Journal of Orthopaedic Case Reports最新文献

{"title":"Extraarticular Interfragmentary Fixation of an Irreducible Pipkin Type 1 Fracture Dislocation of the Hip - A Case Report.","authors":"Dinesh Kale, Sahil Kale, Sanjay Pratheep, Ajit Modak, Ravindra Bharamgunde, Sachin Kale","doi":"10.13107/jocr.2025.v15.i09.6066","DOIUrl":"10.13107/jocr.2025.v15.i09.6066","url":null,"abstract":"<p><strong>Introduction: </strong>Femoral head fractures occur almost exclusively as a result of a traumatic hip dislocation. Due to the intrinsic anatomical stability of the hip, most of these injuries result from high-energy trauma. Treatment is typically an emergency surgery that includes the reduction of the dislocated hip under anesthesia to fix the fracture of the head of the femur and reduce dislocation. Treatment outcomes tend to be inconsistent, largely because of the fracture's frequent association with pain, joint stiffness, and loss of function. Complications that are most commonly seen after femoral head fractures are osteonecrosis, osteoarthritis, and heterotopic ossification.</p><p><strong>Case report: </strong>A 39-year-old male came to casualty with an alleged history of road traffic accident with multiple fractures in bilateral upper limb, multiple rib fractures, and brachial plexus injury. Computed tomography of the pelvis with both hips was done, which showed a fracture of the left femoral head with a proximal fracture fragment found inside the acetabulum with posterior dislocation of the distal part - left femoral head fracture dislocation (Pipkin type I). Closed reduction of the hip joint failed; hence, open reduction using the Kocher-Langenbeck (KL) approach was carried out, head reduced, transfixed with guide wires, and fixed with three CC screws. On the last follow-up at the end of 1 year, the patient has regained full range of motion of the hip. Patient is able to squat, sit cross-legged, and is able to walk unaided.</p><p><strong>Conclusion: </strong>The case discussed here is one of its kind, hence fracture was also reduced after reducing the hip joint through trochanterocephalic fixation with KL approach. Precise radiographic pre-operative evaluation and early fixation with early mobilization are the key factors to success in dealing with these complex fractures. Relying on standard and textbook methods may not always yield the best outcome.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"194-198"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040464","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":"Burnout among Orthopedic Residents.","authors":"Sanjeevi Bharadwaj, Naveen Jeyaraman, Madhan Jeyaraman, Ashok Shyam","doi":"10.13107/jocr.2025.v15.i09.5994","DOIUrl":"10.13107/jocr.2025.v15.i09.5994","url":null,"abstract":"","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040045","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":"Periprosthetic Humeral Shaft Fracture about Total Elbow Arthroplasties Managed with Medial and Lateral Femoral Strut Allografts and Implant Retention: A Case Report.","authors":"Elise Ketelaar, Mike McDonald, James Dietz","doi":"10.13107/jocr.2025.v15.i09.6084","DOIUrl":"10.13107/jocr.2025.v15.i09.6084","url":null,"abstract":"<p><strong>Introduction: </strong>Expanding indications for total elbow arthroplasty in recent years have led to increased occurrence of complications, such as periprosthetic elbow fracture, which can occur in up to 12% of cases. Several management options for periprosthetic elbow fracture have been suggested in literature; however, there is currently no accepted guideline for treatment.</p><p><strong>Case report: </strong>We present two cases of periprosthetic humerus fractures without implant loosening multiple years after the index procedures. They were treated with open reduction internal fixation (ORIF) utilizing a plate with medial and lateral cortical strut femoral allografting with implant retention.</p><p><strong>Conclusion: </strong>Two cases of periprosthetic humerus fractures about total elbow arthroplasties were successfully treated with ORIF with medial and lateral cortical strut augmentation. Treatment for periprosthetic elbow fractures should be tailored to each patient based on factors, such as stability of implant, bone stock, and patient goals.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"240-244"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040106","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 Race against Time: Managing Acute Unstable Slipped Capital Femoral Epiphysis in a 15-year old with Normal Body Mass Index using the Modified Dunn's Procedure - A Case Report.","authors":"Chayapuram Kartheek Reddy, B Mohan Choudhary, J K Giriraj Harshavardhan, Kevin Lourdes, Arjun Ganesh, P Velmurugan","doi":"10.13107/jocr.2025.v15.i09.6078","DOIUrl":"10.13107/jocr.2025.v15.i09.6078","url":null,"abstract":"<p><strong>Introduction: </strong>Slipped capital femoral epiphysis (SCFE) is a common hip disorder in adolescents, characterized by the displacement of the femoral head from the femoral neck along the physeal plate. Diagnosis relies on clinical evaluation and radiographic imaging, with classification based on duration, stability, and severity. The standard treatment is in situ pinning using a single cannulated screw to stabilize the epiphysis. However, the modified Dunn procedure (MDP) has emerged as an alternative, particularly for unstable slips, aiming to reduce osteonecrosis risk. SCFE is associated with significant complications, including osteonecrosis, chondrolysis, slip progression, and femoro-acetabular impingement. Long-term management focuses on preserving hip function and delaying the need for hip arthroplasty.</p><p><strong>Case report: </strong>A 15-year-old boy with normal body mass index (BMI) of 18.6 kg/m2 had trivial fall while playing and had difficulty in walking. Five days post injury, he was not able to weight bear with increasing progression of pain. Based on radiographs, SCFE was suspected and computed tomography scan was done to confirm the slip. He underwent MDP and started on post-operative rehabilitation protocol.</p><p><strong>Conclusion: </strong>This review shows the effectively managed acute presentation of SCFE in normal BMI children. Sudden trauma does not rule out SCFE and a differential diagnosis to be always considered along with fractures.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"224-228"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040371","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 of Volkmann's Ischemic Contracture - A Case Report.","authors":"T Binay Gowda, Ambrish Sharma, S Nandeesh, K P Raju","doi":"10.13107/jocr.2025.v15.i09.6044","DOIUrl":"10.13107/jocr.2025.v15.i09.6044","url":null,"abstract":"<p><strong>Introduction: </strong>The Volkmann's ischemic contracture (VIC) of the forearm is a sequel of the compartment syndrome of the forearm. We present a case of VIC treated by the Max page operation with a good functional outcome.</p><p><strong>Case report: </strong>We report a case of 14-year-old boy with fingers flexion contracture, decreased hand mobility and pain on his left hand. He had a history of left forearm fracture and that was treated by a traditional bonesetter with herbs and cardboards 6 months back. Later he started to have pain and deformity of left hand for which they came to the BGS Global Institute of Medical Sciences and diagnosed with VIC and started with antibiotics, analgesics and performed a Max Page operation after thorough work up.</p><p><strong>Discussion: </strong>Tight external splint age for supracondylar fractures of the humerus was the most common cause of ischemic contracture. The treatment of an established contracture is complicated and depends on the severity of the infarction and the affected muscle and nerve tissue. Flexor origin slide was the preferred treatment if the flexors still retain adequate strength. The procedure is simple and easy to perform. Adequate muscle release and proper post-operative physiotherapy are key to achieving good results.</p><p><strong>Conclusion: </strong>VIC is not uncommon following a fracture treated in a traditional bonesetter. For moderate VIC, the flexor origin slide procedure and tendon transfer could still give benefit.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"138-142"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040399","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":"Massive Tendo Achilles Xanthoma Treated with en bloc Excision and Reconstruction with Flexor Hallucis Longus Tendon Transfer: A Case Report.","authors":"Maheshwar Lakkireddy, Srikanth Eppakayala, Deepankar Satapathy, Deepak Kumar Maley, Syed Ifthekar","doi":"10.13107/jocr.2025.v15.i09.6068","DOIUrl":"10.13107/jocr.2025.v15.i09.6068","url":null,"abstract":"<p><strong>Introduction: </strong>Tendoachilles xanthomas are rare and generally asymptomatic swellings of tendoachilles. They are believed to be formed due to defects in lipid metabolism. Sometimes, these swellings become inflamed and become painful. If non-operative management fails, these patients are considered for surgery.</p><p><strong>Case report: </strong>A 25-years-old male patient presented with complaints of progressive swellings on the posterior aspect of both heels for the past 5 years. The left leg swelling was painful for the past 6 months. After thorough evaluation, the patient was diagnosed with bilateral tendoachilles xanthoma with gout. Complete excision of the left xanthomatus tendoachilles and reconstruction of the defect with Flexor hallucis longus (FHL) tendon transfer was done. At 3 months, 6 months and 1 year follow-up; the patient was highly satisfied with the procedure, could walk normally, and stands on the tip of the toes.</p><p><strong>Conclusion: </strong>Complete excision of the xanthoma and reconstruction of the defect is associated with reduced recurrence rates and complete functional restitution. Reconstruction with ipsilateral FHL tendon transfer is a reliable and effective procedure offering a good functional outcome without any complications.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"199-203"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040521","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":"Efficacy of Combined Intra-articular Steroids and Calcitonin Nasal Spray versus Intra-articular Steroids Alone in the Management of Early Frozen Shoulder: A Prospective Study.","authors":"Amit Kumar Salaria, Gaurav Kumar Sharma, Ramesh Negi, Sukhmin Singh","doi":"10.13107/jocr.2025.v15.i09.6126","DOIUrl":"10.13107/jocr.2025.v15.i09.6126","url":null,"abstract":"<p><strong>Introduction: </strong>Frozen shoulder is one of the commonest debilitating conditions with characteristic features of by pain and globally restricted range of motion of the shoulder. This study compares the efficacy of intra-articular steroids alone in comparison to the combined intra-articular steroids and calcitonin nasal spray in the management of early-stage frozen shoulder. We hypothesized that the combination therapy of intra-articular steroids and calcitonin nasal spray results in a better increase in shoulder function and superior pain relief. Along with decrease in disability in comparison to treatment with corticosteroids alone.</p><p><strong>Materials and methods: </strong>Less than 3 months was chosen as a critical period for defining early frozen shoulder. A prospective study was conducted on 434 patients diagnosed with early-stage frozen shoulder. Randomization of the patients was done in two treatment groups according to computer-generated tables after applying appropriate inclusion and exclusion criteria and taking written consent. Patients were randomly assigned to two groups: Group A received intra-articular corticosteroid injections alone, and Group B received a combination of intra-articular corticosteroid injections and calcitonin nasal spray. Post-intervention physiotherapy protocol was the same for both the groups. Paracetamol @ 15 mg/kg was used for pain management as and when required. To measure the outcomes, the Oxford Shoulder Score (OSS) was used at 12 weeks post-intervention.</p><p><strong>Results: </strong>There was improvement in OSS scores compared to baseline, which was found to be both clinically and statistically significant (P < 0.05). Patients who received combination therapy, i.e., Group B, exhibited superior clinical outcomes compared to patients who received intra-articular injections alone, i.e., Group A, at 12 weeks post-treatment. Group B demonstrated greater improvement in OSS scores (P < 0.001) as compared to Group A. Twenty-eight patients were lost to follow-up and 15 patients required analgesia like non-steroidal anti-inflammatory drugs other than paracetamol and hence excluded from the study.</p><p><strong>Conclusion: </strong>The combination therapy of intra-articular corticosteroids and calcitonin nasal spray was found to be more efficacious as compared to intra-articular corticosteroids alone in the treatment of early-stage frozen shoulder. This combination therapy of intra-articular steroids and calcitonin provides better pain relief and shoulder function. This decrease in disability suggests its potential as a promising treatment option in the management of patients with early frozen shoulder.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"361-366"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040442","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":"Hip Abduction Strength Assessment and its Effect on Functional Outcome Following Hip Arthroplasty - Original Article.","authors":"B Vishnu Vardhan, P Pradeep, B Raghavendran, U Thiyagarajan, M Rayeez Ahmed","doi":"10.13107/jocr.2025.v15.i09.6114","DOIUrl":"10.13107/jocr.2025.v15.i09.6114","url":null,"abstract":"<p><strong>Aims and background: </strong>A subset of people has persistent functional impairment due to hip abductor muscle weakness post-hip arthroplasty. Hip abductor muscles collectively play a crucial role in maintaining pelvic stability, facilitating hip movements, and ensuring efficient gait mechanics. We aimed to prospectively evaluate the static abductor strength and lower extremity strength in patients undergoing hip arthroplasty and it's effect on functional outcome.</p><p><strong>Materials and methods: </strong>Twenty patients who underwent total hip arthroplasty (THA) or bipolar hemiarthroplasty were included in our study. Their static and dynamic hip abductor strength was prospectively assessed at 4 weeks, 3 months, and 6 months. Static abductor strength was measured using dynamometer and manual muscle testing, while dynamic abductor strength using 6 min walk test, stand and sit test, and timed up go test and its effect on functional outcome by Harris Hip Score (HHS).</p><p><strong>Results: </strong>Of 20 patients in our study, 16 underwent hemiarthroplasty and four underwent THA. Posterolateral approach was the most used approach. The median static abductor strength at 4 weeks was 0.37 kgf, 3 months was 0.59 kgf, and 6 months was 0.82 kgf (P < 0.001) which is statistically significant. Dynamic abductor strength was checked using 6- min walk test which showed improvement from 230 m at 4 weeks to 446 m at 6 months. Counts in sit and stand test increased from a median of 7 at 4 weeks to 14 at 6 months. Timed up and go test decreased from 32 s in 4 weeks to 15 s in 6 months. The functional outcome assessed by HHS showed 67. 50 at 4 weeks to 96 at 6 months.</p><p><strong>Conclusion: </strong>My study confirms that there is significant improvement in hip static and dynamic abductor strength and functional outcome within 6 months following hip arthroplasty. The lateral approach for hip arthroplasty has better static hip abductor strength than the posterolateral approach. There is no statistically significant difference in hip abductor strength recovery between THA and bipolar hemiarthroplasty.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"322-328"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040444","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":"Failure of the Femoral Neck System in a Young Patient: A Case Report.","authors":"Jude A Alawa, Christopher R Leland, Matthew A Pappas, Elyse J Berlinberg, John B Michaud, John J Wixted","doi":"10.13107/jocr.2025.v15.i09.6022","DOIUrl":"10.13107/jocr.2025.v15.i09.6022","url":null,"abstract":"<p><strong>Introduction: </strong>Femoral neck fractures in young adults are rare but carry a high risk of complications, including non-union and implant failure. The femoral neck system™ (FNS) is a newer fixation device designed to enhance mechanical stability while minimizing surgical morbidity. Limited reports exist on its failure modes. The purpose of this case report is to describe a unique failure of the FNS and the challenges encountered during revision surgery.</p><p><strong>Case report: </strong>A 21-year-old female sustained a basicervical femoral neck fracture and underwent fixation with the FNS and an additional headless screw at an outside institution. Seven months post-operatively, she developed progressive, atraumatic hip pain and was unable to bear weight. Imaging revealed non-union and implant failure at the aperture where the bolt and antirotation screw exit the plate barrel. Revision surgery included intertrochanteric valgus osteotomy and blade plate fixation. Removal of the broken FNS components was technically demanding and required trephination, leading to further compromise of the femoral head and neck bone stock.</p><p><strong>Conclusion: </strong>This case highlights a rare failure mode of the FNS involving simultaneous failure of the bolt and antirotation screw at the barrel aperture. Surgeons should be aware of this potential complication and the technical challenges it may pose during implant removal and revision surgery. These considerations may influence implant selection and pre-operative planning, particularly in young patients at risk for non-union.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"76-82"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040446","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":"Long-term Comparison of Opening Wedge High Tibial Osteotomy and Double Level Osteotomy for Large Varus Knee Deformities: A Retrospective Cohort Study of Functional Outcomes, Complications, and Survival Rates.","authors":"Woon-Hwa Jung, Hari Kishore Potupureddy, Min-Seok Seo, Dong-Hyun Kim, Jong-Hyun Kim, Ryohei Takeuchi","doi":"10.13107/jocr.2025.v15.i09.6128","DOIUrl":"10.13107/jocr.2025.v15.i09.6128","url":null,"abstract":"<p><strong>Introduction: </strong>Opening wedge high tibial osteotomy (OWHTO) and double-level osteotomy (DLO) are commonly performed for correcting large varus knee deformities. This retrospective cohort study compares long-term functional outcomes, complication rates, and survival rates between these two techniques.</p><p><strong>Materials and methods: </strong>Sixty patients who underwent OWHTO (n = 32) or DLO (n = 28) for varus knee correction were evaluated. Outcome measures included the Knee Society Score (KSS) and KSS function score at 1, 5, and 10 years, with percentage improvements analyzed across intervals. Additional measures included hip-knee-ankle (HKA) alignment accuracy, complication rates, and survival rates. Trend analysis was based on 10-year data for OWHTO and 5-year data for DLO.</p><p><strong>Results: </strong>DLO demonstrated significantly higher HKA correction accuracy and fewer complications compared to OWHTO, including reduced incidence of joint line obliquity (JLO) (P = 0.001), posterior tibial slope (PTS) change (P = 0.013), and worsening patellofemoral arthritis (PFA) (P = 0.03). KSS improvements were observed in both groups at all intervals, with DLO showing superior KSS Function scores, suggesting higher functional stability. Percentage improvement trends favoured DLO for specific outcomes over the long term.</p><p><strong>Conclusion: </strong>DLO provides more accurate HKA alignment with lower complication rates in JLO, PFA, and PTS changes, while both procedures yield comparable overall KSS scores. The enhanced KSS Function outcomes with DLO indicate a potential clinical advantage in maintaining higher functional activity and patient satisfaction over time. These findings support the use of DLO for patients requiring precise correction of significant varus deformities with sustained functional benefits.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"367-375"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040458","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}