JBJS case connectorPub Date : 2024-07-19eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.24.00101
Cody C Ashy, Henry Bg Baird, Harris S Slone, W Michael Pullen
{"title":"Snapping Complication After Partial-Thickness Quadriceps Tendon Autograft Anterior Cruciate Ligament Reconstruction: A Report of 2 Cases.","authors":"Cody C Ashy, Henry Bg Baird, Harris S Slone, W Michael Pullen","doi":"10.2106/JBJS.CC.24.00101","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00101","url":null,"abstract":"<p><strong>Case: </strong>A 14-year-old adolescent girl and 18-year-old man underwent right anterior cruciate ligament (ACL) reconstruction using quadriceps tendon (QT) autografts via partial-thickness harvest. While both patients initially recovered well, later they experienced a painful snapping in their knee localized to the lateral QT, just proximal to the patella. Surgical completion of the previous partial-thickness defect with imbrication provided resolution of symptoms at 4 and 9 months postoperatively, respectively.</p><p><strong>Conclusion: </strong>We present a snapping QT as a rare complication of partial-thickness QT harvest for ACL reconstruction. Surgical completion of the partial-thickness defect with imbrication resolved the snapping sensation in these two cases.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727122","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}
JBJS case connectorPub Date : 2024-07-15eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.24.00075
Sean G Hernandez, Ryan G McQueen, John B Erickson
{"title":"Osseous Triceps Avulsion in a 12-Year-Old Girl: A Case Report.","authors":"Sean G Hernandez, Ryan G McQueen, John B Erickson","doi":"10.2106/JBJS.CC.24.00075","DOIUrl":"10.2106/JBJS.CC.24.00075","url":null,"abstract":"<p><strong>Case: </strong>A 12-year-old girl presented with significant right elbow pain following a fall during soccer which caused an osseous triceps avulsion injury and nondisplaced type II Salter-Harris radial neck fracture. The patient was treated with successful open repair utilizing suture anchor fixation, resulting in full return of function and return to previous activities.</p><p><strong>Conclusion: </strong>Timely and accurate diagnosis and treatment of displaced triceps sleeve avulsion injuries is critical and can result in excellent patient outcomes and return to previous functional level. This unique case contributes to the diagnosis and management of this rare condition in pediatric populations.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619922","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}
JBJS case connectorPub Date : 2024-07-11eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.23.00639
Morad Chughtai, Ryan Parrish, Arman Tabarestani, Courtney Dougherty, Robert C Matthias, Paul C Dell
{"title":"Central Tendon Tenotomy for Management of Extrinsic Extensor Tightness of the Hand: Surgical Technique and Case Reports.","authors":"Morad Chughtai, Ryan Parrish, Arman Tabarestani, Courtney Dougherty, Robert C Matthias, Paul C Dell","doi":"10.2106/JBJS.CC.23.00639","DOIUrl":"10.2106/JBJS.CC.23.00639","url":null,"abstract":"<p><strong>Case: </strong>We present a 67-year-old woman with long finger extrinsic extensor tightness and a 56-year-old man with limited index finger flexion due to extrinsic extensor tightness secondary to tendon transfers for radial nerve palsy. Both patients underwent prior surgical procedures that led to limited range of motion (ROM). Subsequently, they elected for central tendon tenotomy (CTT), which demonstrated postoperative ROM improvement and satisfactory patient outcomes.</p><p><strong>Conclusion: </strong>Surgical management of extrinsic extensor tendon tightness of the hand is generally addressed by performing tenolysis to improve tendon excursion. We present a novel and simple technique of CTT with pertinent anatomy, descriptive cases, and a cadaveric video.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141590321","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}
JBJS case connectorPub Date : 2024-07-11eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.24.00134
Aditya S Yadav, Sai Suraj Kollapaneni, Doyle Wallace, Cory A Bryan
{"title":"Intercondylar T-Type Distal Humerus Fracture in a 10-Year-Old: A Case Report.","authors":"Aditya S Yadav, Sai Suraj Kollapaneni, Doyle Wallace, Cory A Bryan","doi":"10.2106/JBJS.CC.24.00134","DOIUrl":"10.2106/JBJS.CC.24.00134","url":null,"abstract":"<p><strong>Case: </strong>A 10-year-old, postmenarchal girl presented to the emergency department with a closed, displaced, intercondylar T-type distal humerus fracture. Open reduction and internal fixation was performed 3 days following initial presentation. The patient healed but experienced elbow stiffness in the 7 months following the procedure. Implant removal and capsular release were performed at that time. At the 31-month follow-up, the patient reported satisfactory elbow functionality.</p><p><strong>Conclusion: </strong>There is limited literature available discussing optimal management and associated outcomes of intercondylar T-type distal humerus fractures in the young-adolescent population. This report presents a possible method for management of the initial injury and the most common associated complication.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141590322","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}
JBJS case connectorPub Date : 2024-07-11eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.23.00643
Hossein Mehdian, Dritan Pasku, Elie Najjar, Nasir A Quraishi
{"title":"Successful Management by Posterior Approach Only of a Highly Comminuted L4 Fracture with 8 years of Follow-up: A Case Report.","authors":"Hossein Mehdian, Dritan Pasku, Elie Najjar, Nasir A Quraishi","doi":"10.2106/JBJS.CC.23.00643","DOIUrl":"10.2106/JBJS.CC.23.00643","url":null,"abstract":"<p><strong>Case: </strong>A 28-year old male patient was involved in a RTA and sustained a highly comminuted L4 burst fracture with more than 90% canal compromise.Considering the complete loss of power in the respective myotomes but the preservation of sacral sparing there were controversially different surgical options. We successfully performed a posterior only surgical procedure, which applied a modified transpedicle access technique to decompress the spinal canal and to restore the anterior column, achieving full neurological recovery at the final follow-up.</p><p><strong>Conclusion: </strong>A well-planned and executed posterior surgery alone can achieve excellent clinical and radiological result in the treatment of severely comminuted lumbar fractures.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141590324","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}
JBJS case connectorPub Date : 2024-07-11eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.24.00050
Robert Dow, Scott Gronowicz, Matthew Aceto, Alan Daniels, Bassel Diebo, Gino Chiappetta, Maahir Haque
{"title":"Single-Position Synchronal Management of Metastatic Prostate Cancer of the Spine and Femur Using Prone Nailing: A Case Report.","authors":"Robert Dow, Scott Gronowicz, Matthew Aceto, Alan Daniels, Bassel Diebo, Gino Chiappetta, Maahir Haque","doi":"10.2106/JBJS.CC.24.00050","DOIUrl":"10.2106/JBJS.CC.24.00050","url":null,"abstract":"<p><strong>Case: </strong>A 71-year-old man with castration-resistant Stage IVB prostate cancer developed symptomatic oligometastatic disease in the lumbar spine and bilateral proximal femurs. He was treated with a single-position L2-L4 kyphoplasty with concomitant prone left-sided femoral prophylactic cephalomedullary nailing. Six months later when he again lost the ability to ambulate, he was treated with a single-position L4-L5 laminectomy for an epidural tumor with prone right-sided femoral prophylactic cephalomedullary nailing.</p><p><strong>Conclusion: </strong>Single-position prone surgery of the spine and prone femoral nailing is feasible and improves on traditional multiposition approaches, eliminating the need to reposition or change tables during management.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141590323","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}
JBJS case connectorPub Date : 2024-07-05eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.23.00653
Tej D Azad, Divyaansh Raj, Ethan S Srinivasan, Ali Bydon
{"title":"Subdural Extra-arachnoid Hygroma Because of Occult Distal Durotomy After Minimally Invasive Decompression: A Case Report.","authors":"Tej D Azad, Divyaansh Raj, Ethan S Srinivasan, Ali Bydon","doi":"10.2106/JBJS.CC.23.00653","DOIUrl":"10.2106/JBJS.CC.23.00653","url":null,"abstract":"<p><strong>Case: </strong>We present the case of a 59-year-old man who had MIS L4-5 decompression. He presented the next day with intractable back and leg pain. Magnetic resonance imaging revealed ventral displacement of the cauda equina and a subdural collection on the right L3/L4 nerve roots. Revision decompression revealed occult durotomy caudal and contralateral to the index decompression.</p><p><strong>Conclusion: </strong>Minimally invasive spine (MIS) surgery leverages shorter operative time and reduced postoperative pain. Yet, decreased exposure can make identification and management complications challenging. This report highlights occult durotomy and spinal subdural extra-arachnoid hygroma in patients with postoperative nerve compression after seemingly uncomplicated MISS.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141537856","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}
{"title":"Multifocal Bizarre Parosteal Osteocartilaginous Proliferation of the Foot: A Case Report.","authors":"Khodamorad Jamshidi, Babak Toloue Ghamari, Parisa Mokhles, Fateme Mohammadi Aniloo","doi":"10.2106/JBJS.CC.23.00678","DOIUrl":"10.2106/JBJS.CC.23.00678","url":null,"abstract":"<p><strong>Case: </strong>Bizarre parosteal osteocartilaginous proliferation (BPOP) is rare, especially in the foot. To the best of our knowledge, multifocal BPOP has yet to be reported. We are reporting a case of a 40-year-old woman who presented with 4 bumps over her midfoot and toes. After staging studies, we excised the lesions, and histopathology confirmed BPOP. No local recurrence was observed at the end of the 2-year follow-up.</p><p><strong>Conclusion: </strong>BPOP should be considered in the differential diagnosis of multiple foot bumps, whether synchronous or metachronous, which may present multifocally in the foot.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141537855","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}
JBJS case connectorPub Date : 2024-07-05eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.23.00645
Shigeki Ishibashi, Rikuo Shinomiya, Yuta Hayashi, Masakazu Ishikawa, Nobuo Adachi
{"title":"A Unique Approach to Irreparable Radial Head Fracture Using an Osteochondral Plug: A Case Report.","authors":"Shigeki Ishibashi, Rikuo Shinomiya, Yuta Hayashi, Masakazu Ishikawa, Nobuo Adachi","doi":"10.2106/JBJS.CC.23.00645","DOIUrl":"https://doi.org/10.2106/JBJS.CC.23.00645","url":null,"abstract":"<p><strong>Case: </strong>An 18-year-old male patient sustained a traumatic injury that resulted in the loss of approximately 50% of the radial head. Subsequently, reconstruction was performed by transplanting an osteochondral plug harvested from the lateral femoral condyle. At the 1-year postoperative follow-up, the patient was pain-free and had a good range of motion.</p><p><strong>Conclusion: </strong>Using a novel technique, an irreparable radial head fracture was reconstructed using an osteochondral plug from the lateral femoral condyle. Reconstruction with osteochondral plugs may be a treatment option for partial loss of the radial head.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141537853","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}
JBJS case connectorPub Date : 2024-07-05eCollection Date: 2024-07-01DOI: 10.2106/JBJS.CC.23.00648
Sean V Cahill, Jacob M Buchowski, John S A Chrisinger, Matthew L Goodwin
{"title":"Fibrocartilaginous Mesenchymoma of the Spine: A Case Report.","authors":"Sean V Cahill, Jacob M Buchowski, John S A Chrisinger, Matthew L Goodwin","doi":"10.2106/JBJS.CC.23.00648","DOIUrl":"10.2106/JBJS.CC.23.00648","url":null,"abstract":"<p><strong>Case: </strong>A healthy, 19-year-old woman was incidentally found to have a large, destructive tumor of T11 without neurologic symptoms. Biopsy demonstrated fibrocartilaginous mesenchymoma (FCM). The patient was treated with resection including subtotal corpectomy and T8-L1 fusion with use of cage and allograft strut construct. The patient remained without recurrence over 3 years of follow-up.</p><p><strong>Conclusion: </strong>FCM arising from the spine is a rare tumor, of which this is the sixth report. FCM affects primarily young adults and is benign but locally aggressive, requiring complete excision to prevent recurrence.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141537854","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}