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Novel Technique for Paired Arthroscopic and Open Retrieval of Incarcerated Ballistic Debris From the Hip: A Report of 2 Cases. 关节镜和开放联合取出髋关节嵌顿弹道碎片的新技术：附2例报告。
JBJS case connector Pub Date : 2026-07-16 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00019
Kenneth L Ford, Victor J Wu, Jonathan G Eastman, Alfred A Mansour
{"title":"Novel Technique for Paired Arthroscopic and Open Retrieval of Incarcerated Ballistic Debris From the Hip: A Report of 2 Cases.","authors":"Kenneth L Ford, Victor J Wu, Jonathan G Eastman, Alfred A Mansour","doi":"10.2106/JBJS.CC.26.00019","DOIUrl":"10.2106/JBJS.CC.26.00019","url":null,"abstract":"<p><strong>Cases: </strong>We describe 2 cases of ballistic hip arthrotomies with retained intra-articular fragments lodged deep to the quadrilateral plate, where arthroscopic retrieval alone may be challenging and often requires an open approach. Both patients were treated using a strategy combining hip arthroscopy for joint debridement and fragment mobilization followed by a Pfannenstiel intrapelvic approach for definitive removal.</p><p><strong>Conclusion: </strong>This combined arthroscopic and intrapelvic surgical technique offers an alternative method for addressing difficult-to-access intra-articular ballistic fragments while minimizing additional chondral injury.</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":"148470704","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
Management of Bidirectional Shoulder Instability with Glenoid Bone Loss Using Arthroscopic Double Bone Block: A Case Report. 关节镜下双骨阻滞治疗肩关节关节不稳定伴关节盂骨丢失1例。
JBJS case connector Pub Date : 2026-07-16 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00015
Huseyin Ozturk, Ethem Burak Oklaz, Furkan Aral, Asim Ahmadov, Ulunay Kanatli
{"title":"Management of Bidirectional Shoulder Instability with Glenoid Bone Loss Using Arthroscopic Double Bone Block: A Case Report.","authors":"Huseyin Ozturk, Ethem Burak Oklaz, Furkan Aral, Asim Ahmadov, Ulunay Kanatli","doi":"10.2106/JBJS.CC.26.00015","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00015","url":null,"abstract":"<p><strong>Case: </strong>We present the case of a 33-year-old man with recurrent anterior and posterior shoulder instability, with bidirectional glenoid bone loss. The patient underwent all-arthroscopic double bone block procedure using iliac crest grafts fixed with suture anchors. At the 6-year follow-up, the patient remained pain-free, with no recurrent dislocations, and achieved a full range of motion with normal muscle strength.</p><p><strong>Conclusion: </strong>The all-arthroscopic double bone block technique using suture anchors is a feasible and durable procedure for complex bidirectional glenoid bone loss. This method provides long-term stability and functional recovery while avoiding complications associated with screw fixation and open surgery.</p><p><strong>Level of evidence: </strong>Therapeutic Level IV.</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":"148470693","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 V-Y Advancement Flaps After Posterior Release for Arthrogrypotic Clubfoot: A Case Report. 双侧V-Y推进皮瓣后侧松解治疗关节挛缩性畸形足1例。
JBJS case connector Pub Date : 2026-07-16 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.25.00582
Alexander F Dagi, Michael B Amrami, Katherine K Rosenwasser, Jarrod T Bogue
{"title":"Bilateral V-Y Advancement Flaps After Posterior Release for Arthrogrypotic Clubfoot: A Case Report.","authors":"Alexander F Dagi, Michael B Amrami, Katherine K Rosenwasser, Jarrod T Bogue","doi":"10.2106/JBJS.CC.25.00582","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00582","url":null,"abstract":"<p><strong>Case: </strong>A 4-year-old girl with bilateral arthrogrypotic clubfoot underwent posterior release with bilateral V-Y advancement flaps. At 4 months, the patient ambulated independently over moderate distances. One-year follow-up confirmed pain-free functional ambulation, although persistent toe-walking highlighted ongoing neuromuscular challenges and minor correction loss.</p><p><strong>Conclusion: </strong>V-Y advancement flaps provide effective soft tissue coverage after posterior release for arthrogrypotic clubfoot. Early multidisciplinary collaboration integrating orthopedic and plastic surgical planning is essential for optimizing outcomes.</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":"148470605","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
The Effect of Teriparatide in a Brown Tumor Patient With Pathological Hip Fracture: A Case Report and Literature Review. 特立帕肽治疗棕色肿瘤伴病理性髋部骨折1例并文献复习。
JBJS case connector Pub Date : 2026-07-16 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.25.00667
Dalia Abdel-Hadi, Ali Al Lawati, Ahmed Al Farkani, Yahya Al Badaai, Humaid Al Farii
{"title":"The Effect of Teriparatide in a Brown Tumor Patient With Pathological Hip Fracture: A Case Report and Literature Review.","authors":"Dalia Abdel-Hadi, Ali Al Lawati, Ahmed Al Farkani, Yahya Al Badaai, Humaid Al Farii","doi":"10.2106/JBJS.CC.25.00667","DOIUrl":"https://doi.org/10.2106/JBJS.CC.25.00667","url":null,"abstract":"<p><strong>Case: </strong>A 32-year-old man with end-stage renal disease (ESRD) from anti-neutrophil cytoplasmic antibody-associated vasculitis and tertiary hyperparathyroidism, presented with progressive right hip pain. A giant cell-rich lesion biopsy confirmed Brown tumor. Despite cinacalcet and vitamin D, hyperparathyroidism persisted, necessitating parathyroidectomy complicated by hungry bone syndrome and a pathological right hip fracture. Surgical fixation and prosthetic replacement were deferred due to high risk factors such as, ESRD and fracture pattern, as well as potential for postoperative implant failure and infection. Teriparatide was initiated to promote bone remodeling, leading to pain relief and radiographic improvement.</p><p><strong>Conclusion: </strong>To our knowledge, this is the first reported long-bone Brown tumor successfully treated with teriparatide.</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":"148470637","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 Pelvic Ring Injury with Extended Morel-Lavallée Lesion Complicated by Fungal Infection Necessitating Hemipelvectomy: A Case Report. 开放性骨盆环损伤伴扩大morel - lavallsamade病变并发真菌感染需半骨盆切除术1例。
JBJS case connector Pub Date : 2026-07-09 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00159
Vera Jaecker, Sven Märdian, Julius Krüger, Wenzel Schöning, Philipp Pickerodt, Martina Gaßner, Ulrich Stöckle, Marcel Niemann, Tazio Maleitzke
{"title":"Open Pelvic Ring Injury with Extended Morel-Lavallée Lesion Complicated by Fungal Infection Necessitating Hemipelvectomy: A Case Report.","authors":"Vera Jaecker, Sven Märdian, Julius Krüger, Wenzel Schöning, Philipp Pickerodt, Martina Gaßner, Ulrich Stöckle, Marcel Niemann, Tazio Maleitzke","doi":"10.2106/JBJS.CC.26.00159","DOIUrl":"10.2106/JBJS.CC.26.00159","url":null,"abstract":"<p><strong>Case: </strong>A 30-year-old woman sustained a complex open pelvic ring injury with urogenital and rectal injuries and a severe Morel-Lavallée lesion after getting stuck between a train platform and an arriving train. Orthopaedic trauma management included extensive debridements, temporary internal and external fixation, staged plate osteosynthesis, and negative-pressure wound therapy. Progressive soft-tissue necrosis due to mucormycosis necessitated a hemipelvectomy. At the 1-year follow-up, the patient had returned to independent living.</p><p><strong>Conclusion: </strong>Complex open peripelvic injuries, complicated by mucormycosis infection and subsequent hemipelvectomy, have a high risk of mortality. We outline multidisciplinary surgical and antimicrobial strategies potentially effective in similar scenarios.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13317905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421295","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
Daily Low-Dose Intra-Articular Povidone-Iodine Salvage of Refractory Fungal Total Knee Arthroplasty Infection: A Case Report. 每日低剂量关节内聚维酮碘抢救难治性真菌性全膝关节置换术感染1例。
JBJS case connector Pub Date : 2026-07-09 eCollection Date: 2026-07-01 DOI: 10.2106/JBJS.CC.26.00121
Yutaka Fujita, Tomoharu Mochizuki, Shigeru Takagi, Keiichiro Someya, Hiroyuki Kawashima
{"title":"Daily Low-Dose Intra-Articular Povidone-Iodine Salvage of Refractory Fungal Total Knee Arthroplasty Infection: A Case Report.","authors":"Yutaka Fujita, Tomoharu Mochizuki, Shigeru Takagi, Keiichiro Someya, Hiroyuki Kawashima","doi":"10.2106/JBJS.CC.26.00121","DOIUrl":"10.2106/JBJS.CC.26.00121","url":null,"abstract":"<p><strong>Case: </strong>A 74-year-old woman developed refractory Candida parapsilosis periprosthetic joint infection (PJI) after total knee arthroplasty. Despite repeated debridement, implant removal, antifungal-loaded cement spacers, and prolonged systemic antifungal therapy, infection recurred and amputation was considered. Daily intra-articular low-dose povidone-iodine instillation achieved infection control without adverse events. After a 1-month drug holiday, hinged revision arthroplasty was performed. At 2 years, she ambulated independently without recurrence.</p><p><strong>Conclusion: </strong>Repeated low-dose povidone-iodine instillation may be a salvage option for refractory fungal PJI.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13317899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421272","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
Self-Reported 20-Year Outcome of Taylor Spatial Frame Correction for Distal Femoral Physeal Growth Disturbance: A Case Report. 自我报告的泰勒空间框架矫正股骨远端骨骺生长障碍20年疗效：1例报告。
JBJS case connector Pub Date : 2026-06-18 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00012
Yusuke Nakazawa, Hidenori Matsubara, Toshifumi Hikichi, Kanu Shimokawa, Tamon Kabata, Hiroyuki Tsuchiya, Satoru Demura
{"title":"Self-Reported 20-Year Outcome of Taylor Spatial Frame Correction for Distal Femoral Physeal Growth Disturbance: A Case Report.","authors":"Yusuke Nakazawa, Hidenori Matsubara, Toshifumi Hikichi, Kanu Shimokawa, Tamon Kabata, Hiroyuki Tsuchiya, Satoru Demura","doi":"10.2106/JBJS.CC.26.00012","DOIUrl":"10.2106/JBJS.CC.26.00012","url":null,"abstract":"<p><strong>Case: </strong>A 10-year-old boy, later the first author, sustained a fracture of the right distal femoral epiphysis Salter-Harris type Ⅳ and underwent osteosynthesis the same day. Two years later, I developed 24° valgus, 45° external rotation deformity, and 40-mm leg-length discrepancy. Femoral correction with the Taylor Spatial Frame (TSF) was performed at age 12, followed by tibial correction at age 14, achieving good alignment and function without pain or osteoarthritic symptoms at 20-year follow-up.</p><p><strong>Conclusion: </strong>Deformity correction with the TSF can provide favorable long-term outcomes in complex growth disturbance after distal femoral epiphyseal injury.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13275071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264494","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
Medial Patellofemoral Ligament Reconstruction for Patellar Instability in a Patient with Below-Knee Amputation: A Case Report. 内侧髌股韧带重建治疗膝下截肢患者髌骨不稳一例报告。
JBJS case connector Pub Date : 2026-06-18 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00007
Irmak Kavcı, Melekper Elcil Kaya Biçer
{"title":"Medial Patellofemoral Ligament Reconstruction for Patellar Instability in a Patient with Below-Knee Amputation: A Case Report.","authors":"Irmak Kavcı, Melekper Elcil Kaya Biçer","doi":"10.2106/JBJS.CC.26.00007","DOIUrl":"10.2106/JBJS.CC.26.00007","url":null,"abstract":"<p><strong>Case: </strong>A 15-year-old girl with a right below-knee amputation (due to meningococcal septicemia and purpura fulminans) presented with patellar instability and Type D trochlear dysplasia. Management was complicated by extensive scarring and 8 prior residual limb revisions. To address instability, the patient underwent medial patellofemoral ligament (MPFL) reconstruction using an ipsilateral semitendinosus autograft, following MRI verification of tendon viability. At 12-month follow-up, stability was restored, allowing successful return to active prosthesis use and mobility without complications.</p><p><strong>Conclusion: </strong>MPFL reconstruction using an ipsilateral autograft effectively treats instability in below-knee amputees while avoiding donor-site morbidity in the contralateral limb.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264473","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 Lateral Clavicle Physeal Fracture with Posteroinferior Medial Shaft Displacement Treated by Closed Reduction: A Case Report. 闭式复位术治疗锁骨外侧骨骺骨折后下内侧轴移位1例。
JBJS case connector Pub Date : 2026-06-18 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00703
B A Arts, J Dahmen, R J L L van de Kimmenade, R Riedijk
{"title":"A Lateral Clavicle Physeal Fracture with Posteroinferior Medial Shaft Displacement Treated by Closed Reduction: A Case Report.","authors":"B A Arts, J Dahmen, R J L L van de Kimmenade, R Riedijk","doi":"10.2106/JBJS.CC.25.00703","DOIUrl":"10.2106/JBJS.CC.25.00703","url":null,"abstract":"<p><strong>Case: </strong>A 14-year-old boy sustained a distal clavicle physeal fracture after an e-bike crash. Examination showed swelling without threatened skin, restricted motion, and intact neurovascular status. Anteroposterior radiographs suggested a transphyseal fracture; however, axial imaging showed posteroinferior displacement of the medial metaphyseal fragment relative to the distal physeal-epiphyseal component. Closed reduction under general anesthesia, 4 weeks of sling immobilization, and early physiotherapy restored full, pain-free function by 10 weeks.</p><p><strong>Conclusion: </strong>Our report describes a successful outcome after closed reduction under general anesthesia without internal fixation for a distal clavicle physeal fracture with posteroinferior displacement of the medial metaphyseal fragment.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264427","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
Primary Valgus Intertrochanteric Osteotomy for a Subacute Femoral Neck Fracture in a 37-Year-Old Woman: A Case Report. 原发性外翻粗隆间截骨术治疗37岁女性亚急性股骨颈骨折1例。
JBJS case connector Pub Date : 2026-06-18 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00685
Devan S Kumar, Lauren Luther, Timothy S Achor, Phillip M Mitchell
{"title":"Primary Valgus Intertrochanteric Osteotomy for a Subacute Femoral Neck Fracture in a 37-Year-Old Woman: A Case Report.","authors":"Devan S Kumar, Lauren Luther, Timothy S Achor, Phillip M Mitchell","doi":"10.2106/JBJS.CC.25.00685","DOIUrl":"10.2106/JBJS.CC.25.00685","url":null,"abstract":"<p><strong>Case: </strong>A 37-year-old woman with a history of depression and polysubstance use disorder presented 3 weeks after developing left hip pain and inability to ambulate. Initial outside radiographs were reportedly negative, delaying diagnosis until a subsequent outside MRI and confirmatory in-house CT demonstrated a displaced AO/OTA 31B2.2 transcervical femoral neck fracture with varus angulation and inferior comminution. She underwent valgus intertrochanteric osteotomy with a fixed-angle blade-plate construct, achieving union and excellent function at 3 years.</p><p><strong>Conclusion: </strong>Valgus-producing osteotomy with blade-plate fixation is a viable joint-preserving option for subacute displaced femoral neck fractures in young adults when arthroplasty is undesirable.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264491","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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