧带和外侧韧带重建医源性髌骨不稳1例。
JBJS case connector Pub Date : 2026-07-16 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00004
Arian Große-Allermann, Adrian Deichsel, Christoph Kittl
{"title":"Combined Medial Patellofemoral Ligament and Lateral Patellofemoral Ligament Reconstruction Using a Pedicled Quadriceps Graft for Iatrogenic Patellar Instability: A Case Report.","authors":"Arian Große-Allermann, Adrian Deichsel, Christoph Kittl","doi":"10.2106/JBJS.CC.26.00004","DOIUrl":"10.2106/JBJS.CC.26.00004","url":null,"abstract":"<p><strong>Case: </strong>A 24-year-old woman presented with persistent retropatellar pain and recurrent iatrogenic medial patellar instability of the left knee after lateral release, tibial tubercle (TT) medialization, and medial patellofemoral ligament (MPFL) reconstruction. After failed TT repositioning, combined reconstruction of the MPFL and lateral patellofemoral ligament (LPFL) was performed using a quadriceps tendon graft with intraoperative isometric assessment.</p><p><strong>Conclusion: </strong>Few techniques address recurrent medial patellar instability. Simultaneous MPFL and LPFL reconstruction may be an effective treatment for recurrent iatrogenic medial patellar instability.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470621","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
Temporary Pubectomy for Safe Expansion of the Surgical Space for Resecting Large Intrapelvic Tumors: A Report of 2 Cases. 临时耻骨切除术扩大盆腔内大肿瘤手术空间（附2例报告）
JBJS case connector Pub Date : 2026-07-16 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00088
Masato Fumoto, Kei Takeuchi, Tomoaki Mori, Kazuhiro Matsumoto, Hideaki Obara, Robert Nakayama
{"title":"Temporary Pubectomy for Safe Expansion of the Surgical Space for Resecting Large Intrapelvic Tumors: A Report of 2 Cases.","authors":"Masato Fumoto, Kei Takeuchi, Tomoaki Mori, Kazuhiro Matsumoto, Hideaki Obara, Robert Nakayama","doi":"10.2106/JBJS.CC.26.00088","DOIUrl":"10.2106/JBJS.CC.26.00088","url":null,"abstract":"<p><strong>Cases: </strong>We herein report 2 cases of giant intrapelvic tumors successfully resected using a temporary pubectomy approach: a 16 cm solitary fibrous tumor in a 39-year-old man and a 12 cm leiomyosarcoma in a 49-year-old man. Adding pubectomy to the midline abdominal incision provided adequate surgical exposure of the tumor. Following tumor resection, the pubic bones were reconstructed using internal fixation plates. The postoperative courses were uneventful, and both patients have been tumor-free for 7 and 2 years, respectively.</p><p><strong>Conclusion: </strong>Temporary pubectomy allows sufficient access to the pelvic floor and may be considered for treating giant intrapelvic tumors.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470661","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
Through-Plate K-Wire Fixation for Volar Rim Fractures of the Distal Radius: A Case Report. 通过钢板k线固定桡骨远端掌缘骨折1例。
JBJS case connector Pub Date : 2026-07-16 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00027
Sherif Adel Lotfy, Mohamed Khairy El-Mesery
{"title":"Through-Plate K-Wire Fixation for Volar Rim Fractures of the Distal Radius: A Case Report.","authors":"Sherif Adel Lotfy, Mohamed Khairy El-Mesery","doi":"10.2106/JBJS.CC.26.00027","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00027","url":null,"abstract":"<p><strong>Case: </strong>A 28-year-old man with a distal radius fracture and small volar marginal fragment (VMF) underwent fixation using a \"through-plate K-wire\" technique. Two 1.2 mm K-wires were drilled through distal plate holes into the VMF and then bent over the plate to create a fixed-angle construct. Radiographic union was achieved by 6 weeks. Following elective hardware removal at 6 months, the patient demonstrated excellent clinical outcomes (DASH 4.2) and full range of motion at 1-year follow-up without complications.</p><p><strong>Conclusion: </strong>Through-plate K-wire fixation is a simple, cost-effective bailout option for stabilizing distal VMFs when rim plates are unavailable.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470688","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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