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A Rare Intracortical Schwannoma of the Distal Tibia: A Case Report. 胫骨远端罕见的皮质内许旺瘤：病例报告。
JBJS case connector Pub Date : 2024-10-31 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00355
Savannah D Groves, Luai Mustafa, Andrea Evenski
{"title":"A Rare Intracortical Schwannoma of the Distal Tibia: A Case Report.","authors":"Savannah D Groves, Luai Mustafa, Andrea Evenski","doi":"10.2106/JBJS.CC.24.00355","DOIUrl":"10.2106/JBJS.CC.24.00355","url":null,"abstract":"<p><strong>Case: </strong>A 28-year-old man presented for a painful lower extremity mass. Imaging revealed a nonspecific, poorly defined lucent lesion in the left distal tibial cortex with scalloping. The diagnosis of intracortical schwannoma was made after open biopsy revealed positive S-100 immunohistochemical staining and characteristic spindled cells. Definitive management was achieved through curettage and bone grafting. Six months postoperatively, the patient's pain had improved with complete radiographic healing.</p><p><strong>Conclusion: </strong>An intracortical schwannoma is a rare, benign lesion which may have atypical radiological findings and nonspecific presentations. Definitive diagnosis is made with permanent histology and S-100 immunohistochemical staining.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557860","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
Correction of a Golf Club Deformity of the Femur Using a Computer-Assisted Circular Ring Fixator: A Case Report. 使用计算机辅助环形固定器矫正高尔夫球杆股骨畸形：病例报告。
JBJS case connector Pub Date : 2024-10-31 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00265
Margaret A Goodwin, Brady P Moore, John C Hagedorn
{"title":"Correction of a Golf Club Deformity of the Femur Using a Computer-Assisted Circular Ring Fixator: A Case Report.","authors":"Margaret A Goodwin, Brady P Moore, John C Hagedorn","doi":"10.2106/JBJS.CC.24.00265","DOIUrl":"10.2106/JBJS.CC.24.00265","url":null,"abstract":"<p><strong>Case: </strong>The golf club deformity is the most notable malreduction that occurs after distal femur fracture fixation. This can lead to disruption of the patient's knee biomechanics, arthritis, and functional deterioration. There is a lack of consensus for optimal treatment of these malunions among the orthopaedic community. We present a technique that uses an osteotomy and ring external fixation with computer-assisted deformity correction and retrograde intramedullary nailing to secure correction.</p><p><strong>Conclusion: </strong>Our case shows a potential means to achieve a reliable and objective method of measuring, correcting, and securing the fixation of a golf club deformity.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557861","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
Fourteen-Year-Old Male Football Player with Lesser Tuberosity Avulsion Fracture: Open Transosseous Equivalent Suture Repair: A Case Report. 14岁男性足球运动员小关节突撕脱骨折：开放式经骨等值缝合修复术：病例报告。
JBJS case connector Pub Date : 2024-10-31 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00204
James M Puleo, Andrew D Posner, Michael C Kuna, Joseph P Zimmerman
{"title":"Fourteen-Year-Old Male Football Player with Lesser Tuberosity Avulsion Fracture: Open Transosseous Equivalent Suture Repair: A Case Report.","authors":"James M Puleo, Andrew D Posner, Michael C Kuna, Joseph P Zimmerman","doi":"10.2106/JBJS.CC.24.00204","DOIUrl":"10.2106/JBJS.CC.24.00204","url":null,"abstract":"<p><strong>Case: </strong>We report a case of a lesser tuberosity avulsion fracture in a 14-year-old adolescent boy who presented to Orthopaedic Urgent Care where he was promptly diagnosed after magnetic resonance imaging. The patient was successfully treated with an open transosseous equivalent suture repair 3 weeks after initial injury.</p><p><strong>Conclusion: </strong>The purpose of this case report was to advance the understanding of these injuries, enable appropriate diagnosis and treatment, and optimize patient's shoulder outcomes and return to sport.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557863","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
Posterior Column Release and Lengthening with a Magnetic Growing Rod Construct in Severe Congenital Thoracic Fusion: A Report of 2 Cases. 严重先天性胸椎融合术中的后柱松解和磁性生长棒延长术：两个病例的报告
JBJS case connector Pub Date : 2024-10-24 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00256
Michael Trask, Jonathan T Yamaguchi, Gregory Redding, Burt Yaszay, Samuel Browd, Klane K White
{"title":"Posterior Column Release and Lengthening with a Magnetic Growing Rod Construct in Severe Congenital Thoracic Fusion: A Report of 2 Cases.","authors":"Michael Trask, Jonathan T Yamaguchi, Gregory Redding, Burt Yaszay, Samuel Browd, Klane K White","doi":"10.2106/JBJS.CC.24.00256","DOIUrl":"10.2106/JBJS.CC.24.00256","url":null,"abstract":"<p><strong>Case: </strong>We describe treatment of severe multilevel congenital thoracic fusion in a 3-year-old girl with Apert Syndrome by posterior element excision, posterior column osteotomies, and gradual distraction with magnetically controlled growing rods (MCGR) with 3-year follow-up. We also describe short-term follow-up with similar management in an 8-year-old patient with a congenitally fused thoracic spine from Jarcho-Levin syndrome.</p><p><strong>Conclusion: </strong>Posterior element resection and targeted posterior column osteotomies combined with gradual distraction with MCGR offers a promising treatment course for children with severe thoracic insufficiency syndrome derived from congenital fusions.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500750","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
Unilateral Biportal Endoscopic Discectomy for Adjacent Segment C7-D1 Disk with O-Arm Navigation: A Unique Case Report. 单侧双侧内窥镜椎间盘切除术治疗相邻节段 C7-D1 椎间盘，采用 O 型臂导航：一个独特的病例报告。
JBJS case connector Pub Date : 2024-10-24 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00129
Shailesh Hadgaonkar, Bhushan Balvantrao Patil, Parag K Sancheti
{"title":"Unilateral Biportal Endoscopic Discectomy for Adjacent Segment C7-D1 Disk with O-Arm Navigation: A Unique Case Report.","authors":"Shailesh Hadgaonkar, Bhushan Balvantrao Patil, Parag K Sancheti","doi":"10.2106/JBJS.CC.24.00129","DOIUrl":"10.2106/JBJS.CC.24.00129","url":null,"abstract":"<p><strong>Case: </strong>43-year-old man with an adjacent segment C7-D1 left paracentral and foraminal disk and left-hand grip weakness underwent unilateral biportal endoscopic discectomy with O-arm navigation. The patient underwent C5-6 and C6-7 anterior cervical discectomy and fusion (ACDF) 10 years ago and was asymptomatic for nearly 10 years.</p><p><strong>Conclusion: </strong>In revision of the cervical spine with a short neck, cervicothoracic junctional disks can be precisely located using O-arm navigation and effectively removed with a minimally invasive unilateral biportal endoscopy approach.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500751","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
Popliteal Artery Stent Thrombosis After Multiligamentous Knee Injury Reconstruction: A Case Report. 多韧带膝关节损伤重建术后腘动脉支架血栓形成：病例报告。
JBJS case connector Pub Date : 2024-10-24 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00225
Joseph Jon Yin Wan, Grace I-Ling Tan, Siti Mastura Rahim
{"title":"Popliteal Artery Stent Thrombosis After Multiligamentous Knee Injury Reconstruction: A Case Report.","authors":"Joseph Jon Yin Wan, Grace I-Ling Tan, Siti Mastura Rahim","doi":"10.2106/JBJS.CC.24.00225","DOIUrl":"10.2106/JBJS.CC.24.00225","url":null,"abstract":"<p><strong>Case: </strong>A 44-year-old man sustained a thrombosed popliteal artery after a closed left knee dislocation after a high-energy motor vehicle collision. He underwent emergency open popliteal artery embolectomy, with insertion of endovascular stent. After arthroscopic multiligamentous knee injury reconstruction (MLKI-R) on day 18 after injury, he developed stent thrombosis, which resolved with urgent percutaneous thrombectomy.</p><p><strong>Conclusion: </strong>This is the first report of popliteal artery stent thrombosis after MLKI-R. Knee surgery in a revascularized limb has remained controversial, but studies are scarce in the literature. Frequent circulation monitoring and vascular specialist availability postoperatively are still key to detecting this complication and early revascularization.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500749","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
Fibroma of Tendon Sheath Arising in the Subacromial Bursa: A Case Report. 起源于肩峰下滑囊的肌腱鞘纤维瘤1例报告。
JBJS case connector Pub Date : 2024-10-24 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00192
Kazuya Tamai, Rie Kodama, Masachika Ikegami, Sakae Tanaka
{"title":"Fibroma of Tendon Sheath Arising in the Subacromial Bursa: A Case Report.","authors":"Kazuya Tamai, Rie Kodama, Masachika Ikegami, Sakae Tanaka","doi":"10.2106/JBJS.CC.24.00192","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00192","url":null,"abstract":"<p><strong>Case: </strong>An 18-year-old woman presented with shoulder pain that had persisted for a year. The magnetic resonance imaging showed a solitary lesion in the subacromial bursa (SAB). Arthroscopy revealed an ovoid mass connected to the bursal wall with thin synovial tissue that was excised en bloc arthroscopically. Histological and molecular genetic examinations confirmed the diagnosis of fibroma of tendon sheath (FTS). The patient was symptom free for 32 months postoperatively.</p><p><strong>Conclusion: </strong>This is the first case in the English literature of an FTS occurring in the SAB. FTS should be included in the differential diagnosis when a nodular lesion is noted in the SAB.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949226","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
Delayed En Bloc Excision of L3 for Metastatic Sacrococcygeal Teratoma on a 1-Year-Old Boy: A Case Report. 一名 1 岁男童因转移性骶尾部畸胎瘤而延迟接受 L3 根部切除术：病例报告。
JBJS case connector Pub Date : 2024-10-24 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.23.00683
Sandra Tötterman, Johanna Syvänen, Marika Grönroos, Maria Gardberg, Arimatias Raitio, Ilkka Helenius
{"title":"Delayed En Bloc Excision of L3 for Metastatic Sacrococcygeal Teratoma on a 1-Year-Old Boy: A Case Report.","authors":"Sandra Tötterman, Johanna Syvänen, Marika Grönroos, Maria Gardberg, Arimatias Raitio, Ilkka Helenius","doi":"10.2106/JBJS.CC.23.00683","DOIUrl":"10.2106/JBJS.CC.23.00683","url":null,"abstract":"<p><strong>Case: </strong>A 1-year old boy was presented with cauda equina syndrome and progressive loss of motor function in lower limbs. MRI and CT scans revealed a sacrococcygeal teratoma with metastases para-aortically and in L3 producing compression into the epidural space. Despite metastases and a progressive cauda equina, neoadjuvant treatment was given to achieve cytoreduction for neurological recovery and facilitate curative treatment.</p><p><strong>Conclusion: </strong>Malignant sacrococcygeal teratoma with intraspinal infiltration or metastasis requires surgical and adjuvant treatment. If primary neurologic function-sparing surgery makes curative treatment impossible, adequate and quick decompression of neural structures with similar results can be achieved by preoperative chemotherapy, avoiding the local spill of malignant cells.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500747","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
Natural Recovery of Very Limited Elbow Flexion After Rare Lateral Humeral Condylar Fracture in a 4-Year-Old Boy: A Case Report. 一名 4 岁男孩罕见的肱骨外侧髁骨折后肘关节屈伸受限的自然恢复：病例报告。
JBJS case connector Pub Date : 2024-10-24 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00098
Koki Ohta, Yuichiro Matsui, Hiroyuki Kato, Daisuke Kawamura, Takeshi Endo, Daisuke Momma, Tamotsu Kamishima, Tatsunori Horie, Hirofumi Miyaji, Norimasa Iwasaki
{"title":"Natural Recovery of Very Limited Elbow Flexion After Rare Lateral Humeral Condylar Fracture in a 4-Year-Old Boy: A Case Report.","authors":"Koki Ohta, Yuichiro Matsui, Hiroyuki Kato, Daisuke Kawamura, Takeshi Endo, Daisuke Momma, Tamotsu Kamishima, Tatsunori Horie, Hirofumi Miyaji, Norimasa Iwasaki","doi":"10.2106/JBJS.CC.24.00098","DOIUrl":"10.2106/JBJS.CC.24.00098","url":null,"abstract":"<p><strong>Case: </strong>A 4-year-old boy developed malunion after open reduction and internal fixation (ORIF) of a rare lateral condylar humeral fracture running from the lateral humerus, through the trochlear cartilage, to the medial trochlea. Five months after ORIF, the active elbow flexion was limited to 50°. Magnetic resonance imaging (MRI) showed a step-off of the anterior trochlear cartilage, causing the limited flexion. After conservative observation for 5 years, the flexion improved to 135° and MRI showed that the step-off had disappeared.</p><p><strong>Conclusion: </strong>This case indicates that it is possible for pediatric patients to recover their range of motion following malunion of an elbow fracture.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500748","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
Nuchal Ligament Reconstruction Surgery for Dropped Head Syndrome: A Case Report. 治疗垂头综合征的颈韧带重建手术：病例报告
JBJS case connector Pub Date : 2024-10-18 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.23.00611
Kenji Endo, Hiroshi Kanai, Yasunobu Sawaji, Takato Aihara, Hidekazu Suzuki, Takamitsu Konishi, Hirosuke Nishimura, Kengo Yamamoto
{"title":"Nuchal Ligament Reconstruction Surgery for Dropped Head Syndrome: A Case Report.","authors":"Kenji Endo, Hiroshi Kanai, Yasunobu Sawaji, Takato Aihara, Hidekazu Suzuki, Takamitsu Konishi, Hirosuke Nishimura, Kengo Yamamoto","doi":"10.2106/JBJS.CC.23.00611","DOIUrl":"https://doi.org/10.2106/JBJS.CC.23.00611","url":null,"abstract":"<p><strong>Case: </strong>An 86-year-old woman suffered from dropped head syndrome (DHS). As she was not willing to undergo fusion surgery, we proposed a novel nuchal ligament reconstruction surgery, which is not a direct correction of the malalignment but rather a recovery of the function of extensor muscles under local anesthesia. Twelve months after surgery, the patient remains satisfied and is able to maintain a horizontal gaze.</p><p><strong>Conclusion: </strong>This is the first report regarding a less invasive nuchal ligament reconstruction surgery successfully performed for DHS.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11486988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465906","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
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