Journal of Orthopaedic Case Reports最新文献

{"title":"Post-Traumatic Tibio-Fibular Malunion with Hindfoot Valgus: Treatment with Calcaneal Medializing and Fibular Lengthening Osteotomies - A Case Report.","authors":"Sophie Shin, Robin Evrard, Olivier Cornu, Karim Tribak, Dan Putineanu","doi":"10.13107/jocr.2025.v15.i07.5822","DOIUrl":"10.13107/jocr.2025.v15.i07.5822","url":null,"abstract":"<p><strong>Introduction: </strong>Post-traumatic fibular shortening results in malrotation and lateral talar tilt, disrupting joint congruence and increasing stress. These malunited ankle fractures lead to complications such as chronic pain, reduced mobility, and post-traumatic osteoarthritis. The impact of these malunions highlights the importance of anatomical reconstruction to restore biomechanical balance and prevent complications. This case study provides a detailed insight into the management of complex post-traumatic ankle deformities, highlighting the success of joint-preserving osteotomies and their potential to delay more invasive interventions.</p><p><strong>Case report: </strong>This case report illustrates the restoration of joint congruence in a patient presenting with chronic lateral-dorsal pain, limited mobility, and impingement symptoms of the ankle. The valgus deformity of the hindfoot and post-traumatic misaligned tibio-talar osteoarthritis were addressed through fibular Z-lengthening osteotomy with corticocancellous grafting and medializing calcaneal osteotomy.</p><p><strong>Conclusion: </strong>This case underscores the importance of an early recognition and targeted surgical approach to correct complex post-traumatic deformities. Joint reconstruction, restoring the ankle mortise's balance, has clinical benefits by reducing pain, improving ankle function, and preventing the development or progression of mechanical joint degeneration.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 7","pages":"195-200"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600807","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}

{"title":"Role of Distal Femur Anatomical Plate in Fracture of Distal Femur.","authors":"Aliasgar Rampurwala, Mitul Modi, Akshay Chhatrola, Arvind Kumar","doi":"10.13107/jocr.2025.v15.i07.5834","DOIUrl":"10.13107/jocr.2025.v15.i07.5834","url":null,"abstract":"<p><strong>Introduction: </strong>Distal femur fractures are mostly caused due to vehicular injuries in the middle-aged population. Operative treatment has been preferred with open reduction and internal fixation in these fractures. Due to the availability of anatomical locking compression plates (LCPs), better results and improved functional outcomes have been observed. This study aims to observe the surgical outcome of distal femur fractures operated with an anatomical LCP.</p><p><strong>Materials and methods: </strong>A prospective study was carried upon 48 patients with 40 male and 8 female patients having fractures of the distal femur. The mean age of presentation was 40.6 years. Thirty of them had vehicular injuries and 18 had a history of fall. Open fractures were seen in 22 patients and associated ipsilateral limb injuries were seen in 16 and contralateral limb injuries were seen in 8 patients. The patients were treated with anatomical LCP. The lateral approach was used in all cases for my study.</p><p><strong>Results: </strong>The mean follow-up in the present study was 6 months. All fractures were united with a mean union period of 18.2 weeks. At final follow-up, fixed flexion deformity was seen in 25% of the patients. There were 16 cases of infection with 2 being a superficial infection treated conservatively and 14 cases having a deep infection treated with debridement and antibiotics. 2 cases of nonunion, 4 cases of malunion and 4 cases of delayed union were observed. 16 cases develop joint stiffness. 16 cases also developed limb shortening and 10 had fixed flexion deformity and 8 had varus deformity. At the time of final follow-up through \"SCHATZKER AND LAMBERT SCORING SYSTEM,\" satisfactory outcomes were achieved in 50% (20.8%excellent and 29.2% good) of the patients.</p><p><strong>Conclusion: </strong>Distal femur fracture treated with anatomical LCP needs careful anatomical reduction, rigid fixation and early knee mobilisation and weight bearing on signs of healing with an early presentation to the hospital from the time of injury were the essential factors in achieving better outcome for the patient.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 7","pages":"231-236"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600809","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}

{"title":"Tubercular Palmar Ganglion Presenting as a Severe Carpal Tunnel Syndrome - A Case Report.","authors":"Pravendra Singh, Shristi Singh, Abhishek Singh, Nikhil Relwani, Samay Das, Suraj Sood","doi":"10.13107/jocr.2025.v15.i07.5752","DOIUrl":"10.13107/jocr.2025.v15.i07.5752","url":null,"abstract":"<p><strong>Introduction: </strong>Tuberculous tenosynovitis is a rare condition predominantly found in developing countries that require prompt medical intervention. Due to its atypical presentation, diagnosis through biopsy and culture is necessary to distinguish it from other diseases. Compound palmar ganglion is an unusual manifestation that can cause swelling around the wrist joint and potentially compress the neural structures, resulting in carpal tunnel syndrome.</p><p><strong>Case report: </strong>A 27-year-old female, homemaker complained of pain and tingling sensations in her right hand. Radiological analysis revealed juxta-articular osteopenia with soft tissue swelling. Magnetic resonance imaging identified a spongy soft tissue lesion compressing the median nerve over the flexor retinaculum of the right wrist. The decision was to surgically explore and excise the lesion along with carpal tunnel release. Histopathological examination confirmed tubercular tenosynovitis.</p><p><strong>Conclusion: </strong>Tubercular compound ganglion is a rare condition that must be kept in mind while treating patients with carpal tunnel syndrome, especially in developing countries where tuberculosis is prevalent. Delayed diagnosis is common due to gradual progression and subtle symptoms except for swelling. Surgical intervention and antitubercular treatment are crucial components of compound palmar ganglion management. Early diagnosis and management are essential for preventing complications.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 7","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600819","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}

{"title":"Comparative Evaluation of Functional Outcomes Following Surgical and Conservative Management of Distal Tibia Shaft Fractures: A Prospective Observational Study.","authors":"Amit Saxena, Surendra Kumar Mahore, Anshul Gupta, Ashish Kumar Sriwastava, Mansi Gupta","doi":"10.13107/jocr.2025.v15.i07.5848","DOIUrl":"10.13107/jocr.2025.v15.i07.5848","url":null,"abstract":"<p><strong>Introduction: </strong>Distal tibia shaft fractures pose significant treatment challenges due to limited soft tissue coverage and suboptimal vascularity in the region. Selecting the most appropriate management strategy - whether surgical or conservative - remains a subject of ongoing debate, particularly in resource-limited settings.</p><p><strong>Materials and methods: </strong>A prospective observational study was conducted at a tertiary care center in central India between October 2022 and April 2024, involving 70 skeletally mature patients with distal tibial shaft fractures. Patients were managed either conservatively or through surgical interventions, including intramedullary nailing (IMN), minimally invasive plate osteosynthesis (MIPO), or external fixation. Clinical outcomes were assessed at 6 weeks, 3 months, 6 months, and 12 months post-treatment using the Modified Johner and Wruhs criteria. Radiological union, weight-bearing progression, pain severity, and complication rates were also evaluated.</p><p><strong>Results: </strong>The majority of patients (92.9%) underwent surgical treatment, with IMN being the most frequently used modality (46.2%), followed by MIPO (30.8%) and external fixation (23%). Conservative management was employed in 7.1% of cases. At the 12-month follow-up, full weight-bearing was achieved in 83.3% of IMN, 80% of MIPO, and a variable proportion of external fixation patients. Radiological union with more than three cortices was observed in 90% of IMN and 75% of MIPO patients by 12 months. Overall, excellent-to-good functional outcomes were achieved in 78.6% of cases. Superficial and deep infections, as well as non-union, were more common with external fixation.</p><p><strong>Conclusion: </strong>IMN and MIPO demonstrated superior functional and radiological outcomes compared to external fixation and conservative methods. IMN, in particular, provided faster recovery with fewer complications, making it the preferred modality in appropriately selected cases.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 7","pages":"275-281"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600757","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}

{"title":"Dorsal Osteoblastoma: A Rare Cause of Painful Scoliosis.","authors":"Mantu Jain, Shibashish Mohapatara, Ankit Bhagat, Rabi Narayan Sahu, Manas Baisakh, Mayur M Nayak","doi":"10.13107/jocr.2025.v15.i07.5764","DOIUrl":"10.13107/jocr.2025.v15.i07.5764","url":null,"abstract":"<p><strong>Introduction: </strong>Osteoblastoma constitutes 1% of all bone tumors and is more commonly localized to the spine.</p><p><strong>Case report: </strong>We present a case of a 12-year-old boy with painful scoliosis who was investigated further radiologically with computed tomogram and magnetic resonance imaging. The findings suggested D7-D8 osteoblastoma. The patient was operated under neuromonitoring with excision of the mass and later histopathologically confirmed. At 1 year follow-up, he is doing well. Osteoblastoma needs suspicion and early diagnosis and complete excision are important for treatment.</p><p><strong>Conclusion: </strong>Osteoblastoma is a rare primary benign tumor that predominantly affects the spine. Young males with prolonged nonspecific back pain need prompt through radiological investigation. Surgical resection is the key with a good prognosis and low recurrence rates.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 7","pages":"48-51"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600760","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}

{"title":"Aneurysmal Bone Cyst of Thoracic Spine in an Elderly Treated by Two Stage 360° Surgical Excision and Reconstruction with Expandable Cage - A Case Report.","authors":"T S Nidhin, Ashok Thomas, V Vignesh Kumar, P P Nayar, Davis John","doi":"10.13107/jocr.2025.v15.i07.5814","DOIUrl":"10.13107/jocr.2025.v15.i07.5814","url":null,"abstract":"<p><strong>Introduction: </strong>Aneurysmal bone cysts (ABCs) are rare, representing about 1% of primary bone tumors and 15% of all primary spine tumors. When they are located in poorly accessible regions such as the spine and pelvis, their management can be challenging. Treatment options include selective arterial embolization, curettage, en bloc excision with reconstruction, and radiotherapy.</p><p><strong>Case report: </strong>A 68-year-old male presented to the outpatient department with complaints of left flank pain and abdominal pain for 4 months. Clinical examination showed tenderness in the thoracolumbar region with other spine examinations within normal limits. Magnetic resonance imaging dorsal spine showed an expansile lytic multiloculated lesion in the T11 vertebral body with mild extramedullary thoracic cord compression with subtle cord edema. The lesion showed a multiloculated bubbly appearance with fluid-layered locules. He underwent 2 stage procedure. In the first stage, posterior decompression, posterior stabilization, and biopsy were done. The histopathology report was consistent with ABCs. In the second stage, T11 corpectomy, tumor excision, and reconstruction with an expandable cage were done. Postoperatively his pain was reduced and was neurologically intact. At 4-year follow-up, clinically, he has excellent functional outcome and free of recurrence.</p><p><strong>Conclusion: </strong>360° excision and reconstruction is an effective treatment option for ABCs of spine in the elderly.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 7","pages":"178-181"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600772","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}

{"title":"Anterior Plate Supplemented Proximal Femoral Nail for Comminuted 4-part Intertrochanteric Femur Fracture with the Coronal Splitting of Greater Trochanter: A Case Report.","authors":"Alok C Agrawal, Harshal Sakale, Santu Sarkar, Somok Banerjee, Sarfaraz Khan","doi":"10.13107/jocr.2025.v15.i07.5770","DOIUrl":"10.13107/jocr.2025.v15.i07.5770","url":null,"abstract":"<p><strong>Introduction: </strong>This case report describes two patients with unstable intertrochanteric (IT) fractures and coronal splitting of the greater trochanter (GT), resulting in primary failure of fixation. Radiographs and 3D computed tomography scans showed a comminuted GT fracture in one patient and a large coronal split in the other.</p><p><strong>Case report: </strong>Intramedullary fixation was initially attempted but failed intraoperatively due to the loss of lateral cortical support because of the coronal split, requiring supplemental anterior plating along with a proximal femoral nail anti-rotation-2.</p><p><strong>Conclusion: </strong>This highlights that despite using cephalomedullary nails, certain unstable fracture patterns may require additional fixation methods to prevent failure of fixationand achieve successful outcomes. This case report presents an effective strategy for managing such challenging fractures.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 7","pages":"65-72"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600773","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}

{"title":"Bone Grafting and Unloading Procedures for Stage 1-3a Kienbock's Disease.","authors":"Gowthaman Chidambaram, Shobhana Rajasekar, Srinivasan Rajappa","doi":"10.13107/jocr.2025.v15.i07.5768","DOIUrl":"10.13107/jocr.2025.v15.i07.5768","url":null,"abstract":"<p><strong>Introduction: </strong>Kienbock's disease is an avascular necrosis of the lunate. Although the etiology is not well known, the progression of the disease from ischemia to lunate collapse to arthritis is well documented. In the pre-collapse stages of Kienbock's disease, procedures for joint leveling, unloading the lunate, and revascularization are performed. The aim was to analyze the usual presentation of patients with Kienbock's disease clinically and radiologically to assess the ulnar variance, carpal alignment, carpal height preoperatively and postoperatively, and the outcome of the above-mentioned surgical procedure.</p><p><strong>Case report: </strong>Two cases of pre-collapse Kienbock's disease were operated over a span of 1 year. The above-mentioned objectives were met in different surgical ways. Data recorded were pain scores, range of motion, grip strength, Quick DASH scores, Youm's index, and scapholunate angle. X-rays were used to record Ulna variance, carpal alignment, and carpal height preoperatively and postoperatively. MRI of the wrist was also done. The mean follow-up was 12 years. The patients had almost complete resolution of pain. The range of dorsiflexion was 25°-40° and the range of palmar flexion was 25°-30°. The mean quick DASH score was significantly reduced. There was a significant improvement in grip strength. All patients had preservation of pre-operative carpal alignment. There was no further collapse of the lunate compared to pre-operative radiographs.</p><p><strong>Conclusion: </strong>Lunate preservation, decompression, and bone grafting produce satisfactory outcomes. Even though there is a moderate restriction of range of motion at the wrist joint, it produces a painless and stable joint. There is a significant improvement in grip strength which helps patients to do all activities of daily living.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 7","pages":"59-64"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600777","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}

{"title":"Fusion under the Scope: Minimally Invasive Arthroscopic Tibiotalocalcaneal Arthrodesis in the Setting of Post-traumatic Fibular Loss: A Case Report.","authors":"Prashant Pawar, Satyam Jawa, Vishal Patil","doi":"10.13107/jocr.2025.v15.i07.5772","DOIUrl":"10.13107/jocr.2025.v15.i07.5772","url":null,"abstract":"<p><strong>Introduction: </strong>Arthroscopic tibiotalocalcaneal (TTC) arthrodesis with intramedullary nail fixation is a minimally invasive technique for managing complex hindfoot pathologies, especially in patients with soft tissue injuries or poor skin conditions after trauma.</p><p><strong>Case report: </strong>We present the case of a 44-year-old male farmer with post-traumatic instability over his left ankle and soft tissue injury over the lateral aspect of his left lower limb secondary to a degloving injury involving a runover by a tractor. The patient had previously undergone debridement with an anterolateral thigh flap for wound coverage 3 months ago. Examination revealed severe mediolateral instability, complete distal one-third fibular loss with severe functional impairment. An arthroscopically assisted TTC fusion using a retrograde intramedullary nail was performed. The technique allowed precise joint preparation, strong internal fixation, and minimized soft tissue disruption. Post-operatively, the patient achieved a stable, plantigrade, and pain-free foot with early mobilization and improved functional outcomes, as evidenced by a high American Orthopaedic Foot and Ankle Society score and Foot and Ankle Disability Index score.</p><p><strong>Conclusion: </strong>This case demonstrates that arthroscopic TTC nailing can be a safe and effective solution in complex clinical scenarios, offering advantages, such as reduced risk of post-operative infections, earlier rehabilitation, quicker wound healing, and satisfactory limb alignment. Despite promising results, further research and long-term studies are needed to validate this technique across broader patient populations and establish standardized surgical protocols.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 7","pages":"73-77"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600792","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}

{"title":"Isolated Flexor Tenosynovitis as the Sole Manifestation of Rheumatoid Arthritis: A Case Report.","authors":"Pradeep Kumar Pathak, Priti Ranjan Sinha, Pranjal Agrawal, Nikhil Gupta, Siddharth Jain","doi":"10.13107/jocr.2025.v15.i07.5828","DOIUrl":"10.13107/jocr.2025.v15.i07.5828","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic volar wrist swelling is a diagnostic challenge, particularly in tuberculosis-endemic regions, where both infectious and inflammatory causes must be considered. Rheumatoid tenosynovitis, an extra-articular manifestation of rheumatoid arthritis (RA), can mimic infectious tenosynovitis, especially in seronegative patients.</p><p><strong>Case report: </strong>We report a case of a 44-year-old male presenting with progressive pain and swelling over the volar aspect of the right wrist for 2 months. Clinical findings of a local rise in temperature, tenderness, and limitation of range of motion suggested flexor tendon tenosynovitis, with differential diagnoses including abscess, tuberculous tenosynovitis, Giant cell tumours, or inflammatory arthritis. Ultrasound and magnetic resonance imaging revealed tendon sheath thickening and features of median nerve compression. The patient had elevated inflammatory markers, but rheumatoid factor and anti-cyclic citrullinated peptide were negative. Excision biopsy and synovectomy with median nerve decompression were performed. Surgical exploration revealed hypertrophied synovium around the flexor tendons. Histopathology confirmed a rheumatoid nodule, establishing the diagnosis of rheumatoid tenosynovitis despite negative serology. The patient's recovery was uneventful postoperatively.</p><p><strong>Conclusion: </strong>This case highlights the importance of considering rheumatoid tenosynovitis in the differential diagnosis of chronic wrist swelling, even in seronegative individuals. In ambiguous cases, surgical intervention not only alleviates symptoms but also allows for definitive diagnosis through histopathology. A multidisciplinary and vigilant approach is crucial to prevent misdiagnosis and preserve hand function in such presentations.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 7","pages":"211-215"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600795","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}