Journal of Orthopaedic Case Reports最新文献

{"title":"Expectant Management of a Posteriorly Displaced Medial Clavicular Physeal Fracture in an Adolescent.","authors":"Daniel Fernandes, Jared Sain, Yuri Han, Stephen Adolfsen","doi":"10.13107/jocr.2025.v15.i04.5438","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5438","url":null,"abstract":"<p><strong>Introduction: </strong>Sternoclavicular joint (SCJ) disruptions are rare, with posterior dislocations even less common. In pediatric patients, these injuries primarily manifest as medial clavicular physeal fractures. Posteriorly displaced SCJ injuries are of particular concern due to their potential involvement with mediastinal structures. Treatment options remain variable, with open or closed reduction favored in acute cases and conservative management considered in delayed presentations.</p><p><strong>Case report: </strong>We present an 11-year-old male with a posteriorly displaced medial clavicular physeal fracture following a basketball injury managed nonoperatively. Long-term follow-up with computed tomography over the course of a year demonstrated good callus formation and eventual fracture healing. Despite the concerns with his posteriorly displaced SCJ injury, the patient returned to full athletic participation with no complications.</p><p><strong>Conclusion: </strong>This case supports expectant management as a viable option for medial clavicular physeal fractures with posterior displacement, particularly in delayed presentations without mediastinal involvement. Long-term follow-up demonstrated successful remodeling and return to sport without complications. Given the healing potential of the pediatric medial clavicular epiphysis, further studies are needed to investigate the viability of expectant management.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"40-44"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012300","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":"Intra-Ligamentous Pigmented Villonodular Synovitis of the Anterior Cruciate Ligament, a Case Report.","authors":"Hesham Mohamed Gawish, Mohamed Abdel Monsef Elghaish, Emam Mohamed Ahmed, Mohamed Abdalla Mahfouz, Waleed Hamed Aziz, Ahmed Hassan Waly","doi":"10.13107/jocr.2025.v15.i04.5500","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5500","url":null,"abstract":"<p><strong>Introduction: </strong>Pigmented villonodular synovitis arising from cruciate ligaments is a very rare condition. Arthroscopic management of these lesions is the treatment of choice. Probing of the anterior cruciate ligament (ACL) is very crucial due to the possibility of intraligamentous invasion of this lesion.</p><p><strong>Case report: </strong>A 40-year-old male patient had anterior knee pain and effusion without giving way. There was no history of trauma before the presentation. In his last attack of locking, he had knee effusion for the 1st time. His magnetic resonance imaging scan revealed partial ACL injury along with intercondylar notch soft-tissue mass, i.e., nodular synovitis. The lesion was seen between the ACL and lateral femoral condyle during arthroscopy. The rest of the lesion was inside the substance of the ACL. After the complete removal of the lesion, ACL reconstruction was done. Microscopic examination revealed a localized pigmented villonodular synovitis.</p><p><strong>Conclusion: </strong>Specific signs and symptoms for pigmented villonodular synovitis are lacking. Surgeons should have a very high suspicion of intra-articular localization for this type of lesion. Preparation of ligamentous reconstruction is recommended in case of complete ligamentous invasion by the tumor.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"205-209"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018567","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":"Comprehensive Management of Distal Femur Osteosarcoma in a 15-year-old Male: A Multidisciplinary Approach and Long-term Follow-up.","authors":"Alok Chandra Agrawal, Harshal Suhas Sakale, Roshan Lal Goyal, Akash Mishra, Punit Gaurav, Anupam Pradip Inamdar","doi":"10.13107/jocr.2025.v15.i04.5450","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5450","url":null,"abstract":"<p><strong>Introduction: </strong>This comprehensive case report highlights the intricate diagnosis and multidisciplinary management of distal femur osteosarcoma in a 15-year-old male. Osteosarcoma is a rare and aggressive form of bone cancer, particularly affecting adolescents and young adults. The significance of this case lies in the detailed description of the diagnostic process, treatment strategy, and successful outcome, which may contribute valuable insights to the existing literature. While numerous case reports on osteosarcoma exist, this report offers unique insights into the management approach and outcome of distal femur osteosarcoma, potentially providing guidance for clinicians facing similar cases in the future.</p><p><strong>Case report: </strong>The patient in question is a 15-year-old male, whose ethnic background was not specified. He presented with symptoms suggestive of distal femur osteosarcoma, including localized bone pain, swelling, and limited range of motion in the affected knee joint. Radiological investigations confirmed the presence of a tumor in the distal femur, prompting further evaluation. Pathological markers and histopathological examination confirmed the diagnosis of osteosarcoma. Pre-operative neoadjuvant chemotherapy was administered to optimize conditions for surgical intervention.</p><p><strong>Conclusion: </strong>This case report underscores the importance of a comprehensive, multidisciplinary approach in the management of distal femur osteosarcoma. The successful outcome, marked by complete tumor excision, reconstruction using autologous fibula graft, and restoration of knee function, highlights the efficacy of the chosen treatment strategy. Furthermore, this report may serve as a valuable resource for clinicians specializing in orthopedic oncology, providing insights into optimal treatment protocols and post-operative care for similar cases. In addition, it contributes to the broader field of oncology by advancing our understanding of osteosarcoma management and emphasizing the importance of individualized treatment plans tailored to the patient's specific needs.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"74-79"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023162","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":"The Presence of Brucella in a Baker Cyst, a Case Report in Jeddah, Saudi Arabia- A Case Report.","authors":"Maan Jamjoom, Shahad Khaldi, Bsaim Altirkistani, Sumayah Binladen, Israa Salman","doi":"10.13107/jocr.2025.v15.i04.5436","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5436","url":null,"abstract":"<p><strong>Introduction: </strong>Bakers (popliteal) cysts are cystic masses that arise from bursae swellings filled with synovial fluid. It is assumed that preceding osteoarthritic or meniscal injuries cause the synovial fluid to extrude and concentrate, forming a gel-like material within a cyst. Clinical presentation is either symptomatic or asymptomatic swelling. The following symptoms are commonly associated with this condition: Knee pain, stiffness, and limited knee range of motion. Based on symptomatology and etiology, the management plan can be divided into conservative versus surgical intervention, by either decompression or excision. In most cases, baker cysts are not associated with infections. However, in our case report, we found that the patient had a positive Brucella culture in a symptomatic baker cyst.</p><p><strong>Case report: </strong>This is an 84-year-old gentleman, who is known to have diabetes, hypertension, dyslipidemia, and heart disease presented to the emergency medicine department with complains of knee pain and swelling. The patient mentioned a recent ingestion of unpasteurized milk and a positive history of brucellosis infection years ago. The knee aspiration of the cyst resulted in a positive Brucella culture. The treatment involves eradicating the infection with intravenous antibiotics and then decompressing or excising the cyst, depending on the patient's clinical symptoms. Regarding our management approach, the patient underwent a conservative management with intravenous antibiotics.</p><p><strong>Conclusion: </strong>In comparison to other more common organisms, such as Staphylococcus aureus species, Brucella is rarely found in baker's cysts. However, as demonstrated in our case report, it is important to keep infections, as rare as brucellosis, in the differential diagnosis of baker's cysts to provide the most appropriate management for patients.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"36-39"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022189","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":"Factors Affecting Clinical Outcomes in Traumatic Cervical Spine Injuries in Adults: Review of Recent Literature.","authors":"Vishal Kumar, Prasoon Kumar, Rajesh Kumar Rajnish, Arvind Vatkar, Sachin Kale","doi":"10.13107/jocr.2025.v15.i04.5514","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5514","url":null,"abstract":"<p><strong>Introduction: </strong>Cervical spine injuries have a catastrophic effect on patients' general health and are associated with significant morbidity and mortality. We evaluate the role of different patient and injury-related factors in the overall outcomes of these injuries.</p><p><strong>Materials and methods: </strong>Three databases, PubMed, SCOPUS, and EMBASE, were searched, and studies that matched the inclusion and exclusion criteria were reviewed. Out of 2313 total search results, 13 articles were read in detail, and finally, seven articles were included in this review.</p><p><strong>Results: </strong>Five out of these seven were retrospective studies. The factors assessed in these studies were age, sex, level of injury, intravenous steroid administration, American Spinal Injury Association (ASIA) grade, timing of surgery, blood pressure, and ventilator dependence. There was consensus in the studies on the role of a lower level of injury, lower ASIA grade, and surgical management being associated with better outcomes post-injury. There still needs to be further research through well-designed prospective trials to better ascertain the role of age, timing of surgery, and magnetic resonance imaging findings in their role in cervical spine injury prognosis.</p><p><strong>Conclusion: </strong>Low ASIA-grade injuries below C5 which are managed surgically favor neurological recovery. Further study is needed to conclusively determine the role of other factors and whether these factors can be modified to aid recovery.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"252-261"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029983","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":"Traumatic Inferior Shoulder Dislocation with Posterior Cord Brachial Plexopathy: A Case Report.","authors":"Robert Hall Iii, Ankur Narain, Lydia Parzych","doi":"10.13107/jocr.2025.v15.i04.5444","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5444","url":null,"abstract":"<p><strong>Introduction: </strong>Inferior glenohumeral dislocations are rare injuries, comprising <1% of shoulder dislocations. While their presentation is rare, these injuries commonly result in associated bony injuries, neuropraxia, and tendon injuries. Proper management of such injuries typically requires advanced imaging and consultation with multiple specialists. Here, we present the unique case of inferior glenohumeral dislocation and resultant brachial plexopathy in a patient with previous rotator cuff repair that required subsequent operative management for delayed sequelae of his injury. Interestingly, initial magnetic resonance imaging (MRI) demonstrated the integrity of the prior repair, and there was no clinically significant rotator cuff pathology acutely following the injury. Given the persistent weakness in external reduction and abduction, a repeat MRI was obtained, demonstrating rotator cuff tearing and requiring operative management. Excellent outcome was achieved at 1 year.</p><p><strong>Case report: </strong>A 62-year-old male with a history of rotator cuff repair presented with inferior glenohumeral dislocation and posterior cord brachial plexopathy after a bicycle accident. Closed reduction was performed. Acute MRI demonstrated intact rotator cuff repair. Repeat MRI demonstrated rotator cuff injury, which required late operative intervention. Electromyography and clinical examination 1 year following his injury demonstrated continued improvement in his posterior cord plexopathy with complete resolution of pain and ability to return to work and perform activities of daily living as assessed by American Shoulder and Elbow Surgeons score.</p><p><strong>Conclusion: </strong>Inferior shoulder dislocations are rare injuries that may be associated with bony injuries, neuropraxia, and tendon injuries. These associated complications can result in delayed presentation of rotator cuff pathology, particularly in the setting of prior rotator cuff repair. Recovery of the neuropraxia can be expected but frequently requires specialist evaluation and invasive testing. Despite its delayed presentation, repair of the rotator cuff tendon paired with trapezius transfer and neurolysis resulted in an excellent outcome.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"56-62"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031187","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":"Traumatic Knee Joint Dislocation in a Total Knee Arthroplasty with Rupture of the Popliteal Artery and a Subsequent Prosthesis Change: A Case Report.","authors":"Tim Ludwig Tüngler, Jonas Pawelke, Thaqif El Khassawna, Christian Heiss, Gero Knapp","doi":"10.13107/jocr.2025.v15.i04.5460","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5460","url":null,"abstract":"<p><strong>Introduction: </strong>Dislocations of the knee joint due to low-energy trauma following knee arthroplasty are very rare cases. However, when vascular involvement is present, it must be taken very seriously. This study aims to examine the clinical course, diagnostic approach, and surgical management of knee joint dislocation with vascular injury following low-energy trauma in a patient with a pre-existing knee arthroplasty.</p><p><strong>Case report: </strong>This case report details the instance of a 67-year-old female patient experiencing an anterior dislocation of the knee joint subsequent to a low-energy fall, occurring years after the surgical implantation of a knee joint prosthesis.Clinically and radiologically, an anterior dislocation of the knee joint accompanied by a rupture of the popliteal artery (PI/III segment) was confirmed. The involvement of the popliteal artery was evident in duplex sonography and computed tomography angiography conducted after closed reduction. The surgical intervention involved performing an end-to-end anastomosis of the popliteal artery, followed by the installation of a cemented rotating hinge knee endoprosthesis.</p><p><strong>Conclusion: </strong>Severe knee joint dislocations often require immediate closed reduction and duplex sonography, potentially leading to emergency surgical intervention. Prioritizing vascular and neurological repair before orthopedic treatment is essential, with follow-up assessments for joint stability recommended.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"99-103"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970544","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":"A Revision of an Infected Total Hip Arthroplasty leading to Oxalate Nephropathy: A Case Report.","authors":"Dimitrios Mouselimis, Fedai Özcan, Thorsten Wiech, Christian Lüring","doi":"10.13107/jocr.2025.v15.i04.5456","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5456","url":null,"abstract":"<p><strong>Introduction: </strong>Although one of the most successful orthopedic procedures, total hip arthroplasty (THA) conveys a not negligible risk for complications.</p><p><strong>Case report: </strong>A 72-year-old patient after a THA received an operative revision 2 times due to persistent hematoma and early periprothetic infection. Post-operative renal failure requiring hemodialysis has been caused by a histologically confirmed oxalate nephropathy (ON). Post-operative antibiotic treatment altering the gut microbiome has been assumed as the most likely cause of ON. It is the first presented case of ON as a post-operative complication after a hip arthroplasty revising operation.</p><p><strong>Conclusion: </strong>Acute post-operative renal injury conveys significant danger for the patients. An interdisciplinary approach is needed as many cases require complex diagnostic and therapeutical procedures offered by experts on the field.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"90-94"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970802","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":"Extra-Axial Soft Tissue Chordoma of Hand: A Rare Case Report.","authors":"P Sakthidasan Chinnathambi, G V R N Krishna Kanth, Anitha Burra, Neha Singh","doi":"10.13107/jocr.2025.v15.i04.5470","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5470","url":null,"abstract":"<p><strong>Introduction: </strong>Conventional chordoma is a malignant osseous neoplasm that usually arises from the axial skeleton. It recapitulates a phenotype of embryonic notochord, usually occurring in the 5th-7th decades of life. Very rarely, chordomas can arise in the extra-axial skeleton, more so in the extra-axial soft tissues. We present one such case of Extra-axial soft tissue chordoma in the dorsum of the hand in an adult patient, with a short review of the literature.</p><p><strong>Case report: </strong>A 48-year-old male patient presented with a longstanding swelling on the dorsum of the left hand, persisting for 5 years. Clinico-radiological assessment suggested differential diagnoses of a ganglion cyst or a chondroid lesion. A fine needle aspiration was performed, which was documented as a giant cell-rich soft tissue neoplasm. Subsequent excision biopsy showed histopathological features characterized by numerous multivacuolated, bubbly cytoplasmic physaliferous cells within a myxohyaline matrix, indicative of a neoplastic process. Immunohistochemistry revealed positivity for brachyury, which confirmed the diagnosis of an Extra-axial soft tissue chordoma.</p><p><strong>Conclusion: </strong>Extra-axial soft tissue chordomas are extremely rare malignant osseous neoplasms that can mimic a variety of other lesions, need a strong clinical suspicion, and keen morphological cum immunohistochemical examination for diagnosis. Given their similar imaging characteristics and overlapping histological features, making an accurate diagnosis is crucial, as treatment plans vary significantly.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"126-131"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063607","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":"A Case Series of Terrible Triad Elbow Injuries Treated with Lasso Suture Fixation for Coronoid, Tripod Fixation for Radial Head, and LCL Repair.","authors":"Karthik Sangani, Deepthi Nandan Reddy Adla","doi":"10.13107/jocr.2025.v15.i04.5502","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5502","url":null,"abstract":"<p><strong>Introduction: </strong>Terrible triad includes posterior dislocation of the elbow, radial head fracture, and coronoid fracture. It renders the elbow joint unstable, creating a need for surgical intervention. The purpose of our study was to analyze the outcomes in such patients who underwent surgery in this tertiary care center.</p><p><strong>Case report: </strong>Ten cases were identified in this monocentric single surgeon retrospective study. The cases had radial head tripod fixation with Headless screws, coronoid fixation with transosseous suture tape, and lateral collateral ligament (LCL) repair with suture anchors/ethibond. The assessment was done using the Oxford elbow score and range of motion.</p><p><strong>Results: </strong>Eight of the ten cases had Mason type 3 radial head fracture pattern, and the remaining had type 2. Six cases had Regan Morey type 1 coronoid fracture, rest had type 2. The mean follow-up period was 38 months (range 4-64 months). The Oxford elbow scores for Pain: A mean of 98.6 (standard deviation [SD] 3.1), Function: A mean of 97.8 (SD 3.6), and Psychosocial domain: A mean of 96 (SD 5.8). The flexion-extension range of motion arc mean is 130° (SD 6.1). The mean Pronation is 69° (SD 2.23). The mean supination is 79° (SD 2.23). Heterotopic ossification was noticed in one patient.</p><p><strong>Conclusion: </strong>A radial head fracture with three or more fragments should not always indicate a radial head prosthesis or excision. Fixation can also achieve good results. LCL repair, coronoid fixation, and the anterior capsule add to joint stability.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"210-214"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976866","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}