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Acute Septic Arthritis Caused by Finegoldia magna After ACL Reconstruction Diagnosed by PCR: A Case Report. PCR诊断前交叉韧带重建后大骨裂致急性脓毒性关节炎1例。
JBJS case connector Pub Date : 2026-06-05 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00018
Kushal Hippalgaonkar, Yashwanth Reddy, Ravi Teja Kandikuppa, Niranjan Ghag, Annapareddy Venkata Gurava Reddy
{"title":"Acute Septic Arthritis Caused by Finegoldia magna After ACL Reconstruction Diagnosed by PCR: A Case Report.","authors":"Kushal Hippalgaonkar, Yashwanth Reddy, Ravi Teja Kandikuppa, Niranjan Ghag, Annapareddy Venkata Gurava Reddy","doi":"10.2106/JBJS.CC.26.00018","DOIUrl":"https://doi.org/10.2106/JBJS.CC.26.00018","url":null,"abstract":"<p><strong>Case: </strong>A 35-year-old immunocompetent woman presented 4 weeks after anterior cruciate ligament reconstruction with acute knee pain, swelling, erythema, restricted motion, and markedly elevated inflammatory markers. Synovial fluid Gram stain was negative, and preliminary cultures showed no growth. Rapid multiplex polymerase chain reaction (PCR) identified Finegoldia magna within hours. The patient underwent prompt arthroscopic debridement with graft retention and received 6 weeks of pathogen-directed antibiotics. Intraoperative anaerobic cultures subsequently confirmed F. magna. At the 1-year follow-up, she had full recovery without recurrence.</p><p><strong>Conclusion: </strong>This case highlights the diagnostic value of rapid multiplex PCR in culture-negative postoperative infections, enabling early targeted therapy and graft preservation.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148175924","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 Static Posterior Shoulder Subluxation Through Correction of Acromial and Glenoid Deformities (SCOPE) Is Maintained at 5 Years: A Concise Follow-up of a Previous Report. 通过矫正肩峰和肩关节畸形（SCOPE）矫正静态后肩半脱位的时间维持在5年：对先前报告的简明随访。
JBJS case connector Pub Date : 2026-05-28 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00043
Christian Gerber, Bastian Sigrist, Bettina Hochreiter
{"title":"Correction of Static Posterior Shoulder Subluxation Through Correction of Acromial and Glenoid Deformities (SCOPE) Is Maintained at 5 Years: A Concise Follow-up of a Previous Report.","authors":"Christian Gerber, Bastian Sigrist, Bettina Hochreiter","doi":"10.2106/JBJS.CC.26.00043","DOIUrl":"10.2106/JBJS.CC.26.00043","url":null,"abstract":"<p><strong>Case: </strong>We previously described a 3D planned, corrective osteotomy of acromion and glenoid which restored normal scapular anatomy in a 40-year-old patient suffering from pain and mild glenohumeral osteoarthritis associated with static posterior shoulder subluxation. Recentering of the joint and pain-free, full shoulder function as documented at 24 months persisted at 5 years, without any evidence of progression of osteoarthritis.</p><p><strong>Conclusion: </strong>Normalizing the malformations of acromion and glenoid typically associated with posterior shoulder subluxation can revert static subluxation and at least halt progression of osteoarthritis until 5 years postoperatively at least in the absence of advanced glenoid destruction.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13218572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148054572","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
Bilateral Traumatic Calcaneocuboid Joint Instability Treated With the Modified Tunnel Technique: A Case Report. 改良隧道技术治疗双侧外伤性跟骰关节不稳1例。
JBJS case connector Pub Date : 2026-05-22 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00408
Pradeep Moonot, Nishant Jaiswal, Kunal Chaudhari, Lulu Damsas, Sagar Chaudhari
{"title":"Bilateral Traumatic Calcaneocuboid Joint Instability Treated With the Modified Tunnel Technique: A Case Report.","authors":"Pradeep Moonot, Nishant Jaiswal, Kunal Chaudhari, Lulu Damsas, Sagar Chaudhari","doi":"10.2106/JBJS.CC.25.00408","DOIUrl":"10.2106/JBJS.CC.25.00408","url":null,"abstract":"<p><strong>Case: </strong>A 39-year-old woman sustained simultaneous bilateral calcaneocuboid joint (CCJ) injuries. MRI showed injured calcaneocuboid and bifurcate ligaments with a small osteochondral lesion at the calcaneal aspect bilaterally. After failed conservative medical treatment and rest, the patient underwent a unique procedure for simultaneous bilateral CCJ reconstruction using fiber-tape. Visual analogue score, Foot and ankle Disability index score, short form-12 (MCS), and (PCS) improved from preoperative scores of 8, 22.8%, 30.1, and 27.4, respectively, to 2, 72.8%, 61.2, and 50.6, respectively, at 2 years of follow-up.</p><p><strong>Conclusion: </strong>This technique was a simple, easy, method of CCJ stabilization with a good outcome and minimal morbidity in this patient.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005385","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 Congenital Kyphoscoliosis Treatment: Opening Wedge Osteotomy, Convex Tether Cord Fusion, Rib Distraction: A Case Report. 新型先天性脊柱后凸治疗：开放楔形截骨，凸系索融合，肋骨牵引：1例报告。
JBJS case connector Pub Date : 2026-05-22 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00596
Vivien Chan, Samantha Snyder, Muhammad Mukarram, Elaine Butterworth, David L Skaggs
{"title":"Novel Congenital Kyphoscoliosis Treatment: Opening Wedge Osteotomy, Convex Tether Cord Fusion, Rib Distraction: A Case Report.","authors":"Vivien Chan, Samantha Snyder, Muhammad Mukarram, Elaine Butterworth, David L Skaggs","doi":"10.2106/JBJS.CC.25.00596","DOIUrl":"10.2106/JBJS.CC.25.00596","url":null,"abstract":"<p><strong>Case: </strong>A 2-year-old girl with congenital kyphoscoliosis and preoperative Cobb angle of 107°, presented with multiple congenital anomalies (T7-T8, L3-L4). She underwent a concave opening wedge osteotomy with convex posterior instrumentation using a tether cord (T8-L1 with allograft). At 42 months postoperatively, her coronal balance was improved.</p><p><strong>Conclusion: </strong>A posterolateral convex quadrant fusion using a tether cord and bone grafting with concave opening wedge osteotomy and rib-to-rib distraction achieved significant correction at the time of surgery. This is a viable option for skeletally immature patients with complex congenital deformities that preserves future surgical options.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005087","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
Total Hip Arthroplasty Using Temporary External Fixation for Limb Control in Short Transfemoral Amputation: A Case Report. 全髋关节置换术中使用临时外固定物控制肢体：一例报告。
JBJS case connector Pub Date : 2026-05-22 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00024
Musashi Ima, Tamon Kabata, Hidenori Matsubara, Daisuke Inoue, Yu Yanagi, Satoru Demura
{"title":"Total Hip Arthroplasty Using Temporary External Fixation for Limb Control in Short Transfemoral Amputation: A Case Report.","authors":"Musashi Ima, Tamon Kabata, Hidenori Matsubara, Daisuke Inoue, Yu Yanagi, Satoru Demura","doi":"10.2106/JBJS.CC.26.00024","DOIUrl":"10.2106/JBJS.CC.26.00024","url":null,"abstract":"<p><strong>Case: </strong>A 61-year-old man with a short residual limb after traumatic transfemoral amputation developed progressive ipsilateral hip osteoarthritis with severe pain during prosthetic gait. Intraoperative limb control was challenging because of the absence of a distal lever arm. A temporary circular external fixation system was applied to the proximal femur before preparation, enabling traction and rotation. Total hip arthroplasty was completed successfully. At 1 year postoperatively, the patient demonstrated substantial pain relief and improved prosthetic gait without instability or implant-related complications.</p><p><strong>Conclusion: </strong>Temporary external fixation provides reproducible intraoperative limb control during total hip arthroplasty in patients with short residual limbs.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005009","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
Asymptomatic L5 Spondylolysis Does Not Necessarily Preclude Elite Gymnastics Participation: A Case Report. 无症状L5峡部裂并不一定妨碍精英体操的参加：一个病例报告。
JBJS case connector Pub Date : 2026-05-22 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00120
Brigita Budginas, Prudhvi Kodali, David L Skaggs
{"title":"Asymptomatic L5 Spondylolysis Does Not Necessarily Preclude Elite Gymnastics Participation: A Case Report.","authors":"Brigita Budginas, Prudhvi Kodali, David L Skaggs","doi":"10.2106/JBJS.CC.26.00120","DOIUrl":"10.2106/JBJS.CC.26.00120","url":null,"abstract":"<p><strong>Case: </strong>An 8-year-old girl world-level rhythmic gymnast was diagnosed with bilateral L5 pars interarticularis defects and was asymptomatic. Imaging showed bilateral spondylolysis without spondylolisthesis or degeneration. Despite recommendations for sport restriction and external scrutiny, she continued elite training under specialist surveillance. Serial imaging over 18 years demonstrated persistent defects without progression. She competed internationally for >10 years without pain or limitation.</p><p><strong>Conclusion: </strong>Bilateral pediatric spondylolysis may remain clinically and radiographically stable despite extreme loading. This case highlights the importance of symptom-guided management and the psychosocial consequences of restrictive recommendations when radiographic findings do not correlate with clinical outcomes.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005341","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
Fixation Failure After Healing of an Adolescent Posterior Wall Acetabular Fracture Without Growth Disturbance: A Case Report. 无生长障碍的青少年髋臼后壁骨折愈合后固定失败一例报告。
JBJS case connector Pub Date : 2026-05-22 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00026
Mason J Price, Jonathan D Ellis, Clay A Spitler
{"title":"Fixation Failure After Healing of an Adolescent Posterior Wall Acetabular Fracture Without Growth Disturbance: A Case Report.","authors":"Mason J Price, Jonathan D Ellis, Clay A Spitler","doi":"10.2106/JBJS.CC.26.00026","DOIUrl":"10.2106/JBJS.CC.26.00026","url":null,"abstract":"<p><strong>Case: </strong>An 11-year-old boy sustained a right posterior wall acetabulum fracture treated with open reduction and internal fixation using a 2.7-mm buttress plate that spanned the triradiate cartilage with planned removal at 6 months. The patient was lost to follow-up and returned at age 14 with a normal, pain-free hip. Radiographs showed a healed fracture with no acetabular deformity or growth disturbance; however, his posterior wall plate screws were broken.</p><p><strong>Conclusion: </strong>In skeletally immature patients undergoing acetabulum fixation, retained physeal-spanning fixation constructs may fail secondary to continued pelvic growth rather than cause meaningful growth disturbance, and routine removal may be unnecessary.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005361","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 Lipofibromatous Hamartoma of the Median Nerves Presenting as Longstanding Carpal Tunnel Syndrome: A Case Report. 双侧正中神经脂肪纤维瘤错构瘤表现为长期腕管综合征1例报告。
JBJS case connector Pub Date : 2026-05-22 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00089
Amin Abukar, Pablo Alfonso Palanca, Aryan Hunjan, Nimalesh Yogarajah, Anna Panagiotidou, Ashley Simpson
{"title":"Bilateral Lipofibromatous Hamartoma of the Median Nerves Presenting as Longstanding Carpal Tunnel Syndrome: A Case Report.","authors":"Amin Abukar, Pablo Alfonso Palanca, Aryan Hunjan, Nimalesh Yogarajah, Anna Panagiotidou, Ashley Simpson","doi":"10.2106/JBJS.CC.26.00089","DOIUrl":"10.2106/JBJS.CC.26.00089","url":null,"abstract":"<p><strong>Case: </strong>A 44-year-old woman presented with longstanding bilateral median nerve symptoms refractory to conservative treatment. Nerve conduction studies demonstrated severe bilateral median neuropathy. MRI showed characteristic fibrofatty infiltration of the median nerves, establishing the diagnosis of lipofibromatous hamartoma without biopsy. Sequential extended open carpal tunnel decompression alone was performed on each side, resulting in complete symptom resolution at the 1-year follow-up.</p><p><strong>Conclusion: </strong>Lipofibromatous hamartoma should be considered in patients with atypical or early-onset carpal tunnel syndrome. This case highlights MRI as a noninvasive diagnostic tool and demonstrates that carpal tunnel decompression alone can achieve durable relief, avoiding biopsy, and nerve excision morbidity.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005318","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
Synthetic CT Minimizes Radiation in Robot-Assisted Pediatric Spondylolysis and Spondylolisthesis Surgery: A Report of 3 Cases. 合成CT在机器人辅助儿童峡部裂和峡部滑脱手术中最大限度地减少辐射：附3例报告。
JBJS case connector Pub Date : 2026-05-22 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.25.00722
Jalen Dansby, James P Caruso, Kenneth Illingworth, David L Skaggs
{"title":"Synthetic CT Minimizes Radiation in Robot-Assisted Pediatric Spondylolysis and Spondylolisthesis Surgery: A Report of 3 Cases.","authors":"Jalen Dansby, James P Caruso, Kenneth Illingworth, David L Skaggs","doi":"10.2106/JBJS.CC.25.00722","DOIUrl":"10.2106/JBJS.CC.25.00722","url":null,"abstract":"<p><strong>Cases: </strong>Three adolescent athletes ages 15 to 16 years with symptomatic L5-S1 spondylolysis and spondylolisthesis underwent surgical treatment. Two patients underwent direct pars repair, and the other patient underwent L5/S1 anterior lumbar interbody fusion with posterior percutaneous pedicle screw fixation. Robot-assisted posterior screw placement was planned and executed using MRI-generated synthetic CT (sCT). Each patient noted improvements in back pain and ambulation postoperatively.</p><p><strong>Conclusion: </strong>These are the first reported cases using sCT-guidance for robot-assisted spine surgery. This enabling technology minimizes radiation by avoiding a preoperative CT and intraoperative 3D scan.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005023","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
Reconstruction of a Proximal Phalangeal Base Volar Fracture-Dislocation Using Distal Tibial Allograft: A Case Report. 胫骨远端同种异体移植重建近端指骨基底掌侧骨折脱位1例。
JBJS case connector Pub Date : 2026-05-22 eCollection Date: 2026-04-01 DOI: 10.2106/JBJS.CC.26.00017
Stephanie W Holzmer, Dafang Zhang
{"title":"Reconstruction of a Proximal Phalangeal Base Volar Fracture-Dislocation Using Distal Tibial Allograft: A Case Report.","authors":"Stephanie W Holzmer, Dafang Zhang","doi":"10.2106/JBJS.CC.26.00017","DOIUrl":"10.2106/JBJS.CC.26.00017","url":null,"abstract":"<p><strong>Case: </strong>A 65-year-old man presented with an index finger dorsal combined saw injury. Examination showed exposed articular defect of the index finger proximal phalangeal base and extensor lag. The proximal phalangeal base articular defect was reconstructed using distal tibial osteochondral allograft and the tendon injury reconstructed with a turn-down interposition graft. The patient attained a painless functional arc of motion at 17 months postoperatively.</p><p><strong>Conclusion: </strong>Proximal phalangeal base fracture-dislocations with partial-articular bone loss pose reconstructive challenges. We present a rare case of proximal phalangeal base articular reconstruction using distal tibial osteochondral allograft.</p><p><strong>Level of evidence: </strong>Level V.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005027","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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