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Reduction and Fixation of Bilateral Sacroiliac Fracture-Dislocations with Pelvic Brim Screws and Robotic-Assisted Lumbopelvic Fixation: A Case Report. 使用骨盆边缘螺钉和机器人辅助腰椎骨盆固定术对双侧骶髂骨骨折-脱位进行复位和固定：病例报告。
JBJS case connector Pub Date : 2024-10-11 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.23.00428
Joshua Helmkamp, Antoinette J Charles, Troy Q Tabarestani, Matthew Brown, Alexandra Paul, Muhammad M Abd-El-Barr, Malcolm R DeBaun
{"title":"Reduction and Fixation of Bilateral Sacroiliac Fracture-Dislocations with Pelvic Brim Screws and Robotic-Assisted Lumbopelvic Fixation: A Case Report.","authors":"Joshua Helmkamp, Antoinette J Charles, Troy Q Tabarestani, Matthew Brown, Alexandra Paul, Muhammad M Abd-El-Barr, Malcolm R DeBaun","doi":"10.2106/JBJS.CC.23.00428","DOIUrl":"https://doi.org/10.2106/JBJS.CC.23.00428","url":null,"abstract":"<p><strong>Case: </strong>A 53-year-old man with bilateral sacroiliac (SI) fracture-dislocations underwent open reduction internal fixation with subsequent loss of fixation. Revision involved the placement of pelvic brim screws and robotic-assisted lumbopelvic fixation, resulting in minimal blood loss and soft-tissue injury. At 3-month follow-up, the patient had healed and was advanced to full weight-bearing status.</p><p><strong>Conclusion: </strong>Percutaneous SI screws and robotic-assisted spinopelvic fixation effectively managed bilateral SI fracture-dislocations, despite narrow osseous corridors, providing adequate stabilization while minimizing complications. The combination of these 2 techniques helped overcome anatomical limitations and reduced technical challenges, leading to a successful short-term outcome.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406389","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
Focal Fibrocartilaginous Dysplasia and Growth Arrest: Case Report. 局灶性纤维软骨发育不良和生长停止：1例报告。
JBJS case connector Pub Date : 2024-10-11 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00174
Akshitha Adhiyaman, Olivia C Tracey, Kiranpreet Nagra, Colson P Zucker, Jenna L Wisch, Ruth H Jones, Peter D Fabricant, Jessica H Heyer, Roger F Widmann, Shevaun M Doyle
{"title":"Focal Fibrocartilaginous Dysplasia and Growth Arrest: Case Report.","authors":"Akshitha Adhiyaman, Olivia C Tracey, Kiranpreet Nagra, Colson P Zucker, Jenna L Wisch, Ruth H Jones, Peter D Fabricant, Jessica H Heyer, Roger F Widmann, Shevaun M Doyle","doi":"10.2106/JBJS.CC.24.00174","DOIUrl":"10.2106/JBJS.CC.24.00174","url":null,"abstract":"<p><strong>Case: </strong>A pediatric patient with focal fibrocartilaginous dysplasia (FFCD) developed angular deformity and growth arrest despite standard guided growth management. The patient underwent implant-mediated guided growth for proximal tibia varus deformity which recurred; subsequently, a physeal bar of the medial proximal tibia was diagnosed, which progressed to physeal arrest.</p><p><strong>Conclusion: </strong>Treatment options for FFCD-associated angular deformity include observation and guided growth. This case highlights the risk of complete physeal arrest in FFCD.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894318","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
Iatrogenic Common Peroneal Nerve Injuries From Inside-out Lateral Meniscus Repair: A Report of 2 Cases. 外侧半月板内侧修复术造成的腓总神经损伤：2 例病例报告。
JBJS case connector Pub Date : 2024-10-11 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00277
Rajul Gupta, Nick Lopreiato, Kevin Little, Mohab Foad, Shital N Parikh
{"title":"Iatrogenic Common Peroneal Nerve Injuries From Inside-out Lateral Meniscus Repair: A Report of 2 Cases.","authors":"Rajul Gupta, Nick Lopreiato, Kevin Little, Mohab Foad, Shital N Parikh","doi":"10.2106/JBJS.CC.24.00277","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00277","url":null,"abstract":"<p><strong>Cases: </strong>We report 2 cases of common peroneal nerve (CPN) palsy after inside-out lateral meniscus (LM) repair with very different presentations, occurring despite the standard surgical precautions (open counter incision and proper retraction between the biceps femoris tendon, lateral gastrocnemius, and capsule). On exploration, needle was found to have penetrated the nerve in one case and the nerve sheath in the other case. Patient 1 had near-complete neurological recovery, while patient 2 had partial neurological recovery after suture removal and neurolysis.</p><p><strong>Conclusion: </strong>CPN palsy can occur despite following all precautions during LM repair and should be managed as an iatrogenic injury unless proven otherwise.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406387","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 Broach Failure, Incarceration, and Retrieval: A Case Report. 全髋关节置换术引臂失败、嵌顿和复位一例报告。
JBJS case connector Pub Date : 2024-10-11 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00284
T Soderlund, Z Ghulam-Jelani, R Kollmorgen
{"title":"Total Hip Arthroplasty Broach Failure, Incarceration, and Retrieval: A Case Report.","authors":"T Soderlund, Z Ghulam-Jelani, R Kollmorgen","doi":"10.2106/JBJS.CC.24.00284","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00284","url":null,"abstract":"<p><strong>Case: </strong>The direct anterior total hip arthroplasty is known for a steep learning curve and femoral-sided intraoperative complications. This is a case report of a failure of femoral broach with a subsequent incarcerated femoral broach and novel extraction technique during a direct anterior total hip arthroplasty. This rare complication has only one other report in the literature.</p><p><strong>Conclusion: </strong>Femoral broach failure is a rare complication of direct anterior hip arthroplasty. Surgeons should be familiar with alternative extraction techniques to safely remove an incarcerated broach.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894321","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
Unstable C2-3 Posterior Ligamentous Injury in a Pediatric Patient with Successful Nonoperative Treatment: A Case Report. 非手术治疗成功的小儿不稳定 C2-3 后韧带损伤：病例报告。
JBJS case connector Pub Date : 2024-10-03 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00248
Edward R Floyd, Kyler A Hardie, Arnold H Menezes, Geoffrey F Haft
{"title":"Unstable C2-3 Posterior Ligamentous Injury in a Pediatric Patient with Successful Nonoperative Treatment: A Case Report.","authors":"Edward R Floyd, Kyler A Hardie, Arnold H Menezes, Geoffrey F Haft","doi":"10.2106/JBJS.CC.24.00248","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00248","url":null,"abstract":"<p><strong>Case: </strong>The authors present a case of a 6-year-old boy who was treated nonoperatively for an unstable C2-3 hyperflexion injury with posterior cervical ligamentous disruption 8 years ago. The patient was managed with cervical collar immobilization for 2.5 years with long-term follow-up demonstrating complete healing of posterior element disruption, normal sagittal vertebral alignment on dynamic imaging, and full return to activities of daily living and sports.</p><p><strong>Conclusion: </strong>Pediatric spine injuries up to the C2-3 level with posterior ligamentous disruption alone without neurological deficit may be successfully treated nonoperatively with careful long-term immobilization and close follow-up.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142375478","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
When Is a Clay-Shoveler's Fracture, Not a Clay-Shoveler's Fracture?: A Case Report. 什么时候铲土工骨折不是铲土工骨折？病例报告。
JBJS case connector Pub Date : 2024-10-03 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00149
Matthew J Schultz, Michael R Wheeler, Loren O Black, Aidan T Morrell, Travis C Philipp
{"title":"When Is a Clay-Shoveler's Fracture, Not a Clay-Shoveler's Fracture?: A Case Report.","authors":"Matthew J Schultz, Michael R Wheeler, Loren O Black, Aidan T Morrell, Travis C Philipp","doi":"10.2106/JBJS.CC.24.00149","DOIUrl":"10.2106/JBJS.CC.24.00149","url":null,"abstract":"<p><strong>Case: </strong>A 71-year-old man with a history of C5-7 anterior cervical discectomy and fusion (ACDF) sustained a C7 spinous process fracture after falling from a ladder. He was initially managed nonoperatively but developed anterolisthesis and kyphosis at C7-T1 with left hand weakness over the course of 11 days. Surgical treatment included spinous process wiring and C5-T3 posterior fusion. At 14-month follow-up, he demonstrated resolution of pain and returned motor function.</p><p><strong>Conclusion: </strong>The patient's ACDF likely created a longer lever arm, allowing the force of his fall to be concentrated at C7-T1. Patients with a suspected Clay-Shoveler's fracture require close follow-up.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371918","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
Trimalleolar Fracture Associated with Subcutaneous Rupture of the Achilles Tendon and Traumatic Peroneal Dislocation: A Case Report and Review of the Literature. 三踝骨骨折伴跟腱皮下断裂和外伤性腓骨脱位：病例报告与文献综述。
JBJS case connector Pub Date : 2024-10-03 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.23.00564
Imad Jadib, Guillaume Veyrat, Sebastian Ionescu, Baptiste Belvisi, Jean-Marie Chirpaz-Cerbat
{"title":"Trimalleolar Fracture Associated with Subcutaneous Rupture of the Achilles Tendon and Traumatic Peroneal Dislocation: A Case Report and Review of the Literature.","authors":"Imad Jadib, Guillaume Veyrat, Sebastian Ionescu, Baptiste Belvisi, Jean-Marie Chirpaz-Cerbat","doi":"10.2106/JBJS.CC.23.00564","DOIUrl":"10.2106/JBJS.CC.23.00564","url":null,"abstract":"<p><strong>Case: </strong>We report the case of a 44-year-old man who sustained an Achilles tendon rupture with an associated trimalleolar fracture and traumatic peroneal dislocation of the left ankle after a snowboarding injury. These injuries have been surgically repaired; the patient has returned to all his activities 18 months after surgery.</p><p><strong>Conclusion: </strong>The possibility of such injuries occurring in combination should be considered. A thorough history, physical examination, and plain radiographs should be performed in higher energy trauma to the ankle. Additional diagnostic tests such as ultrasonography or magnetic resonance imaging may be used to supplement treatment.</p><p><strong>Levels of evidence: </strong>Level 5.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371917","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
Innovative Percutaneous Quadricepsplasty for Knee Extension Contracture in Arthrogryposis: A Case Report. 创新性经皮股四头肌成形术治疗关节畸形膝关节外展挛缩：病例报告。
JBJS case connector Pub Date : 2024-10-03 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.23.00524
Pantea Bozorg Savoji, Homayoon Khaledian, Davood Dehghani Ashkezari, Mohammad Ayati Firoozabadi
{"title":"Innovative Percutaneous Quadricepsplasty for Knee Extension Contracture in Arthrogryposis: A Case Report.","authors":"Pantea Bozorg Savoji, Homayoon Khaledian, Davood Dehghani Ashkezari, Mohammad Ayati Firoozabadi","doi":"10.2106/JBJS.CC.23.00524","DOIUrl":"10.2106/JBJS.CC.23.00524","url":null,"abstract":"<p><strong>Case: </strong>A 15-year-old male patient diagnosed with arthrogryposis presented with a left knee extension contracture. He underwent an innovative percutaneous quadricepsplasty performed arthroscopically. Subsequent to the procedure, the patient was enrolled in an aggressive physiotherapy program. Over a follow-up period of 12 months, significant improvement was observed, with the patient achieving a 95° range of motion in his left knee.</p><p><strong>Conclusion: </strong>Noninvasive percutaneous quadricepsplasty, combined with methods such as arthroscopy, may enhance therapeutic outcomes and alleviate chronic knee extension contractures in patients with arthrogryposis. This combination of treatment methods has the potential to revolutionize the management of such conditions.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371915","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
Osteosarcoma and Langerhans Cell Histiocytosis in a Pediatric Patient with Lynch Syndrome: A Case Report. 一名林奇综合征小儿患者的骨肉瘤和朗格汉斯细胞组织细胞增生症：病例报告。
JBJS case connector Pub Date : 2024-10-03 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00200
Soheil Sabzevari, Carol D Morris, Meera R Hameed, Daniel E Prince
{"title":"Osteosarcoma and Langerhans Cell Histiocytosis in a Pediatric Patient with Lynch Syndrome: A Case Report.","authors":"Soheil Sabzevari, Carol D Morris, Meera R Hameed, Daniel E Prince","doi":"10.2106/JBJS.CC.24.00200","DOIUrl":"10.2106/JBJS.CC.24.00200","url":null,"abstract":"<p><strong>Case: </strong>Lynch syndrome (hereditary nonpolyposis colorectal cancer) is associated with extracolonic manifestations, but skeletal tumors are rare. Our patient, a 12-year-old boy with Lynch syndrome, developed osteosarcoma of the left femur. Treatment included cytotoxic chemotherapy, wide resection, and pembrolizumab. Two years later, he developed an aggressive lesion in the contralateral femur that was thought to be metastatic osteosarcoma but which histology revealed to be Langerhans cell histiocytosis.</p><p><strong>Conclusion: </strong>This case underscores the importance of advanced testing in patients with osteosarcoma and poor response to chemotherapy, and of tissue sampling when patients with a primary malignancy develop new bone lesions.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371916","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 Progressive Unilateral Tibia Vara in a 3-Year-Old Child with Focal Fibrocartilaginous Defect: A Case Report. 对一名患有局灶性纤维软骨缺损的 3 岁儿童进行性单侧胫骨畸形的治疗：病例报告。
JBJS case connector Pub Date : 2024-09-20 eCollection Date: 2024-07-01 DOI: 10.2106/JBJS.CC.23.00593
Unnam Arjun Kumar, Vivek M Sodhai, Sandeep A Patwardhan, Parag K Sancheti
{"title":"Management of Progressive Unilateral Tibia Vara in a 3-Year-Old Child with Focal Fibrocartilaginous Defect: A Case Report.","authors":"Unnam Arjun Kumar, Vivek M Sodhai, Sandeep A Patwardhan, Parag K Sancheti","doi":"10.2106/JBJS.CC.23.00593","DOIUrl":"10.2106/JBJS.CC.23.00593","url":null,"abstract":"<p><strong>Case: </strong>A 3-year-old boy with unilateral tibia vara was diagnosed with focal fibrocartilaginous dysplasia (FFCD) of the left proximal tibia. Because of progressive deformity with intercondylar distance of 9 cm and tibia metaphyseal-diaphyseal angle of 28°, the child was treated with curettage of the lesion and lateral proximal tibia hemiepiphysiodesis with 8 plates. The deformity was corrected within 12 months, the implant was removed, and the child is being followed up till skeletal maturity.</p><p><strong>Conclusion: </strong>Curettage of the lesion and guided growth with an 8-plate is a viable treatment method for FFCD of the proximal tibia with progressive tibia vara deformity.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287623","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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