Journal of Orthopaedic Case Reports最新文献

Effect of Teriparatide in Fracture Healing in Elderly. 特立帕肽在老年人骨折愈合中的作用。

Journal of Orthopaedic Case Reports Pub Date : 2025-09-01 DOI: 10.13107/jocr.2025.v15.i09.6134

Sibi Sanjay, P Pradeep, Thiyagarajan, B Raghavendran, Rayeez Ahmed

{"title":"Effect of Teriparatide in Fracture Healing in Elderly.","authors":"Sibi Sanjay, P Pradeep, Thiyagarajan, B Raghavendran, Rayeez Ahmed","doi":"10.13107/jocr.2025.v15.i09.6134","DOIUrl":"10.13107/jocr.2025.v15.i09.6134","url":null,"abstract":"Introduction: Teriparatide (TPTD), a recombinant form of the biologically active Parathyroid hormone, has been shown to increase bone mass and prevent fractures by increasing serum calcium levels in response to systemic hypocalcemia. Studies have shown improvements in callus volume and mineralization, bone mineral content, rate of successful union, and strength at fracture sites, and produce a sustained anabolic effect throughout the remodeling phase of fracture healing. The present study was done to evaluate the efficacy of TPTD in hastening fracture healing in elderly patients by clinical, radiological, and biochemical parameters.Materials and methods: A prospective case-control study was done on elderly patients (>55 years) with fractures. Pre-operative bone mineral profile assessed. All fractures were surgically fixed. All patients postoperatively on day 5 were started on injection TPTD 20 mcg daily for 8 weeks. Immediate post-operative radiographs and at 4 weeks, 8 weeks (after completion of TPTD), and 16 weeks were taken to assess the radiological Callus Index score. After completion of 8 weeks, a bone mineral profile was done to assess any biochemical changes in response to TPTD usage. Functional assessment was done with a Visual Analog Scale score and a two-minute walk test. All the results were compared with the non-TPTD group.Results: The use of TPTD showed improvement in bone mineral content and better functional and radiological outcomes compared to the control group.Conclusion: Both TPTD and Non-TPTD group patients showed fracture healing, but the duration of healing was significantly shorter in the TPTD group. Functional assessment showed better pain control and an increase in the two-minute walk test distances in the TPTD group.","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"387-393"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040392","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

A Rare Case of Intraosseous Venous Malformation of Tibia in a Young Female - A Diagnostic Dilemma. 一例罕见的年轻女性胫骨骨内静脉畸形-诊断困境。

Journal of Orthopaedic Case Reports Pub Date : 2025-09-01 DOI: 10.13107/jocr.2025.v15.i09.6094

Divesh Jalan, Puneet Garg, Rohit Prasad, Geetika Khanna, Dharmendra K Singh

{"title":"A Rare Case of Intraosseous Venous Malformation of Tibia in a Young Female - A Diagnostic Dilemma.","authors":"Divesh Jalan, Puneet Garg, Rohit Prasad, Geetika Khanna, Dharmendra K Singh","doi":"10.13107/jocr.2025.v15.i09.6094","DOIUrl":"10.13107/jocr.2025.v15.i09.6094","url":null,"abstract":"Introduction: Venous malformations are congenital lesions that occur due to a defect in vascular embryogenesis. Intraosseous venous malformations involving long bones are quite rare, as evidenced by limited case reports and series available in the literature.Case report: We present one such case of a young female who presented with chronic pain in the leg for 2 years and difficulty in walking. The clinical and radiological evaluation, including computed tomography angiography, confirmed the diagnosis of intraosseous venous malformation of the tibia. The lesion was managed initially by sclerotherapy and endovenous laser ablation by the intervention radiologist; however, the bony lesion required prophylactic intramedullary nailing in view of persistent pain affecting her daily activities.Conclusion: The case highlights the rarity of the intraosseous venous malformation of long bones, which often results in misdiagnosis and requires a multidisciplinary approach in diagnosis and treatment for an optimal outcome.","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"265-269"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040353","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

Innovative Management of Double Segmental Femur Fracture without Fracture Table: A Case Report. 无骨折表的双节段股骨骨折创新治疗1例。

Journal of Orthopaedic Case Reports Pub Date : 2025-09-01 DOI: 10.13107/jocr.2025.v15.i09.6104

Ambrish Kumar Singh, Abhinav Tiwari, Nischay Kaushik, Salman Durrani, Navneet Goel, Jashandeep Singh

{"title":"Innovative Management of Double Segmental Femur Fracture without Fracture Table: A Case Report.","authors":"Ambrish Kumar Singh, Abhinav Tiwari, Nischay Kaushik, Salman Durrani, Navneet Goel, Jashandeep Singh","doi":"10.13107/jocr.2025.v15.i09.6104","DOIUrl":"10.13107/jocr.2025.v15.i09.6104","url":null,"abstract":"Introduction: Femoral fractures are undoubtedly common injuries, typically resulting from high-energy trauma in younger individuals or from bone fragility in older adults. However, fractures involving two or more regions of the femur are quite rare. These are usually caused by high-energy trauma and are classified as segmental femoral fractures (SFFs), which are described by us.Case report: A 35-year-old man with multiple-level femoral fractures at the subtrochanteric, diaphyseal, and supracondylar femoral regions - a condition known as double-SFFs - presented to our emergency department due motor vehicle collision. Intramedullary nailing was done without the use of a fracture table for fixation, and because there was a completely separated femoral fragment between the fracture lines, fracture reduction was difficult during reaming due rotation of the middle fragment.Conclusion: Double-segmental femur fractures are regarded as exceedingly uncommon injuries. Our results highlight that intramedullary nailing without a fracture table can yield excellent functional outcomes, with patients expected to achieve full weight-bearing by four months and a full range of motion thereafter.","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"294-298"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040448","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

A Rare Case of Septic Arthritis of the Knee Associated with Pathological Neck of Femur Fracture Caused by Serratia Marcescens - A Case Report. 脓毒性膝关节炎合并骨性沙雷氏菌所致病理性股骨颈骨折1例。

Journal of Orthopaedic Case Reports Pub Date : 2025-09-01 DOI: 10.13107/jocr.2025.v15.i09.6006

Adnan Asif, J S R G Saran, N K Arun Kumar

{"title":"A Rare Case of Septic Arthritis of the Knee Associated with Pathological Neck of Femur Fracture Caused by Serratia Marcescens - A Case Report.","authors":"Adnan Asif, J S R G Saran, N K Arun Kumar","doi":"10.13107/jocr.2025.v15.i09.6006","DOIUrl":"10.13107/jocr.2025.v15.i09.6006","url":null,"abstract":"Introduction: Septic arthritis is an acute condition of the joints that warrants an emergency procedure of joint arthrotomy with debridement, IV antibiotics postoperatively and commonly affects big joints, which include the hip, knee, and shoulder. Serratia marcescens causing septic arthritis is quite rare and is mainly seen in immunocompromised individuals, and very limited literature is present pertaining to the same.Case report: A 65-year-old male patient presented to the hospital with sudden inability to bear weight on his right lower limb, inability to flex the knee, which was associated with swelling of the knee, and the limb was externally rotated for 3 days. A fracture of the right neck of the femur was identified on X-ray of the pelvis with bilateral hips. There was no history of trauma. He is a known case of chronic kidney disease for 3 years and is also a known hypertensive and type 2 diabetes mellitus for 15 years, and is currently undergoing dialysis thrice per week. The affected knee was aspirated and was found to have S. marcescens infection, localized there itself; blood culture and intraoperative hip aspirate were negative for the same organism. He underwent right knee arthrotomy with synovectomy and was started on IV antibiotics based on the culture and sensitivity report.Conclusion: Septic arthritis of the knee joint, along with pathological fracture of the neck of the femur in immunocompromised patients, has to be addressed and given special focus for diagnosis and treatment. Swelling of the knee with inability to flex and acute pain is a sign of septic knee and joint aspiration and antibiotic cover is the mainstay of the treatment, but in cases of acute septic knee, it will require knee arthrotomy with synovectomy and joint debridement.","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"37-42"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040329","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

Humeroulnar Bridging Myositis Ossificans Traumatica: A Case Report. 创伤性肱骨桥性骨化性肌炎1例报告。

Journal of Orthopaedic Case Reports Pub Date : 2025-09-01 DOI: 10.13107/jocr.2025.v15.i09.6008

Naveen Kumar Singh, Deepak Kumar, Rohit Devnarayan Jaiswar

引用次数: 0

Calcaneus and Traumatic Stress Fracture. 跟骨与创伤性应力性骨折。

Journal of Orthopaedic Case Reports Pub Date : 2025-09-01 DOI: 10.13107/jocr.2025.v15.i09.6062

Elizabeth Jelpke, Saphalya Pattnaik, Gur Aziz Sidhu

{"title":"Calcaneus and Traumatic Stress Fracture.","authors":"Elizabeth Jelpke, Saphalya Pattnaik, Gur Aziz Sidhu","doi":"10.13107/jocr.2025.v15.i09.6062","DOIUrl":"10.13107/jocr.2025.v15.i09.6062","url":null,"abstract":"Introduction: Although uncommon, the calcaneus stress fracture is an important differential diagnosis of both traumatic and non-traumatic foot pain. The calcaneus is one of the tarsal bones that are prone to stress fractures, which usually occur as a result of overuse. The diagnosis of stress fractures is aided by plain radiographs, with the mainstay of management usually conservative.Case report: This case report is of a 57-year-old female who presented with instant left-sided heel pain after stepping off a step at home. Investigations included plain radiographs of the left foot and ankle, with no obvious fractures visible. As a result, a magnetic resonance imaging was obtained, which confirmed a stress fracture of the left os calcis. Management remained conservative, with the patient placed in an ankle boot for 4-6 weeks with non-weight bearing instructions provided. Heel pain can be caused by a stress fracture of the calcaneus, and although these injuries are usually caused by repetitive forces, this case study provides a reminder that they can also be caused by acute trauma.Conclusion: Calcaneal stress fractures, typically due to overuse, can also result from acute trauma and may require MRI for diagnosis when plain radiographs are inconclusive. The mainstay of treatment is conservative management.","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"185-187"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040323","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

Chronic Flexion Patellar Dislocation with Femoral Patellofemoral Dysplasia and Anterior Bump: Treated by Distal Femoral Subtraction Osteotomy and Medial Patellofemoral Ligament Reconstruction - A Case Report. 慢性屈曲型髌骨脱位伴股髌股发育不良及前突：股骨远端减截骨及髌股内侧韧带重建治疗1例。

Journal of Orthopaedic Case Reports Pub Date : 2025-09-01 DOI: 10.13107/jocr.2025.v15.i09.6086

Florent Francony, Alphonse Daudet Batchom, Sekou Sidibe

引用次数: 0

Diagnostic Pitfalls: Anterior Tibial Stress Fracture in a Professional Football Player - A Case Report. 诊断缺陷：一名职业足球运动员胫骨前应力性骨折一例报告。

Journal of Orthopaedic Case Reports Pub Date : 2025-09-01 DOI: 10.13107/jocr.2025.v15.i09.6072

Zakir Ali Shah, Badr Al Hammadi, Habib Al Ismaily, Abdulla Nidal, Khaled Al Madani, Zainab Al Jawi

{"title":"Diagnostic Pitfalls: Anterior Tibial Stress Fracture in a Professional Football Player - A Case Report.","authors":"Zakir Ali Shah, Badr Al Hammadi, Habib Al Ismaily, Abdulla Nidal, Khaled Al Madani, Zainab Al Jawi","doi":"10.13107/jocr.2025.v15.i09.6072","DOIUrl":"10.13107/jocr.2025.v15.i09.6072","url":null,"abstract":"Introduction: Early stress fractures sometimes go undetected or are misdiagnosed due to unusual subtle symptoms; anterior tibial fractures are mostly tiny unilateral fractures involving the diaphyseal portion of the tibia as a result of repetitive microtrauma as deemed in intense athletes. Incomplete anterior tibial stress fractures are very rare, particularly when they occur bilaterally in football players.Case report: Here, we discuss a rare clinical case of a sportsman who presented in our hospital. A 26-year-old professional football player presented to us in July 2024 with bilateral leg pain which worsened on playing football. The plain radiograph showed that the middle part of the left side tibial shaft anteriorly had higher density, while the right side was unremarkable; which was further investigated with computed tomography scan on left side on presentation and magnetic resonance imaging on right side on 3 months follow up.Conclusion: A thorough review of the patient's history is essential when evaluating persistent leg pain associated with repetitive activities. Our report emphasis importance of early recognition and surgical intervention in seeking rapid return to play and be active especially in athletes.","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"208-212"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040347","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

Role of Biomarkers in Diabetic Foot Osteomyelitis. 生物标志物在糖尿病足骨髓炎中的作用。

Journal of Orthopaedic Case Reports Pub Date : 2025-09-01 DOI: 10.13107/jocr.2025.v15.i09.6120

Monika Gureh, Ashok Kumar Attri, Sanjay Gupta, Jasbinder Kaur, Mantu Jain

{"title":"Role of Biomarkers in Diabetic Foot Osteomyelitis.","authors":"Monika Gureh, Ashok Kumar Attri, Sanjay Gupta, Jasbinder Kaur, Mantu Jain","doi":"10.13107/jocr.2025.v15.i09.6120","DOIUrl":"10.13107/jocr.2025.v15.i09.6120","url":null,"abstract":"Introduction: Foot ulcer is one of the common problems in patients with diabetes mellitus. The spectrum of diabetic foot infection is wide, ranging from cellulitis and soft tissue infection to osteomyelitis (OM). OM requires further testing and investigations and even longer treatments. The aim of this prospective study was to assess the performance of serum markers, namely, the erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and procalcitonin (PCT) in the diagnosis and follow-up of patients with diabetic foot osteomyelitis (DFO) and to find correlation between serum levels of these biomarkers and treatment response.Materials and methods: This prospective study was carried out in 50 patients. Diagnosis of OM was made by clinical examination and confirmed by radiological studies. The serum levels of ESR, CRP, and PCT were determined on admission in all the patients and then on day 15 and day 30 in the osteomyelitic group.Results: No significant difference was observed in the levels of ESR, CRP, and PCT in DFO and non-OM patients (P > 0.05) at presentation. However, there was a significant difference (P > 0.05) in levels of these markers between patients with healed and non-healed lesions in the osteomyelitic group on day 15 and day 30.Conclusion: Biomarkers may not help in diagnosing OM. However, the level of biomarkers decreases significantly in response to treatment validating their role in predicting healing.","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"342-347"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040364","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

A Rare Case of Pseudoaneurysm of Profunda Femoris Artery Following Surgical Fixation of an Intertrochanteric Fracture. 股骨粗隆间骨折手术固定后发生股深动脉假性动脉瘤一例。

Journal of Orthopaedic Case Reports Pub Date : 2025-09-01 DOI: 10.13107/jocr.2025.v15.i09.6058

Shrihari L Kulkarni, Manjunath Daragad, R Ravikiran, N Manoj

引用次数: 0