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Recurrent Aneurysmal Bone Cyst Treated with Percutaneous Doxycycline Sclerotherapy: A Case Report. 经皮强力霉素硬化治疗复发性动脉瘤性骨囊肿1例。
JBJS case connector Pub Date : 2024-12-05 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00371
Cory Gall, Daniel C Allison
{"title":"Recurrent Aneurysmal Bone Cyst Treated with Percutaneous Doxycycline Sclerotherapy: A Case Report.","authors":"Cory Gall, Daniel C Allison","doi":"10.2106/JBJS.CC.24.00371","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00371","url":null,"abstract":"<p><strong>Case: </strong>A 7-year-old girl with an aggressive proximal femur aneurysmal bone cyst (ABC) who sustained a pathological fracture of the femoral neck required an open reduction and internal fixation with curettage and bone grafting. This was followed by early aggressive recurrence of the ABC, which was treated successfully with percutaneous doxycycline sclerotherapy.</p><p><strong>Conclusion: </strong>Doxycycline sclerotherapy seems to be an effective and relatively low-risk treatment for recurrent ABCs.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785885","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
Tibiopelvic Rotational Arthroplasty for Pediatric Gorham-Stout Disease: A Case Report and Surgical Technique. 胫盂旋转关节置换术治疗小儿Gorham-Stout病1例及手术技术。
JBJS case connector Pub Date : 2024-12-05 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00172
Emmanouil Grigoriou, M Bryant Transtrum, Scott Oishi, Charles E Johnston, Megan E Johnson
{"title":"Tibiopelvic Rotational Arthroplasty for Pediatric Gorham-Stout Disease: A Case Report and Surgical Technique.","authors":"Emmanouil Grigoriou, M Bryant Transtrum, Scott Oishi, Charles E Johnston, Megan E Johnson","doi":"10.2106/JBJS.CC.24.00172","DOIUrl":"10.2106/JBJS.CC.24.00172","url":null,"abstract":"<p><strong>Case: </strong>This is a case of a 6-year-old patient diagnosed with Gorham-Stout disease (GSD), a rare lymphangiogenic skeletal disorder, localized to the left femur. Initial nonoperative treatment with pharmaceuticals and bracing was unsuccessful. We describe a definitive operative treatment with radical femoral resection and a modified rotationplasty technique through a tibiopelvic rotational hip arthroplasty. At 2-year follow-up, the patient was able to walk with a prosthetic device.</p><p><strong>Conclusion: </strong>The use of this modified rotationplasty technique is an effective treatment option for patients with femoral GSD to improve function and quality of life.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785887","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
Endoscopic-Assisted Infraclavicular Approach for Hypoplastic First Rib Resection in Thoracic Outlet Syndrome: A Case Report. 内窥镜辅助锁骨下入路治疗胸廓出口综合征第一肋骨发育不全切除术1例。
JBJS case connector Pub Date : 2024-12-05 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00108
Masato Fumoto, Taku Suzuki, Yasuhiro Kiyota, Noboru Matsumura, Takuji Iwamoto, Masaya Nakamura
{"title":"Endoscopic-Assisted Infraclavicular Approach for Hypoplastic First Rib Resection in Thoracic Outlet Syndrome: A Case Report.","authors":"Masato Fumoto, Taku Suzuki, Yasuhiro Kiyota, Noboru Matsumura, Takuji Iwamoto, Masaya Nakamura","doi":"10.2106/JBJS.CC.24.00108","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00108","url":null,"abstract":"<p><strong>Case: </strong>A 25-year-old man presented with neck and upper-limb pain. He underwent surgery for the resection of a left hypoplastic first rib, which was causing thoracic outlet syndrome. The subclavian vein was retracted through an infraclavicular incision, and an endoscope was inserted dorsally to the vein. With the assistance of endoscopy, the first rib was partially resected, and scalene muscles were released from the rib. The preoperative symptoms improved after surgery without any complications.</p><p><strong>Conclusion: </strong>The endoscopic-assisted infraclavicular approach enabled sufficient resection of the hypoplastic first rib, leading to satisfactory outcomes. This method can be considered as an option for resecting a hypoplastic first rib.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785868","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
Postoperative Rigid Cervical Collar Causing a Marginal Mandibular Branch of Facial Nerve Palsy: A Case Report. 术后硬颈套引起面神经下颌缘支麻痹1例。
JBJS case connector Pub Date : 2024-12-05 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00387
Austin C Kaidi, Andrew A Sama
{"title":"Postoperative Rigid Cervical Collar Causing a Marginal Mandibular Branch of Facial Nerve Palsy: A Case Report.","authors":"Austin C Kaidi, Andrew A Sama","doi":"10.2106/JBJS.CC.24.00387","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00387","url":null,"abstract":"<p><strong>Case: </strong>We present a marginal mandibular branch of the facial nerve palsy that occurred in a 55-year-old woman from external compression of a rigid cervical collar. This nerve palsy occurred after less than 24 hours of collar utilization and was treated conservatively with delayed recovery.</p><p><strong>Conclusion: </strong>A marginal mandibular branch of the facial nerve palsy is a rare complication of cervical collar usage with only 1 other documented case in the literature. The resemblance of this palsy to a postoperative cerebrovascular accident makes it an important complication to consider when using a collar.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785884","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
Intradural Disk Herniation at the Conus Medullaris: A Case Report With Emphasis on Patient Positioning and Neuromonitoring. 髓圆锥硬膜内椎间盘突出：1例报告，强调患者体位和神经监测。
JBJS case connector Pub Date : 2024-11-22 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00235
Michael J Kelly, Marco D Burkhard, Franziska C S Altorfer, Ronald G Emerson, Andrew A Sama
{"title":"Intradural Disk Herniation at the Conus Medullaris: A Case Report With Emphasis on Patient Positioning and Neuromonitoring.","authors":"Michael J Kelly, Marco D Burkhard, Franziska C S Altorfer, Ronald G Emerson, Andrew A Sama","doi":"10.2106/JBJS.CC.24.00235","DOIUrl":"10.2106/JBJS.CC.24.00235","url":null,"abstract":"<p><strong>Case: </strong>A 73-year old man who underwent previous L2-S1 decompression presenting with new right radicular leg pain. Imaging suggests a large central disk herniation at L1-2 with possible intrathecal extension requiring surgical decompression. When positioned prone on a Jackson frame, neuromonitoring motor signals became diminished, and thus, the case was aborted. On returning to the operating room 2 days later, careful positioning in a more neutral/flexed position facilitated normal neuromonitoring signals, allowing for an uneventful intradural approach and discectomy.</p><p><strong>Conclusion: </strong>With conus-level intrathecal disk herniation, consider using prepositional neuromonitoring and avoid hyperextension with positioning to ensure neurological safety.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11581431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005616","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
Gadolinium-Enhanced 3-Dimensional MRI for Diagnosis and Surgical Planning of Posterior Epidural Migration of Lumbar Disc Fragment: A Case Report.
JBJS case connector Pub Date : 2024-11-22 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00195
Yoshinao Koike, Tomomichi Kajino, Shinya Dobashi, Norimasa Iwasaki
{"title":"Gadolinium-Enhanced 3-Dimensional MRI for Diagnosis and Surgical Planning of Posterior Epidural Migration of Lumbar Disc Fragment: A Case Report.","authors":"Yoshinao Koike, Tomomichi Kajino, Shinya Dobashi, Norimasa Iwasaki","doi":"10.2106/JBJS.CC.24.00195","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00195","url":null,"abstract":"<p><strong>Case: </strong>A 34-year-old man presented at our hospital with knee collapse. Magnetic resonance imaging (MRI) revealed posterior compression of the dural sac by a lumbar epidural lesion; however, a diagnosis could not be reached. Gadolinium (Gd)-enhanced 3-dimensional MRI (3D-MRI) clearly delineated the morphology, enabling us to make a preoperative diagnosis of posterior epidural migration of the lumbar disc fragment (PEMLDF). Furthermore, detailed location information enabled surgical removal of the lesion in a minimally invasive manner.</p><p><strong>Conclusions: </strong>PEMLDF is rare and often difficult to diagnose. Gd-enhanced 3D-MRI provides useful information for the diagnosis and surgical planning for PEMLDF.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059048","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
Intrathoracic Scapular Dislocation After Total Shoulder Arthroplasty. 全肩关节置换术后胸内肩胛骨脱位。
JBJS case connector Pub Date : 2024-11-14 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00168
William R Post, W Ben Kibler
{"title":"Intrathoracic Scapular Dislocation After Total Shoulder Arthroplasty.","authors":"William R Post, W Ben Kibler","doi":"10.2106/JBJS.CC.24.00168","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00168","url":null,"abstract":"<p><strong>Case: </strong>A 75-year-old woman status post total shoulder arthroplasty and posterior rib resection 29 years previously experienced a low-energy intrathoracic scapular dislocation (ISD). Closed reduction under anesthesia was unsuccessful, and she required open surgical repair performed by a novel modification of Kibler's technique for medial scapular muscle repair.</p><p><strong>Conclusion: </strong>This case is unique because increased range of motion after successful arthroplasty allowed her shoulder to flex forward enough to result in ISD. Successful surgical repair was performed by a technique previously not described.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949230","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
Treatment of a Radiation-Associated Femur Fracture with an Intercalary Endoprosthesis: A Case Report. 髓腔内假体治疗放射相关股骨骨折1例。
JBJS case connector Pub Date : 2024-11-14 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.23.00334
Joshua D Johnson, Humaid Al Farii, Valerae O Lewis
{"title":"Treatment of a Radiation-Associated Femur Fracture with an Intercalary Endoprosthesis: A Case Report.","authors":"Joshua D Johnson, Humaid Al Farii, Valerae O Lewis","doi":"10.2106/JBJS.CC.23.00334","DOIUrl":"https://doi.org/10.2106/JBJS.CC.23.00334","url":null,"abstract":"<p><strong>Case: </strong>A 72-year-old woman with undifferentiated pleomorphic sarcoma of the thigh received neoadjuvant chemotherapy and radiotherapy. She underwent wide resection and was scheduled for prophylactic fixation of the femur. However, prophylactic fixation was deferred secondary to COVID-19 pandemic. Unfortunately, when stepping out of an elevator, she sustained femur fracture. The fracture was treated with a cemented intercalary endoprosthesis. Three-year follow-up reveals stable fixation without any failure.</p><p><strong>Conclusion: </strong>Postradiation fractures are challenging. Delayed union, nonunion, and infection are associated with internal fixation. To the best of our knowledge, this is the first report of intercalary endoprosthesis used for primary management of radiation-associated femur fracture.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949178","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
Slipped Capital Femoral Epiphysis in an Adolescent Undergoing Gender-Affirming Therapy with a Gonadal-Releasing Hormone Analog: A Case Report. 用性腺释放激素类似物进行性别确认治疗的青少年股骨头骨骺滑动一例报告。
JBJS case connector Pub Date : 2024-11-14 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.23.00689
Elizabeth W Foo, Scott M Bolam
{"title":"Slipped Capital Femoral Epiphysis in an Adolescent Undergoing Gender-Affirming Therapy with a Gonadal-Releasing Hormone Analog: A Case Report.","authors":"Elizabeth W Foo, Scott M Bolam","doi":"10.2106/JBJS.CC.23.00689","DOIUrl":"10.2106/JBJS.CC.23.00689","url":null,"abstract":"<p><strong>Case: </strong>Physeal stability in slipped capital femoral epiphysis (SCFE) depends on integrity of the hypertrophic zone. This in turn is affected by imbalance between circulating growth hormones and gonadal hormones. This case describes the occurrence of SCFE in a Māori (indigenous New Zealander) transgender girl, undergoing gender-affirming therapy with a gonadal-releasing hormone analog (GnRHa).</p><p><strong>Conclusion: </strong>Surgeons and clinicians alike should be aware that GnRHa in gender-affirming therapy may confer an additional risk factor, lowering the threshold required for SCFE to occur. Counseling patients about potentially increased risk, and need for timely presentation could be warranted, particularly in high-risk individuals.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949239","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
Craniovertebral Junction Tuberculosis, a Rare Presentation With Hypoglossal and Facial Nerve Palsy: A Case Report. 颅椎交界处结核伴舌下面神经麻痹1例。
JBJS case connector Pub Date : 2024-11-14 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00266
Aman Verma, Vikas Olkha, Siddharth Sekhar Sethy, Vishal Verma, Nikhil Goyal, Pankaj Kandwal
{"title":"Craniovertebral Junction Tuberculosis, a Rare Presentation With Hypoglossal and Facial Nerve Palsy: A Case Report.","authors":"Aman Verma, Vikas Olkha, Siddharth Sekhar Sethy, Vishal Verma, Nikhil Goyal, Pankaj Kandwal","doi":"10.2106/JBJS.CC.24.00266","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00266","url":null,"abstract":"<p><strong>Case: </strong>A 47-year-old man presented with neck pain, restricted neck movements, along with involvement of facial and hypoglossal nerve. On the basis of clinico-radiological correlation, the patient was diagnosed with craniovertebral junction tuberculosis and was started on antitubercular therapy (ATT). Failing the conservative trial, the patient was operated and occipitocervical fusion was done with bone grafting. After 12 months of ATT intake, he showed complete recovery of the facial and hypoglossal nerve, with complete resolution of instability pain.</p><p><strong>Conclusion: </strong>Craniovertebral junction tuberculosis is uncommon, and its manifestation with cranial nerves involvement is even more rare. Meticulous clinico-radiological assessment should be done to diagnose and plan the treatment. Early recognition and prompt initiation of ATT, along with timely surgical intervention, when necessary, are crucial for optimal management and outcomes.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949219","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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