Journal of Orthopaedic Case Reports最新文献

{"title":"Stress-Related Acromion Base Fracture after Clavicular Hook Plate Fixation: A Case Report.","authors":"Yi-Hsuan Chen, Shun-Min Chang, Chao-Tse Chiu, Cheng-Chang Lu","doi":"10.13107/jocr.2026.v16.i10.8270","DOIUrl":"10.13107/jocr.2026.v16.i10.8270","url":null,"abstract":"<p><strong>Introduction: </strong>Clavicular hook plate fixation is widely used for the surgical management of high-grade acromioclavicular (AC) joint injuries and generally provides reliable clinical outcomes. Nevertheless, implant-related complications involving the acromion have been reported. Stress-related fractures at the base of the acromion following hook plate fixation are extremely rare and remain poorly described in the literature.</p><p><strong>Case report: </strong>A 48-year-old woman sustained a high-grade AC joint injury and underwent open reduction and internal fixation with a clavicular hook plate. Two months after surgery, she presented with acute shoulder pain and functional limitation following minor trauma. Imaging studies revealed failure of the hook plate construct associated with a displaced fracture at the base of the acromion, resulting in compromise of the subacromial space. The patient was treated surgically with implant removal, fixation of the acromial fracture using a tension-band technique, and restoration of AC and coracoclavicular stability. Post-operative imaging demonstrated satisfactory reduction, and the patient achieved functional recovery during follow-up.</p><p><strong>Conclusion: </strong>This case illustrates a rare stress-related fracture of the acromion base following clavicular hook plate fixation, with a fracture pattern distinct from the typical hook plate cut-out mechanism. Awareness of this potential complication and individualized surgical management based on fracture morphology and shoulder girdle stability are essential for achieving favorable outcomes.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"16 10","pages":"292-296"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137164","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 Efficacy of Leukocyte-Poor Platelet-Rich Plasma, Leukocyte-Rich Platelet-Rich Plasma, Injectable Platelet-Rich Fibrin, and Corticosteroid Injections in Kellgren-Lawrence Grade 2-3 Knee Osteoarthritis: A Prospective Comparative Study.","authors":"Anandanarayan Muruganandam, K C Mohan, Parimalam Muruganandam, K Praveen, Naveen Jeyaraman, Madhan Jeyaraman","doi":"10.13107/jocr.2026.v16.i10.8282","DOIUrl":"10.13107/jocr.2026.v16.i10.8282","url":null,"abstract":"<p><strong>Introduction: </strong>The use of biologic and pharmacologic intra-articular injections for knee osteoarthritis (OA) is common for symptomatic OA, but the long-term efficacy of platelet-based therapies compared with corticosteroid injections is still controversial. Leukocyte-poor platelet-rich plasma (LP-PRP), leukocyte-rich platelet-rich plasma (LR-PRP), injectable platelet-rich fibrin (iPRF), and intra-articular corticosteroids were not different in their clinical efficacy in treating knee OA with Kellgren-Lawrence (KL) Grade 2-3.</p><p><strong>Materials and methods: </strong>A prospective, single-center, parallel-group, comparative study with 100 patients with knee OA (Grade 2-3) who were randomly divided into 4 groups of 25 patients and received a single intra-articular injection of either LP-PRP, LR-PRP, iPRF, or corticosteroid. At baseline and 1, 3, 6, and 12 months, Visual Analog Scale (VAS) and Western Ontario and McMaster Universities OA Index (WOMAC) scores were obtained. Groups 1-4 had 2, 3, 1, and 4 losses to follow-up, respectively.</p><p><strong>Results: </strong>VAS and WOMAC scores were significantly improved in all groups at 1 month. The initial relief was the most rapid with corticosteroid, but this effect reduced within 3 months and reverted to baseline at 12 months. The treatment effect of LP-PRP and LR-PRP was similar and was seen to last up to 12 months. iPRF showed the lowest improvement time, but the highest and longest sustained relief from pain at 6 and 12 months, with 56% VAS and 58% WOMAC reductions from baseline at 12 months.</p><p><strong>Conclusion: </strong>In KL Grade 2-3 knee OA, platelet-based biologics, particularly iPRF, were associated with a more sustained clinical benefit than corticosteroids over 12 months, although this single-center study without a placebo control and with modest per-group sample sizes cannot establish a disease-modifying effect.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"16 10","pages":"330-338"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137083","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":"Brown-Séquard Syndrome after Self-administered Manual Manipulation of the Cervical Spine: A Case Report.","authors":"Sharath Raj, Deepak Kumar, Shrinivas Vb, Ajay Jose, Vijay G Goni","doi":"10.13107/jocr.2026.v16.i10.8200","DOIUrl":"https://doi.org/10.13107/jocr.2026.v16.i10.8200","url":null,"abstract":"<p><strong>Introduction: </strong>Brown-Séquard syndrome (BSS) most commonly follows penetrating trauma, and cervical disc herniation is a rare cause. Spinal cord injury after manual cervical manipulation is well described when the manipulation is performed by another person, but injury following self-manipulation has not previously been reported.</p><p><strong>Case report: </strong>A 38-year-old male developed sudden right-sided weakness immediately after forcefully cracking his own neck, a maneuver he had performed several times daily for years without incident. Examination showed right hemiparesis with contralateral loss of vibratory and pinprick sensation. Magnetic resonance imaging revealed large C4-C5 and C5-C6 disc herniations with severe cord compression. He underwent emergent C4-C6 anterior cervical discectomy and fusion 16 h after symptom onset, followed by 7 days of inpatient rehabilitation, and regained full strength by 2 months.</p><p><strong>Conclusion: </strong>This is the first reported case of BSS resulting from a patient's own cervical manipulation. It highlights a previously undescribed exposure pathway for cervical disc injury and the value of rapid decompression and intensive rehabilitation in optimizing recovery.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"16 10","pages":"97-102"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182600","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":"Magnetic Resonance Imaging-Arthroscopy Correlation in Traumatic Knee Injuries: A Retrospective Diagnostic Accuracy Study.","authors":"Aminuddin Qureshi, Nishat Faatima, Sandesh Subhash Agrawal","doi":"10.13107/jocr.2026.v16.i10.8310","DOIUrl":"10.13107/jocr.2026.v16.i10.8310","url":null,"abstract":"<p><strong>Introduction: </strong>Magnetic resonance imaging (MRI) is widely used for the evaluation of traumatic knee injuries because it provides a detailed, non-invasive assessment of intra-articular structures. However, discrepancies between MRI and arthroscopic findings may occur, particularly in subtle or complex lesions. This study evaluated the diagnostic performance of pre-operative MRI by correlating MRI findings with arthroscopic findings in patients undergoing therapeutic knee arthroscopy after trauma.</p><p><strong>Materials and methods: </strong>This single-center retrospective diagnostic accuracy study included 35 patients aged 15-60 years with traumatic knee injuries who underwent clinical evaluation, pre-operative MRI, and therapeutic knee arthroscopy. MRI findings were compared with arthroscopic findings as the reference standard. Sensitivity, specificity, positive predictive value, negative predictive value (NPV), diagnostic accuracy, and Cohen's kappa coefficient were calculated.</p><p><strong>Results: </strong>Arthroscopy identified 31 anterior cruciate ligament (ACL) injuries, three posterior cruciate ligament (PCL) injuries, 25 medial meniscal injuries, 14 lateral meniscal injuries, and 10 osteochondral defects. MRI demonstrated sensitivities ranging from 76.0% to 100.0%, with specificity of 100.0% for all evaluated lesions. Diagnostic accuracy ranged from 82.9% for medial meniscal injuries to 100.0% for PCL injuries and osteochondral defects. Agreement with arthroscopy was substantial for ACL injuries (κ = 0.768) and medial meniscal injuries (κ = 0.644), and almost perfect for PCL injuries (κ = 1.000), lateral meniscal injuries (κ = 0.940), and osteochondral defects (κ = 1.000).</p><p><strong>Conclusion: </strong>MRI demonstrated high diagnostic performance and substantial to almost-perfect agreement with arthroscopic findings for the evaluated traumatic intra-articular knee lesions. Medial meniscal injuries showed the lowest sensitivity and NPV, indicating that a negative MRI finding may not completely exclude clinically relevant meniscal pathology when clinical suspicion remains high.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"16 10","pages":"440-447"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137113","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":"Posterior Fibular Entrapment in a Bosworth Fracture-Dislocation: A Case Report and Review of Diagnostic and Operative Considerations.","authors":"John Wahhab, Sebastian M Scofield, Thomas Turinske","doi":"10.13107/jocr.2026.v16.i10.8254","DOIUrl":"10.13107/jocr.2026.v16.i10.8254","url":null,"abstract":"<p><strong>Introduction: </strong>Bosworth fracture-dislocations are rare ankle injuries characterized by posterior entrapment of the fibula behind the tibia, making closed reduction inherently difficult. Their subtle radiographic appearance often delays diagnosis. This case highlights the diagnostic challenges and operative considerations associated with this uncommon and frequently irreducible injury pattern.</p><p><strong>Case report: </strong>A 34-year-old man presented after a fall with a posterior malleolus fracture, distal fibular fracture, and tibiotalar dislocation. Closed reduction improved alignment, but persistent mortise asymmetry prompted computed tomography (CT) imaging, which raised suspicion for posterior fibular entrapment. The patient subsequently underwent operative exploration and open reduction with internal fixation.</p><p><strong>Results: </strong>Intraoperative findings confirmed posterior fibular incarceration, comminution, and complete syndesmotic disruption. Anatomic reduction was achieved with plate fixation and syndesmotic stabilization. The patient recovered uneventfully and progressed to weight-bearing without complication.</p><p><strong>Conclusion: </strong>Bosworth fracture-dislocations require a high index of suspicion, particularly when closed reduction fails or mortise asymmetry persists. CT imaging is essential for identifying posterior fibular entrapment, and early operative management is critical to restoring alignment and preventing long-term morbidity. This case reinforces the importance of timely recognition and surgical intervention in achieving favorable outcomes.</p><p><strong>Level of evidence: </strong>Level V - case report.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"16 10","pages":"247-251"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137177","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 Posterior Malleolus Fracture with Early Symptom Resolution: A Case Report.","authors":"Ryan Lu, Sylvanus Ly","doi":"10.13107/jocr.2026.v16.i10.8258","DOIUrl":"10.13107/jocr.2026.v16.i10.8258","url":null,"abstract":"<p><strong>Introduction: </strong>Isolated posterior malleolus fractures are uncommon and may present with subtle radiographic findings and rapid clinical improvement, creating potential for underrecognition or premature de-escalation of care. To our knowledge, reports specifically highlighting early symptom resolution as a management pitfall in isolated posterior malleolus fractures are limited in the literature.</p><p><strong>Case report: </strong>A 29-year-old female sustained a left ankle injury following a fall while recreational ice skating. Initial radiographs demonstrated a non-displaced posterior malleolus fracture with an intact ankle mortise and no medial or lateral malleolar involvement. One week after injury, the patient reported complete resolution of pain despite persistent swelling and radiographic evidence of fracture. Serial imaging demonstrated maintained alignment without interval displacement. The patient was managed conservatively with immobilization, activity modification, and follow-up monitoring. At 2 months post-injury, repeat radiographs demonstrated bony union with preserved ankle congruency.</p><p><strong>Conclusion: </strong>Isolated posterior malleolus fractures may demonstrate rapid symptom resolution despite persistent radiographic injury. Clinical improvement alone should not guide de-escalation of treatment. Careful radiographic evaluation and continued immobilization are essential to ensure appropriate healing and prevent premature return to activity.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"16 10","pages":"260-263"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137137","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":"Bilateral Cedell Fractures of the Talus Associated with Ankle Fractures in a Polytrauma Patient: A Rare Injury Managed with Damage Control Orthopedics and Staged Fixation.","authors":"Sanjey Sivakumar, Kirubakaran Pattabiraman, Nabiel Salam, Nibras Chereykkatt, Anirudh Dwajan, Sandeep Patel","doi":"10.13107/jocr.2026.v16.i10.8260","DOIUrl":"10.13107/jocr.2026.v16.i10.8260","url":null,"abstract":"<p><strong>Introduction: </strong>Posteromedial talar process (Cedell) fractures are rare and frequently missed, particularly in polytrauma patients. Bilateral involvement is exceedingly uncommon and presents unique diagnostic and management challenges.</p><p><strong>Case report: </strong>A 20-year-old male sustained bilateral posteromedial talar process fractures following a fall from height. Associated injuries included an L3 bony Chance fracture, a right ankle fracture-dislocation with a medial malleolar fracture, and a left distal tibial plafond fracture. Computed tomography (CT) confirmed bilateral posteromedial talar process fractures with extension into the subtalar joints. A staged damage-control orthopedic strategy was adopted. Initial management comprised spinal stabilization, temporary ankle-spanning external fixation, and fixation of the medial malleolar fracture. Following physiological optimization and soft-tissue recovery, definitive fixation of both talar fractures and the associated injuries was performed. At 6 months, complete radiological union was achieved bilaterally without evidence of avascular necrosis. The patient subsequently developed symptomatic post-traumatic arthritis of the right subtalar joint, which was managed with subtalararthrodesis and transosseous lateral ligament repair. At the 1-year follow-up, the patient was pain-free, demonstrated preserved ankle dorsiflexion and plantarflexion bilaterally, and had intact flexor hallucis longus function. His American Orthopaedic Foot and Ankle Society ankle-hindfoot score was 95, and he had returned to his pre-injury functional level.</p><p><strong>Conclusion: </strong>Bilateral Cedell fractures may be overlooked in patients with complex high-energy ankle injuries. Careful CT assessment and staged surgical management can achieve fracture union, preserve talar viability, and provide an excellent functional outcome. Post-traumatic subtalar arthritis may still occur despite fracture union and can be successfully addressed with an appropriate salvage procedure.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"16 10","pages":"264-269"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136864","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":"Functional Outcome of Operative Titanium Elastic Nailing System Versus Non-Operative Figure-of-Eight Bandage in Displaced Mid-Shaft Clavicle Fractures: A Randomized Controlled Study.","authors":"S Balaji, N Ravikumar, V Viswanathan, R Muralidharan, Rumesh Kannan Gunasekaran, Avinash Gogoularadja","doi":"10.13107/jocr.2026.v16.i10.8308","DOIUrl":"10.13107/jocr.2026.v16.i10.8308","url":null,"abstract":"<p><strong>Introduction: </strong>Displaced midshaft clavicle fractures are commonly treated either conservatively using a figure-of-eight bandage or operatively with the Titanium Elastic Nailing System (TENS). However, evidence comparing these modalities remains limited. This study compared the functional and radiological outcomes of TENS with conservative management in adults with displaced midshaft clavicle fractures.</p><p><strong>Materials and methods: </strong>This randomized controlled study was conducted over 2 years at the Department of Orthopaedics, Indira Gandhi Medical College and Research Institute, Puducherry. Sixty adults with Allman Group I displaced midshaft clavicle fractures were randomized into TENS (n = 30) and figure-of-eight bandage (n = 30) groups. Functional outcomes were assessed using the Constant-Murley Score and Disabilities of the Arm, Shoulder and Hand (DASH) score at 6 weeks, 3 months, and 6 months. Radiological union, complications, return to activity, and patient satisfaction were also evaluated.</p><p><strong>Results: </strong>Fifty-eight patients completed follow-up. The TENS group demonstrated significantly better early functional recovery with lower DASH scores at 6 weeks (59.55 ± 3.55 vs. 65.12 ± 4.72; P < 0.001), while Constant-Murley scores were higher but not significantly different. At 6 months, both groups achieved comparable Constant scores (96.48 ± 1.68 vs. 96.46 ± 2.85; P = 0.857) and low DASH scores. Fracture union was achieved in all patients, with slightly earlier radiological union and earlier return to activity (9.6 vs. 10.8 weeks) in the TENS group. Minor implant-related complications occurred following TENS but did not influence the outcome. Patient satisfaction was high in both groups.</p><p><strong>Conclusion: </strong>TENS provides superior early functional recovery, earlier return to daily activities, and high patient satisfaction compared with figure-of-eight bandage treatment, while both treatment modalities achieve excellent fracture union and comparable long-term functional outcomes. The treatment should be individualized according to patient characteristics, fracture pattern, and functional demands.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"16 10","pages":"431-439"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136818","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":"Management of Severe Knee Flexion Contracture of 140° with Fibrous Ankylosis in a Resource-Limited Setting: A Case Report.","authors":"Mulugeta Bekele Geneti, Zenebe Teklu Gebrehana, Jorge Peltzer, Reto Babst, Andualem Tesfaye Alemayehu","doi":"10.13107/jocr.2026.v16.i10.8176","DOIUrl":"10.13107/jocr.2026.v16.i10.8176","url":null,"abstract":"<p><strong>Background: </strong>Chronic knee flexion contracture in children is a rare but disabling condition, particularly in low-resource settings where access to rehabilitation and advanced surgical care is limited.</p><p><strong>Case report: </strong>We report the case of a 14-year-old boy with an 8-year history of fixed knee flexion contracture following previous knee surgery for infection. The patient presented with inability to walk upright and was forced to crawl for mobility. Clinical and radiographic evaluation confirmed severe contracture and distal femoral deformity. A posterolateral approach with distal femoral osteotomy, acute shortening, soft tissue release, peroneal nerve decompression, rotational skin flap, and gradual distraction osteogenesis using a uniplanar dynamic external fixator was performed. After 5 months, the patient achieved a straight, fused limb, enabling independent upright ambulation.</p><p><strong>Conclusion: </strong>This case demonstrates that complex knee contractures in resource-limited settings can be successfully managed by distal femur osteotomy, acute shortening, uniplanar dynamic external fixation, and soft tissue reconstruction.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"16 10","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137111","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":"Blood Flow Restriction-Assisted Rehabilitation for Persistent Osgood-Schlatter Disease in an Adolescent Footballer: A Case Report with Isokinetic Evaluation.","authors":"Sarthaki Gaikwad, Priti Mehendale, Vanshika Desai, Raman More","doi":"10.13107/jocr.2026.v16.i10.8226","DOIUrl":"10.13107/jocr.2026.v16.i10.8226","url":null,"abstract":"<p><strong>Introduction: </strong>Osgood-Schlatter disease (OSD), also known as Lannelongue disease, is a type of osteochondritis that affects teenagers. The effectiveness of blood flow restriction training (BFRT) in a structured rehabilitation program for cases that do not respond to conventional treatment has not been studied. By demonstrating the supporting impact of BFRT on progressive loading strategies and functional recovery, this example contributes to the expanding body of information on advanced rehabilitation procedures in OSD.</p><p><strong>Case report: </strong>A 15-year-old male athlete's main concerns were restricted participation in football, trouble with high-load activities such as running and jumping, and activity-related anterior knee pain. OSD was determined to be the diagnosis based on radiographic assessment. He visited the physiotherapy outpatient department. A clinical examination showed reduced hip abductor strength, altered hamstring-to-quadriceps (H/Q) ratio, and decreased quadriceps and hamstring strength on isokinetic evaluation. A comprehensive 12-week phase-based rehabilitation protocol involving activity modification, BFRT, aerobic exercise, proprioceptive training, and balance retraining. Following the intervention, the patient's isokinetic quadriceps, hamstring, and hip muscular strength significantly increased, and the H/Q ratio returned to normal. An improvement in functional performance allowed for a successful and gradual return to sports without recurrence of symptoms.</p><p><strong>Conclusion: </strong>This example highlights that both proximal biomechanical dysfunctions and local muscular deficits associated with OSD can be effectively addressed through the integration of BFRT within a structured, progressive rehabilitation program, emphasizing the importance of objective isokinetic assessments to inform clinical decision-making, support return-to-sport readiness, and reduce the risk of recurrence.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"16 10","pages":"173-179"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137098","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}