Journal of Orthopaedic Case Reports最新文献

{"title":"The Vital Role of Materiovigilance in Orthopedic Practice.","authors":"Sachin Kale, Deepak Langade, Vaishali Thakare, Ashok Shyam","doi":"10.13107/jocr.2025.v15.i02.5206","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i02.5206","url":null,"abstract":"","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433468","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":"Total Hip Arthroplasty in Ochronotic Arthropathy with quadriceps tear. A Case Report with a Review of the Literature.","authors":"Alok Chandra Agrawal, Anuj Baghel, Ankit Kumar Garg, Alok Rai, Harshal Sakale","doi":"10.13107/jocr.2025.v15.i02.5236","DOIUrl":"10.13107/jocr.2025.v15.i02.5236","url":null,"abstract":"<p><strong>Introduction: </strong>Alkaptonuria is a rare genetic disorder characterized by the absence of the enzyme homogentisate 1,2 dioxygenase, which leads to the accumulation of homogentisic acid in connective tissues and blood, resulting in Ochronosis and osteoarthropathy.</p><p><strong>Case report: </strong>We present a case report of a 56-year-old male with ochronotic arthropathy and quadriceps tendon rupture who underwent a total hip replacement. The patient exhibited right hip pain, difficulty walking, and restricted movement at the hip and spine. Radiographic and magnetic resonance imaging findings confirmed significant arthritic changes in the right hip joint and a mid-substance tear in the quadriceps tendon. Intraoperatively, dark pigmentation was observed in the affected tissues, consistent with the diagnosis of Ochronosis. The literature review indicates that joint replacement surgery is the treatment of choice for ochronotic arthropathy, with patients experiencing good functional recovery. The prosthesis's long-term survival rate is comparable to primary arthroplasty, and the optimal surgical approach regarding capsule preservation remains a topic of debate.</p><p><strong>Conclusion: </strong>Joint replacement is a feasible treatment option for patients with ochronotic arthropathy. Understanding the spine-pelvic relations and other potential complications can help surgeons plan for better recovery and functional outcomes.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"80-85"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433470","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":"Chronic Midfoot Pain Due to Idiopathic Osteonecrosis of Tarsal Navicular Bone in Adult - Mueller-Weiss Syndrome: A Case Report.","authors":"N Adithya, P Sunil Kumar, B S Narendra, V Varun","doi":"10.13107/jocr.2025.v15.i02.5228","DOIUrl":"10.13107/jocr.2025.v15.i02.5228","url":null,"abstract":"<p><strong>Introduction: </strong>Mueller-Weiss syndrome is a rare condition seen in adults due to spontaneous osteonecrosis of tarsal navicular bone unlike Koehler's disease which is quite common in paediatric population.</p><p><strong>Case report: </strong>We report a single case of Mueller-Weiss syndrome in an adult female. After a trail of conservative treatment, operative management was done with excision of necrotic fragment and arthrodesis of mid-foot joints augmented with tricortical iliac crest graft. Good fusion and significant reduction of pain on weight-bearing was observed after a duration of 6 weeks.</p><p><strong>Conclusion: </strong>Mueller-Weiss syndrome is relatively rare differential for mid-foot pain in adult population. Early recognition and management of the condition prevents arthritic changes and disability.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"60-64"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433294","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":"Mucinous ACL Degeneration is Rarely Thought About, a Missing Diagnosis: Case Report.","authors":"Chadalavada Aravindbabu, Syed Kareemulla, Aditya Chadalavada, Naveen Kumar, Pranavi Nutalapati, Taslim Fathima","doi":"10.13107/jocr.2025.v15.i02.5250","DOIUrl":"10.13107/jocr.2025.v15.i02.5250","url":null,"abstract":"<p><strong>Introduction: </strong>Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare entity affecting the middle-aged people with equal gender predisposition. The enigmatic pathological etiology of MD of ACL has been the subject of numerous ideas, including synovial, traumatic, degenerative, ectopic, changed joint mechanics, etc. correlating magnetic resonance imaging (MRI) with clinical diagnosis helps in concluding the diagnosis. Arthroscopic debulking of the ACL helps in relieving the pain.</p><p><strong>Case report: </strong>We describe here a woman in her 40s who has been experiencing right knee pain for the past 2 years. Although there are no additional clinical symptoms visible upon examination, there is pain with deep knee flexion. MRI's knee has been taken, and celery stalk appearance has been noticed, as described by Akin. The patient was treated with arthroscopic debulking using conventional arthroscopic portals, and the pain was relieved.</p><p><strong>Conclusion: </strong>The diagnosis of MD is assisted by clinical examination and correlating the clinical findings with MRI, as it is typically overlooked. The pain is reduced with arthroscopic debulking.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"116-119"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433342","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":"Analysis of Series of Cases of Fibrous Dysplasia of Proximal Femur in Pediatric Population.","authors":"Sumit Gupta, Ankur Agarwal, Lokesh Raghav, Shray Jain, Amit Kumar Gupta","doi":"10.13107/jocr.2025.v15.i02.5298","DOIUrl":"10.13107/jocr.2025.v15.i02.5298","url":null,"abstract":"<p><strong>Introduction: </strong>Fibrous dysplasia (FD) accounts for 5-7% of all benign bone tumors. It presents in two main forms - monostotic, which is more common affecting a single bone and presenting usually in 3rd decade of life; polyostotic, affecting several bones, is less common, and is seen mainly in the 1st decade of life. These usually present as bone pain or pathological fracture. It may also be part of McCune-Albright syndrome. Since the femur is an important weight-bearing bone in the human body, most cases of FD affecting the femur present as pathological fracture more early than other sites. The mainstay of management includes treatment of pathological fracture and prevention of bony deformity until skeletal maturity. The aim of this study was to analyze a series of cases of FD of femur affecting the pediatric population.</p><p><strong>Materials and methods: </strong>A retrospective study was conducted at two tertiary-level centers of urban India, wherein all case records of FD under follow-up between January 2015 and December 2023 were analyzed. In all, there were 13 cases. Definitive management was decided on a case-by-case basis. We grouped the cases into 2 categories based on recurrence.</p><p><strong>Observations: </strong>Out of 13 cases, 11 were males while 2 patients were females. The mean age at presentation was 10.5 years (range 4-12 years). Two cases were of polyostotic FD, while 11 cases were of monostotic FD. In 11 cases, the intertrochanteric region of the femur was affected, while in 2 cases the affection extended into the proximal shaft of the femur as well. The mean follow-up period was 48 months (Range 15-84 months). In category one (no recurrence) there were 10 patients, while in category two (recurrence of FD) there were 3 patients. The recurrence rate in our series was 23%.</p><p><strong>Results: </strong>Although FD is also seen in the adult population, its implications are more pronounced in a growing skeleton. The series of cases where surgical intervention has been done with a long follow-up in the pediatric population are limited. In literature, clinical classification of FD, anatomical location in the proximal femur, variation in neck-shaft angle and osteocalcin levels have been found to be significant in predicting causes of fractures and their recurrences.</p><p><strong>Conclusion: </strong>Internal fixation is preferable to prevent deformities where there are high chances of a pathological fracture as is evident by the natural history of FD. Long-term follow-up is important as there are chances of recurrence in childhood until puberty.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"249-255"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433278","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":"Complex Revisions in Total Hip Arthroplasty Amidst COVID-19 Delays: A Case Report.","authors":"Jatin Talwar, Navdeep Singh Keer, Loveneesh G Krishna, Ashish Rustagi, Ishaan Siwach","doi":"10.13107/jocr.2025.v15.i02.5260","DOIUrl":"10.13107/jocr.2025.v15.i02.5260","url":null,"abstract":"<p><strong>Introduction: </strong>Avascular necrosis (AVN) of the femoral head and its subsequent management through total hip arthroplasty (THA) remains a significant challenge in orthopedic surgery, especially in cases with long-term complications. This case report is crucial as it documents the unprecedented journey of a 69-year-old female patient who underwent multiple revision surgeries over three decades, culminating in a complex surgical intervention during the COVID-19 pandemic. To the best of our knowledge, only a handful of cases have been reported in the literature that explores the compounded effects of delayed surgical intervention due to a global pandemic on a patient with a history of multiple hip arthroplasty revisions.</p><p><strong>Case report: </strong>The patient, a 69-year-old female, initially presented with AVN of the left femoral head in 1994, for which she underwent an isoelastic cemented total hip replacement. Over the years, she required two revision surgeries due to implant loosening. In 2021, she presented with a dislocated femoral head and loosening of the cemented acetabular cup. The COVID-19 pandemic delayed operative intervention, leading to worsening complications, including proximal migration of the dislocated components. In 2022, a complex surgical procedure was performed, involving acetabular defect reconstruction and femoral shortening osteotomy, with the implantation of a new prosthetic body and a bipolar head. The surgery successfully restored hip stability, allowing the patient to walk with reduced risk of further complications.</p><p><strong>Conclusion: </strong>This case underscores the complexities of managing long-term complications in patients with a history of multiple revision hip arthroplasties, particularly when external factors like the COVID-19 pandemic delay necessary interventions. The successful outcome of the case highlights the importance of personalized treatment strategies and adaptive surgical approaches in addressing severe complications. This case provides valuable insights for orthopedic surgeons and may have broader implications for managing similar cases in the future, especially in scenarios where timely surgical intervention is compromised by external challenges.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"141-145"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433299","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 Evolution Of Surgical Hands Anti-Sepsis: From Scrub To Rub.","authors":"Faaiz Ali Shah, Ashok Shyam","doi":"10.13107/jocr.2025.v15.i02.5204","DOIUrl":"10.13107/jocr.2025.v15.i02.5204","url":null,"abstract":"","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433459","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 \"Subtle\" Missed Complex Elbow Dislocation - Learning from Mistakes Made on Plain Radiography.","authors":"Asad Khan, Yasir Salam Siddiqui, Mohd Baqar Abbas, Mohd Arshad Rahman, Pranjal Agrawal, Nikhil Sharma","doi":"10.13107/jocr.2025.v15.i02.5264","DOIUrl":"10.13107/jocr.2025.v15.i02.5264","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic elbow dislocation is a profoundly debilitating condition characterized by severe instability, limited elbow function, and significant pain. The term \"neglected dislocation of the elbow\" refers to a traumatic elbow dislocation that has gone untreated for three weeks or longer. Successfully treating this condition presents a challenge, as it involves restoring elbow stability and achieving a decent range of motion, which can be particularly complex.</p><p><strong>Case report: </strong>We present a case involving a 34-year-old male patient who experienced a complex dislocation of his right elbow joint. Initial diagnosis at our emergency department missed the elbow dislocation, but a follow-up visit three weeks later revealed the true extent of the injury. Fortunately, successful closed reduction resulted in the patient regaining full range of motion, with a Mayo Elbow Performance Score of 90.</p><p><strong>Conclusion: </strong>This case report serves to underscore the essential nature of accurate diagnosis and treatment of elbow dislocations, both clinically and radiologically, to prevent future complications.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"150-154"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433270","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":"Cervicomedullary Spinal Cord Injury.","authors":"Noah King, Andrew Waack, Ethan Kosco, Aastha Bhavsar, Jason Schroeder, Alastair Hoyt","doi":"10.13107/jocr.2025.v15.i02.5238","DOIUrl":"10.13107/jocr.2025.v15.i02.5238","url":null,"abstract":"<p><strong>Introduction: </strong>Spinal cord injury (SCI) is most common following trauma, typically involving motor vehicle incidents. The clinical prognosis depends on many factors, most importantly the initial grade of injury.</p><p><strong>Case report: </strong>We present a 26-year-old male who presents to the emergency department after a motor vehicle accident. He sustained significant injuries with an initial Glasgow Coma Scale of 3 and signs of complete SCI. A computed tomography scan demonstrated cervicomedullary transection caused by C6-C7 facet distraction with C6 retrolisthesis on C7. The patient recovered the ability to track with eyes, utilize facial expression, and unilateral trapezius function to command. Neurological recovery was not made despite aggressive treatment.</p><p><strong>Conclusion: </strong>Patients with complete SCI typically have poor outcomes despite aggressive treatment. We present a unique mechanism, treatment, and outcome of a cervicomedullary SCI through C6 retrolisthesis on C7.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"86-89"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433293","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":"Combined Arthroscopic Anterior Cruciate Ligament Reconstruction and Distal Femoral Osteotomy in a Patient of Bilateral Genu Valgum - A Rare Case Report.","authors":"Parthasarathi Das, Soumitesh Sibananda Das","doi":"10.13107/jocr.2025.v15.i02.5222","DOIUrl":"10.13107/jocr.2025.v15.i02.5222","url":null,"abstract":"<p><strong>Introduction: </strong>Anterior cruciate ligament (ACL) injury sometimes is associated with genu valgum. Valgus malalignment poses concerns due to its potential to increase strain on the ACL, thereby elevating the risk of osteoarthritis in the lateral compartment of the knee. However, lacune still exists regarding the concomitant reconstruction of ACL and distal femoral osteotomy in ACL-deficit knee with genu valgum. The present case report aims to fill this gap by presenting a rare case of a young patient with a symptomatic ACL deficit knee and femur-originated genu valgum.</p><p><strong>Case report: </strong>A young male presented with bilateral genu valgum at our clinic with pain and instability of the right knee following a sports injury for 1 year. The anterior drawer, Lachman, pivot shift, and McMurray test were positive in physical examination. The surgical intervention comprised lateral open wedge osteotomy of the distal femur, all-inside reconstruction of the ACL, and partial meniscectomy for the meniscal tear.</p><p><strong>Conclusion: </strong>Simultaneous ACL reconstruction with femur osteotomy offers favorable outcomes in patients presenting with genu valgum. This integrated approach minimizes hospitalization and rehabilitation periods. Meticulous planning and surgical techniques, including careful femoral tunnel placement, can mitigate potential complications like plate interference.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"42-48"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433296","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}