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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
Distal Nerve Transfers for Restoration of Finger Flexion and Extension in Klumpke Birth Palsy: A Case Report. 通过远端神经转移恢复克伦普克氏出生麻痹患者的手指屈伸功能：病例报告
JBJS case connector Pub Date : 2024-11-11 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00368
Harvey Chim
{"title":"Distal Nerve Transfers for Restoration of Finger Flexion and Extension in Klumpke Birth Palsy: A Case Report.","authors":"Harvey Chim","doi":"10.2106/JBJS.CC.24.00368","DOIUrl":"10.2106/JBJS.CC.24.00368","url":null,"abstract":"<p><strong>Case: </strong>Traditional surgical intervention for brachial plexus birth injury (BPBI) has involved proximal nerve grafting. At the age of 6 months, an infant with Klumpke birth palsy had not recovered finger flexion and extension. He underwent extensor carpi radialis brevis to anterior interosseous nerve and supinator-to-posterior interosseous nerve transfers. Three months postoperatively, he was noted to have recovery of finger flexion and extension which continued to improve to 18 months postoperative follow-up.</p><p><strong>Conclusion: </strong>This case shows effectiveness of early surgical intervention using distal nerve transfers, as opposed to traditional proximal nerve grafting, for reanimating the hand in BPBI.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142620765","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
Complete Proximal Long Head Biceps Tendon Rupture in an Elite 17-year-Old Softball Pitcher: A Case Report. 一名 17 岁优秀垒球投手的肱二头肌长头近端肌腱完全断裂：病例报告。
JBJS case connector Pub Date : 2024-11-07 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.23.00552
Fortunato G Padua, Phillip A Stetler, Samuel G Eaddy, Andrew Kalthoff, Richard M Miller, Anil K Gupta
{"title":"Complete Proximal Long Head Biceps Tendon Rupture in an Elite 17-year-Old Softball Pitcher: A Case Report.","authors":"Fortunato G Padua, Phillip A Stetler, Samuel G Eaddy, Andrew Kalthoff, Richard M Miller, Anil K Gupta","doi":"10.2106/JBJS.CC.23.00552","DOIUrl":"10.2106/JBJS.CC.23.00552","url":null,"abstract":"<p><strong>Case: </strong>This case report describes the successful treatment of a year-round teenage softball pitcher who sustained a proximal biceps tendon rupture who underwent successful subpectoral tenodesis. To our knowledge, this is the only reported case of such an injury occurring in an underhand throwing teenage athlete.</p><p><strong>Conclusion: </strong>This case highlights an unusual instance of a sport-related injury in an adolescent softball pitcher, suggesting that the softball pitch in elite athletes may put similar stress on the shoulder to overhead throwing athletes over time and further demonstrating that patients may continue to have success at elite levels of competition after tenodesis.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603725","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 Treatment of Proximal Vastus Lateralis Myo-Aponeurosis Rupture in a Professional Skier: A Case Report. 职业滑雪运动员近端腹外肌肌神经断裂的内窥镜治疗：病例报告。
JBJS case connector Pub Date : 2024-11-07 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.23.00245
Nicolas Bonin, Olufemi R Ayeni
{"title":"Endoscopic Treatment of Proximal Vastus Lateralis Myo-Aponeurosis Rupture in a Professional Skier: A Case Report.","authors":"Nicolas Bonin, Olufemi R Ayeni","doi":"10.2106/JBJS.CC.23.00245","DOIUrl":"10.2106/JBJS.CC.23.00245","url":null,"abstract":"<p><strong>Case: </strong>We present the case of a 33-year-old World Cup giant slalom skier treated by endoscopically assisted proximal vastus lateralis (VL) release for persistent lateral thigh pain, due to a VL proximal myo-aponeurosis rupture. At the completion of rehabilitation, he was able to return to Olympic-level competition following surgery and was still symptom free at the 3-year follow-up.</p><p><strong>Conclusion: </strong>The unusual location of this injury and the symptoms and physical examination are of interest. The endoscopic release of the VL proximal insertion allowed a rapid and lasting result with a return to competitive skiing at an elite level.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603668","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
Successful Reduction of a Dislocated Hip Joint in a Patient With Cutis Laxa From a PYCR1 Mutation: Case Report. 一例PYCR1基因突变导致皮肤松弛症患者髋关节脱位复位成功。
JBJS case connector Pub Date : 2024-11-07 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00308
O Q Samarah, D H Abu Rumman, S J Ibrahim, E K Hamed, D M Obeidat
{"title":"Successful Reduction of a Dislocated Hip Joint in a Patient With Cutis Laxa From a PYCR1 Mutation: Case Report.","authors":"O Q Samarah, D H Abu Rumman, S J Ibrahim, E K Hamed, D M Obeidat","doi":"10.2106/JBJS.CC.24.00308","DOIUrl":"https://doi.org/10.2106/JBJS.CC.24.00308","url":null,"abstract":"<p><strong>Conclusion: </strong>The surgical principles of treating a high riding hip dislocation in patients with positive PYCR1 gene mutation should be comprehensive including open reduction, pelvic osteotomy, and femoral shortening osteotomy with derotation. Meticulous capsulorrhaphy optimizes the development and stability of the hip joint.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909801","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
Guided Growth for Correction of Elevated Tibial Posterior Slope in Pediatric ACL Deficiency: A Case Report. 小儿前交叉韧带缺损胫骨后斜度增高的引导性生长矫正：病例报告。
JBJS case connector Pub Date : 2024-11-07 eCollection Date: 2024-10-01 DOI: 10.2106/JBJS.CC.24.00188
Michael A Gaudiani, Trent Cooper, Angela Drummond, Logan M Hansen, Marc A Tompkins
{"title":"Guided Growth for Correction of Elevated Tibial Posterior Slope in Pediatric ACL Deficiency: A Case Report.","authors":"Michael A Gaudiani, Trent Cooper, Angela Drummond, Logan M Hansen, Marc A Tompkins","doi":"10.2106/JBJS.CC.24.00188","DOIUrl":"10.2106/JBJS.CC.24.00188","url":null,"abstract":"<p><strong>Case: </strong>Fourteen-year-old boy, history of autism presented with bilateral knee instability. Imaging revealed bilateral anterior cruciate ligament (ACL) insufficiency, 20° of posterior tibial slope (PTS) on the right and 18° on the left. A guided growth technique using anterior placed tension band plates was used to correct the PTS. At 22 months, the PTS corrected to 5.5° on the right and 6° on the left. The patient's knee stability improved, and he resumed activities at 30 months.</p><p><strong>Conclusion: </strong>Pediatric ACL insufficiency in the setting of elevated PTS can be successfully corrected with a guided growth technique.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603812","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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