Journal of Orthopaedic Case Reports最新文献

{"title":"Role of Ortho Biologics in Subtrochanteric Osteotomy Non-union in a Case of Developmental Hip Dysplasia Managed with Total Hip Replacement - A Case Report.","authors":"Bishnu Prasad Patro, Abhijith K Jayan, K P Lubaib, Mainak Roy","doi":"10.13107/jocr.2025.v15.i09.5998","DOIUrl":"10.13107/jocr.2025.v15.i09.5998","url":null,"abstract":"<p><strong>Introduction: </strong>Hip dislocations are very common at a younger age because of predisposing factors, such as laxity of the hip. If not reduced promptly, osteonecrosis of the femoral head can occur, requiring osteotomies or hip replacement later in life. In case of severe deformities, along with hip replacement, subtrochanteric osteotomy is often needed so as to address deformity and limb length discrepancy. Non-unions at the osteotomy site are not rare and can be treated with orthobiologics. Orthobiologics have been found to increase union rates, decrease healing times, and enhance union in long bone fractures. Plateletrich plasma (PRP) and bone marrow aspirate concentrate (BMAC) are rich sources of several growth factors that promote angiogenesis and osteogenesis through multiple mechanisms.</p><p><strong>Case report: </strong>Here, we discuss the case of a 27-year-old male who had congenital hip dislocation, which was managed conservatively. At 18 years of age, he underwent a pelvic osteotomy and limb lengthening procedure. The symptoms subsided, but there was a recurrence of pain for the past 2 years, which was aggravated with movements. He was diagnosed with Crowe type IV dysplastic hip, and a right total hip with long stem was carried out along with subtrochanteric osteotomy. However, at 3 months of follow-up, the union was not sufficiently appreciated on radiograph, and the patient still complained of pain.</p><p><strong>Conclusion: </strong>Hence, a single dose of BMAC injection was given, followed by three doses of PRP injections. The final follow-up was done 1 year after the surgery, and the patient had satisfactory outcomes.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"16-21"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040477","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":"Transverse Periprosthetic Fracture With a Bent Stem Following Reverse Total Shoulder Arthroplasty - A Case Report.","authors":"James H Padley, Emanuel-Youssef Dib, Alexander R Zhu, Eve R Glenn, Henry M Fox, Edward G McFarland","doi":"10.13107/jocr.2025.v15.i09.6090","DOIUrl":"10.13107/jocr.2025.v15.i09.6090","url":null,"abstract":"<p><strong>Introduction: </strong>Reverse total shoulder arthroplasty (RTSA) is increasingly performed, with a corresponding rise in associated complications such as periprosthetic fractures. Although implant failure and loosening are well documented, deformation of a humeral stem without loosening has not been previously reported.</p><p><strong>Case report: </strong>A 77-year-old woman, 9 years after an RTSA, presented with left shoulder pain after a fall. Initial radiographs revealed a transverse periprosthetic proximal diaphyseal fracture and a deformed humeral component. She was treated nonoperatively with range-of-motion exercises and pain management. One year later, radiographs confirmed fracture healing, and the patient had no pain and had regained full motion.</p><p><strong>Conclusion: </strong>This is the first reported case of deformation of a humeral stem in a shoulder arthroplasty. Nonoperative management was successful for fracture healing.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"255-259"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040478","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 Double Hoffa Fracture of the Distal Femur without Intercondylar Extension: A Rare Case Report.","authors":"Utkarsh Jain, Vipin Gupta, Navdeep Singh Keer","doi":"10.13107/jocr.2025.v15.i09.6018","DOIUrl":"10.13107/jocr.2025.v15.i09.6018","url":null,"abstract":"<p><strong>Introduction: </strong>Hoffa fractures are rare intra-articular fractures of the distal femur in the coronal plane, typically affecting a single femoral condyle. A bicondylar involvement, essentially double Hoffa fractures, is exceedingly uncommon and rarely documented, especially in the absence of metaphyseal comminution.</p><p><strong>Case report: </strong>We present the case of a 25-year-old male who sustained an isolated bicondylar Hoffa fracture following a motorcycle accident. Radiographs and computed tomography (CT) imaging confirmed isolated coronal plane fractures of both femoral condyles (AO 33-B3), without metaphyseal comminution or intercondylar extension. The fracture was managed through a single medial parapatellar approach, using 5 cannulated screws and 2 headless Herbert screws. Post-operative rehabilitation involved early mobilization and progressive weight bearing. At 2 years follow-up, the patient demonstrated excellent functional recovery with a full range of motion (0-140°), no extensor lag, and pain-free full weight-bearing.</p><p><strong>Conclusion: </strong>This case highlights the role of precise anatomical reduction, CT evaluation, and early mobilization in managing complex distal femur fractures. This report adds to the limited literature on bicondylar Hoffa fractures without metaphyseal comminution.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"66-70"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040499","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":"Patellar Instability after Total Knee Arthroplasty: A Surgical Case Report.","authors":"Nikolaos Georgiadis, Christina Pechlivani, Nikolaos Manidakis, Konstantinos Asteriadis, Efstathios Kalivas","doi":"10.13107/jocr.2025.v15.i09.6002","DOIUrl":"10.13107/jocr.2025.v15.i09.6002","url":null,"abstract":"<p><strong>Introduction: </strong>Patella instability and maltracking is a serious complication following total knee replacement that can lead to poor outcomes for the patient and contribute to early failure. The incidence of patella maltracking ranges from 1% to 20% after total knee arthroplasty (TKA), with post-operative anterior knee pain being an important indicator. There are many different surgical approaches for the management of post-operative patella maltracking with very good outcomes. However, the most crucial step is to identify the underlying etiology.</p><p><strong>Case report: </strong>A 71-year-old Caucasian woman presented to our orthopedic department due to chronic right knee pain, which had worsened over the past year. She was diagnosed with osteoarthritis and was scheduled for a TKA. Three years postoperatively, she returned for examination due to anterior knee pain. Patellar instability was observed and intensive extensor mechanism strengthening and physiotherapy were recommended. Three months later, she presented with severe pain and inability to move her knee. Imaging revealed a fracture and dislocation of the patella. She was surgically treated with lateral release and proximal realignment of the extensor mechanism, according to Insall procedure, with great post-operative outcome.</p><p><strong>Conclusion: </strong>The etiology of post-operative patella instability and dislocation in most cases is due to component malposition or extensor mechanism imbalance. The surgeon should be careful and should take measures preoperatively and intraoperatively to prevent this scenario.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040070","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":"Aneurysmal Bone Cyst of Talus: A Case Report.","authors":"Segla Pascal Chigblo, Ireti Fiacre Tidjani, Armel Ayaovi Hadonou, Romulus Takin, Fifonsi Odry Agbessi, Aristote Akue Hans-Moevi","doi":"10.13107/jocr.2025.v15.i09.6040","DOIUrl":"10.13107/jocr.2025.v15.i09.6040","url":null,"abstract":"<p><strong>Introduction: </strong>Aneurysmal bone cyst (ABC) is a metaphyseal bone tumor that is frequent in children. Talar location is exceptional.</p><p><strong>Case report: </strong>We report a case of this rare lesion managed in our department. It was a 16-year-old girl who presented with heel pain at walk, without any trauma. Radiologic explorations found a pathologic fracture of the right talus due to a bone cyst. A surgical procedure was proceeded, with curettage, and bone grafting completed by a plastered immobilization. Histopathology confirmed the diagnosis of ABC. Consolidation was achieved in 2 months, and there was no recurrence after 5 years.</p><p><strong>Conclusion: </strong>ABC of the talus is a rare etiology of heel pain, which must not be forgotten in children.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"125-129"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040380","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":"An Anomalous Attachment of the Medial Meniscus Posterior and Anterior Roots Mimicking a Bucket Handle Meniscus Tear: A Case Report and Review of the Literature.","authors":"Alexander J Egol, Bradley A Lezak, Emily Berzolla, Spencer M Stein","doi":"10.13107/jocr.2025.v15.i09.6100","DOIUrl":"10.13107/jocr.2025.v15.i09.6100","url":null,"abstract":"<p><strong>Introduction: </strong>Anomalous medial menisci are rare entities compared to their lateral counterparts. These anomalies include atypical insertions, most commonly into the anterior cruciate ligament, and discoid variants among others. This case adds to the literature on anomalous medial menisci with the presentation of a variant not described in the literature before.</p><p><strong>Case report: </strong>Our patient is a 38-year-old female who presented to the outpatient orthopedic clinic complaining of right knee pain in the setting of a traumatic kneeling event. She had a past medical history of asthma, polycystic ovary syndrome, and anxiety, but no surgical history related to the knee. She underwent magnetic resonance imaging identified what appeared to be a bucket-handle medial meniscus tear. The patient was brought to the operating room where diagnostic arthroscopy revealed a radial tear at the posterior horn of the medial meniscus as well as an anomalous connection between the anterior and posterior roots. The band specifically ran from the posterior horn of the medial meniscus, then superiorly and along the posterior cruciate ligament, and ultimately attached to the anterior horn of the medial meniscus in an \"O\" shape. In addition, a large patellofemoral plica was identified overlying the lateral femoral condyle. The tear, plica, and anomalous band were all debrided. The patient was progressing well on her most recent 7-month follow-up visit.</p><p><strong>Conclusion: </strong>To our knowledge, this is the only reported case of such an anomaly. This case highlights the fact that there are likely other unidentified meniscal variants, and if they are not correctly identified on imaging, it could lead to patient mismanagement. Further research is needed into these variants.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"282-287"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040394","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":"Clinical and Functional Outcomes of Proximal Humerus Internal Locking System Plate Fixation in Proximal Humerus Fractures: A Short-term Follow-up.","authors":"Amit Saraf, Sandeep Bishnoi, Naman K Parakh, S Krishna Kumar, Ananya Chaudhary, K Dhanunjaya Reddy","doi":"10.13107/jocr.2025.v15.i09.6116","DOIUrl":"10.13107/jocr.2025.v15.i09.6116","url":null,"abstract":"<p><strong>Introduction: </strong>Proximal humerus fractures (PHFs) are among the most frequently encountered fractures in clinical orthopedic practice, particularly in the elderly population. Although many cases can be managed conservatively, complex and displaced fractures often require surgical intervention. Proximal humerus internal locking system (PHILOS) plating has emerged as an effective treatment modality in these cases, especially in osteoporotic bone.</p><p><strong>Materials and methods: </strong>This retrospective cum prospective clinical study was conducted over 2 years and included 30 patients aged 18-65 years with PHFs treated surgically with PHILOS plating. Fractures were classified using Neer's classification. Patients were followed for a minimum of 4 months. Functional outcomes were assessed using the Constant-Murley score.</p><p><strong>Results: </strong>The mean age of patients was 39.56 ± 9.41 years, with a majority being in the age group of 30-50 years. The distribution of fractures included 2-part (33.3%), 3-part (56.6%), and 4-part fractures (10%). At the final follow-up, 46.7% of patients had excellent outcomes, 30% good, 13.3% fair, and 10% poor. The mean Constant-Murley score was 78. Patients with 2-part fractures had the highest mean score (81.2), followed by 3-part (78.8), and 4-part fractures (59.3).</p><p><strong>Conclusion: </strong>PHILOS plate fixation for PHFs provides stable internal fixation, enables early mobilization, and leads to good-to-excellent functional outcomes, particularly in less complex fracture patterns. Early rehabilitation further enhances recovery.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"329-333"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040349","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 Novel Approach to Atypical Periprosthetic Femoral Fractures with Stem Breakage: A Case Report.","authors":"Nicholas Frappa, Danil Chernov, Matthew G Alben, Alexander Kovacs, Sean Martin, Evgeny Dyskin","doi":"10.13107/jocr.2025.v15.i09.6004","DOIUrl":"10.13107/jocr.2025.v15.i09.6004","url":null,"abstract":"<p><strong>Introduction: </strong>As the number of total hip arthroplasty (THA) procedures continues to increase annually, periprosthetic femoral fractures (PFFs) have become a more common and significant complication. These fractures present a unique challenge due to the presence of the prosthetic implant, which may complicate the healing process. Atypical femur fractures (AFFs) are a subset of fractures that frequently occur with minimal trauma, often in patients who have been on prolonged bisphosphonate therapy. Although PFFs are excluded from the AFF definition, PFFs that otherwise meet the criteria have been termed atypical PFFs (APFFs). While APFFs are a growing area of interest, there is limited literature on their management, particularly when associated with femoral stem breakage. This case report presents the second reported instance of an APFF with femoral stem breakage, but uniquely, it is the first to involve the preservation of the proximal stem with isolated removal of the distal portion.</p><p><strong>Case report: </strong>An 88-year-old female with multiple comorbidities, including osteoporosis and a history of bisphosphonate therapy, presented with an APFF of the right femur following a ground-level fall. One year prior, she had undergone uncomplicated THA with a long cylindrical, fully porous-coated femoral stem. Radiographs revealed a transverse fracture at the subtrochanteric region, lateral cortical thickening, and femoral stem breakage. Given the patient's medical history and the complexity of the fracture, revision surgery was indicated. Surgical intervention included the preservation of the proximal femoral stem and the removal of the distal stem segment, combined with periprosthetic plate fixation and cortical strut allograft for stabilization.</p><p><strong>Conclusion: </strong>This case highlights the importance of individualized surgical planning in the management of APFFs, particularly those involving stem breakage. By preserving the proximal stem, a less invasive approach was achieved, minimizing surgical morbidity and supporting optimal fracture healing. The case underscores the potential benefit of preserving the femoral stem when appropriate, a strategy not widely explored in current literature. The findings contribute to the ongoing discussion of surgical options for APFFs and offer valuable guidance for future treatment approaches, especially as THA and bisphosphonate use continue to rise.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"32-36"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040373","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 Atlanto-Axial Rotatory Fixation Requiring Internal Fixation.","authors":"Ryunosuke Fukushi, Yujiro Takeshita, Tomonori Morita, Hiroki Fujita, Shunsuke Tachibana, Atsushi Teramoto","doi":"10.13107/jocr.2025.v15.i09.6082","DOIUrl":"10.13107/jocr.2025.v15.i09.6082","url":null,"abstract":"<p><strong>Introduction: </strong>Most cases of atlanto-axial rotatory fixation (AARF) respond well to conservative treatment. Few reports have described initial management strategies. Almost no cases of AARF with recurrence requiring internal fixation have been reported. Here, we describe a case of recurrent AARF requiring internal fixation.</p><p><strong>Case report: </strong>A 5-year-old boy presented with a history of 22q.11.2 deletion syndrome, DiGeorge syndrome, congenital left-sided clubfoot, and periodic vomiting. He was referred to a local pediatrician with neck pain and torticollis and was prescribed analgesics. After 5 days of no improvement, he was referred to a local pediatric orthopedic hospital where he was diagnosed with AARF (Fielding classification type III). The patient was then referred to our department for traction and orthotic therapy. Computed tomography revealed no deformity of the atlanto-axial articular surface and no evidence of bony fusion between the left and right posterior arches of the atlas. Following conservative treatment, the patient's neck pain and torticollis improved, and imaging confirmed the deformity had corrected. He was discharged on day 32. The symptoms recurred on day 42, and although traction and orthotic therapies were repeated, no improvement was observed. A halo vest was applied on day 59 after symptom onset. As the deformity was corrected, the halo vest was removed on day 94 and the patient continued to wear an orthosis. The patient recurrenced on day 104 and internal fixation was performed on day 120. Two 2.4-mm hollow screws were inserted using the Magerl method. No recurrence was observed at 213 days after onset, and bone union was confirmed by imaging test, and the brace was removed.</p><p><strong>Discussion: </strong>Factors contributing to the intractability and recurrence of AARF include laxity and dysfunction of the transverse ligament. In this case, the latter was suspected because of the lax ligament structure. The patient did not undergo atlanto-axial fusion at age 5 years and vertebral bone hypoplasia was observed. Patients with a congenital element may not respond to standard conservative treatment. Thus, if the dislocation is left untreated, the lateral atlanto-axial joint may completely dislocate and drop, causing myelopathy. Thus, early internal fixation is considered desirable in such cases.</p><p><strong>Conclusion: </strong>In cases of AARF involving congenital factors, patients may not respond to standard conservative treatment. Early internal fixation should therefore be considered.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"234-239"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040375","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":"Developmental Hip Dysplasia Presenting as Bilateral Osteochondritis Dissecans Perthes-like Lesions Treated with Triple Pelvic Osteotomies: A Case Report.","authors":"Carlos Guevara-Serra, José I Acosta Julbe, Miguel M Girod, Ariel Dávila-Parrilla","doi":"10.13107/jocr.2025.v15.i09.6000","DOIUrl":"10.13107/jocr.2025.v15.i09.6000","url":null,"abstract":"<p><strong>Introduction: </strong>Osteochondritis dissecans (OCD) of the femoral head accounts for approximately 2% of all OCD cases. Most of the OCD lesions affecting the femoral head are secondary to pathologies concerning the femoral component of the hip joint, such as Legg-Calvé-Perthes (LCP) disease. Although there are reports of OCD secondary to hip dysplasia, to our knowledge, there is no report of bilateral OCD lesions being treated successfully with bilateral triple pelvic osteotomies (PAO) in a pediatric patient.</p><p><strong>Case report: </strong>In this report, we present the case of an 8-year-old Hispanic male who presented with bilateral hip pain unresponsive to conservative treatment and initially managed with the presumptive diagnosis of LCP disease. Due to his persistent hip pain and no improvement on follow-up X-rays and magnetic resonance imaging (MRI), the patient was referred to our hip preservation clinic for further work-up and management recommendations. MRI revealed bilateral OCD lesions of the femoral head secondary to developmental hip dysplasia. The patient underwent bilateral triple PAO for correction of the patient's bilateral hip dysplasia, which resulted in the proper resolution of the femoral head lesions on imaging and eventually resolved the patient's hip pain.</p><p><strong>Conclusion: </strong>This report aims to recognize the association between untreated developmental hip dysplasia and femoral head Perthes-like lesions in the pediatric population. Orthopedic surgeons must consider developmental hip dysplasia when determining the etiology of Perthes-like lesions in pediatric patients.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"22-26"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040403","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}