Journal of Orthopaedic Case Reports最新文献

{"title":"The Gut Feeling: The Role of Gut Microbiome in Orthopedics.","authors":"Janki Sharan Bhadani, Vikas M Agashe, Ashok Shyam, John Mukhopadhaya","doi":"10.13107/jocr.2025.v15.i03.5418","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i03.5418","url":null,"abstract":"","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 3","pages":"308-311"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649340","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 Report of Bilateral Shepherd Crook Deformity of Proximal Femur in an Adolescent Managed by Corrective Osteotomy, Double Angle Blade Plate and Bone Graft.","authors":"Animesh Kumar Singh, Sushant Srivastava, Abhishek Arunav, Amresh Kumar, Avanish Kumar, Madhusudan Kumar","doi":"10.13107/jocr.2025.v15.i03.5352","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i03.5352","url":null,"abstract":"<p><strong>Introduction: </strong>Fibrous dysplasia (FD) is a benign, non-heritable, intramedullary fibro-osseous lesion described by Lichtenstein in 1938. It is considered that a developmental failure occurs during remodeling of woven bone so that lamellar bone fails to form. The bone also fails to remodel in response to mechanical stress. It has a considerable risk of pathological fractures particularly in proximal femur in younger age group. These are challenging to treat, especially in younger population. Several treatment modalities have been proposed, each having its own pros and cons. Attention should be given in pediatric population in choosing technique and selection of implants to preserve growth of the limb and to prevent implant prominence and soft-tissue irritation.</p><p><strong>Case report: </strong>We are reporting a case of pathological proximal shaft of femur fracture secondary to FD, in an 14-year-old obese boy, managed with corrective osteotomy, 135° angle blade plate fixation and bone graft.</p><p><strong>Conclusion: </strong>At subsequent follow-ups, he showed good consolidation at fracture site, stable implant, and an excellent functional outcome in terms of pain and range of motion, without any radiological sign of recurrence.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 3","pages":"111-114"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649369","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":"Tibial Plafond Fracture Healing in Coral Reef Aorta - A Case Report.","authors":"Mariangela Di Già, Alfredo Trombetta, Giuliana Roselli, Massimo Sangiovanni, Stefano Bianco, Pietro De Biase","doi":"10.13107/jocr.2025.v15.i03.5342","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i03.5342","url":null,"abstract":"<p><strong>Introduction: </strong>Coral reef aorta (CRA) is a calcifying stenotic disease of the distal aorta that can result in hypoperfusion and thromboembolic episodes of both internal organs and lower limbs. Only case reports of this extremely rare condition are described in the literature. Our report is the first article about fracture management and healing in this anomaly.</p><p><strong>Case report: </strong>A 58-year-old woman with an alcohol abuse story presented to our emergency department after a fall from height. She reported a 43-C3 Gustilo I open leg fracture treated in an emergency with a damage control orthopedic approach. As an incidental finding, a CRA anomaly was found during an abdomen computer tomography scan. Considering the fracture pattern and the patient factors, hybrid external fixation was chosen as the definitive treatment. Complete bone healing and a good functional recovery 4 months after surgery were assessed.</p><p><strong>Conclusion: </strong>External fixation and percutaneous techniques must be considered in complex articular fractures with vascular compromise. A minimally invasive approach with early motion and weight bearing allowed for a complete fracture healing without deficits or additional soft tissue damage.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 3","pages":"80-85"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649393","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 Report on Arthroscopically Managed Irreducible Anterior Shoulder Dislocation with Entrapped Anterior Capsule.","authors":"Hari Krishna Yadoji, Vasudeva Juvvadi, Ashok Raju Gottemukkala, Praful Kilaru","doi":"10.13107/jocr.2025.v15.i03.5378","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i03.5378","url":null,"abstract":"<p><strong>Introduction: </strong>The shoulder is the most mobile joint and also the most commonly dislocated joint in our body. Anterior dislocation of the shoulder is more common than posterior and inferior dislocation. Anterior dislocation of the shoulder can be easily reduced by the Stimson technique, traction-counter traction technique, etc. Reducing an acute anteriorly dislocated shoulder is usually easy, but in some instances, it can be difficult due to the interposition of the long head of the biceps, subscapularis, or impacted Hill-Sach. This is a case report of a patient with 10 days old irreducible anterior dislocation of the shoulder. Magnetic resonance imaging (MRI) shows the anterior capsule trapped between the humeral head and glenoid, which does not allow the shoulder to be relocated. This case report highlights the possibility of anterior capsule entrapment in the glenohumeral joint with the subscapularis being intact and that it can be managed by arthroscopy, which has fewer complications than open surgery.</p><p><strong>Case report: </strong>A 55-year-old male came with irreducible anterior dislocation of his left shoulder after a slip and fall on his outstretched hand. There was a history of attempts to reduce the dislocation in another hospital but failed to reduce it even under sedation. An MRI of the left shoulder shows that the anterior capsule got entangled between the humeral head and glenoid, as shown in Fig. 1 and 2, and is not allowing the humerus head to reduce. There are reports of the irreducible anterior dislocated shoulder due to interposition of the subscapularis muscle, long head of biceps, greater tuberosity fracture fragment, etc., and are managed by open surgery. In our case report, we managed to disengage the entrapped anterior capsule by arthroscopy after a trial of closed reduction under general anesthesia.</p><p><strong>Conclusion: </strong>Irreducible shoulder dislocation is not a common problem. There are many pathologies that result in the irreducibility of shoulder dislocation; anterior capsule entrapment is one such pathology. Open surgery is not the only solution to address these pathologies; we can treat them by arthroscopy technique, which can address all associated pathologies with minimal complications, unlike open surgery.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 3","pages":"175-179"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648229","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 Retrospective Study of Functional Outcomes in Rockwood Type III and V Acromioclavicular Joint Dislocations Managed with Double Endobutton Technique.","authors":"Anubhav Sharma, Shikhar Bindal, Tarkik Thami, Rajnish Garg, Pankaj Mahindra","doi":"10.13107/jocr.2025.v15.i03.5416","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i03.5416","url":null,"abstract":"<p><strong>Introduction: </strong>Acromioclavicular (AC) joint injuries are frequently encountered in orthopedic practice and makeup about 12% of shoulder injuries. Endobutton technique has shown promising results for Rockwood type III AC injuries but literature is still scarce from Indian Subcontinent. This study aimed to find functional outcomes in Rockwood type III and V AC joint dislocations managed with double endobutton technique.</p><p><strong>Materials and methods: </strong>The present retrospective study included thirteen patients with acute AC joint dislocation with duration of <7 days. In 10 cases (76.92%), the Rockwood grade was grade III, and in 3 (23.08%) cases, was grade V. All patients had significant instability and were operated using double endobutton technique. The functional outcomes of the patients were evaluated through Constant Murley score (CMS), simple shoulder test, American Shoulder and Elbow surgeons (ASES) score, AC joint instability (ACJI) score, and TAFT score, noted at baseline and at 1-year follow-up.</p><p><strong>Results: </strong>Compared to pre-operative scores, at post-operative follow-up of 1 year, there were significant improvements in the CMS (96.31 ± 2.81 vs. 30.77 ± 4.28, P < 0.0001), simple shoulder test (96.81 ± 4.2 vs. 19.23 ± 7.9, P < 0.0001), ASES (98.92 ± 1.04 vs. 29.31 ± 3.25, P < 0.0001), ACJI (98.08 ± 2.53 vs. 41.38 ± 6.99, P < 0.0001), and TAFT score (11.62 ± 0.51 vs. 4.31 ± 0.95, P < 0.0001). There was no recurrence of instability or any other complications noted at the end of 1 year.</p><p><strong>Conclusion: </strong>The double endobutton technique proved effective in treating acute type III and V AC joint dislocations, yielding good functional outcomes.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 3","pages":"301-307"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648798","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":"Adult Post-traumatic Recurrent Posterior Hip Dislocation with 17-year Duration - A Case Report.","authors":"Sandeep Kumar, Rohit Tyagi, Rohit Goyal, Vivek Bhambhu","doi":"10.13107/jocr.2025.v15.i03.5368","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i03.5368","url":null,"abstract":"<p><strong>Introduction: </strong>Recurrent hip dislocations are quite uncommon, and only 2% of cases of all hip dislocations exhibit recurrence. Ligamentous laxity, joint capsule lesion, or structural hip abnormalities can all lead to such presentation. They are usually associated with acetabulum fractures and labrum injuries. To the best of our knowledge, there are no cases of adult recurrent posterior hip dislocation in the literature that we could find.</p><p><strong>Case report: </strong>We present a case of 37-year-old male with a history of recurrent posterior hip dislocation with 17-year duration. Magnetic resonance imaging demonstrated significant osteoarthritic changes in Rt hip along with posterior labrum tear. The patient was planned for right total hip arthroplasty. Intraoperatively, we found an intra-articular bony fragment of the posterior wall of the acetabulum along with posterior labrum tear of about 1 cm.</p><p><strong>Discussion: </strong>This case highlights the importance of early recognition and stable reduction in the management of traumatic hip dislocations, as well as the need for thorough investigation and individualized treatment options for recurrent hip dislocation in adults.</p><p><strong>Conclusion: </strong>Recurrent hip dislocations are rare in adults, but residual instability after closed reduction suggests ligamentous damage or acetabulum fractures. Early detection and stable reduction are the cornerstones of effective management.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 3","pages":"151-155"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649048","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":"Arthroscopic Transtibial Pullout Repair for Medial Meniscus Posterior Root Tear using HitPat's Modified All-Suture Technique.","authors":"Hitendra G Patil, Milind V Pimprikar, Chinar K Patil","doi":"10.13107/jocr.2025.v15.i03.5382","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i03.5382","url":null,"abstract":"<p><strong>Introduction: </strong>The arthroscopic transtibial pullout technique is popular option for the medial meniscus posterior root tear repair. The technique involves passing sutures through the meniscus tissue at the root, creating a bone tunnel, and bringing the sutures through the bone tunnel on the anteromedial surface of the tibia. The suture threads are then tied over anteromedial surface of tibia with the help of various fixation devices to secure the root at its footprint.</p><p><strong>Surgical technique: </strong>A sleeve of no 5 ethibond is used to fix the pull-out threads to anteromedial surface of tibia achieving secure and stable fixation of the posterior root to anatomical footprint with option of adjusting the tension.</p><p><strong>Conclusion: </strong>HitPat's modified all-suture technique is a cost-effective solution to medial meniscus posterior root repair with the distinct advantage of less prominent hardware and the option to adjust the tension in repair.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 3","pages":"185-188"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649198","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":"Incidence of Accessory Navicular Bone among the Indian Population - An Original Article.","authors":"Prashant Pawar, Raj Pawar","doi":"10.13107/jocr.2025.v15.i03.5400","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i03.5400","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this study was to assess the incidence of accessory navicular bone (ANB) among the Indian population.</p><p><strong>Materials and methods: </strong>This study consisted of 510 cases of which 1020 plain radiographs of both feet were taken (anteroposterior and lateral/oblique) belonging to the age group of 18 years and older of both genders. This study was conducted retrospectively from July 2023 to July 2024 in the Department of Orthopaedics and Radiology at a Tertiary level institute. Ethics approval number I.E.S.C./W/219/2024. The primary outcome to measure was the incidence of ANB in patients consulting the orthopedic outpatient department, and the secondary outcome measured the classification of ANB into its various subtypes and the total percentage of symptomatic ANB cases.</p><p><strong>Results: </strong>Out of the 1020 X-rays assessed (510 cases) and evaluated it was found that 125 cases showcased signs of ANB in them, which amounts to 24.5% of cases. The classification of ANB according to their subtypes showed that Type 2a-b and Type 1-a were the most prevalent 23 (18.4%) and 23 (18.4%), respectively. Out of the total 125 ANB cases, only 13 were symptomatic, whereas the remaining cases were asymptomatic.</p><p><strong>Conclusion: </strong>In conclusion, the incidence of ANB in the Indian population was 24.5%, wherein the symptomatic incidence was 10.4%. Keeping this in mind, it is imperative to consider ANB as a differential diagnosis when treating medial-side foot pain. To our knowledge, this is the first paper of its kind that brings to light the incidence of ANB in clinical practice among the Indian population.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 3","pages":"239-243"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649375","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":"Arthroscopic Treatment of Isolated Tophaceous Gout of the Knee: A Rare Case Report.","authors":"Hitarth Gathani, Sagar Jawale, Sitanshu Shekhar Samantaray, Naved Ansari, Aravind Chanal, Rishabh Jaiswal","doi":"10.13107/jocr.2025.v15.i03.5324","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i03.5324","url":null,"abstract":"<p><strong>Introduction: </strong>Isolated tophaceous gout of the knee is an uncommon presentation, requiring a high degree of clinical suspicion for accurate diagnosis. With prompt and appropriate management, favorable patient outcomes can often be achieved.</p><p><strong>Case report: </strong>We present the case of a 32-year-old male clerk with a 2-year history of chronic knee pain and stiffness. Magnetic resonance imaging revealed joint effusion and synovial hypertrophy. Arthroscopic evaluation identified chalky intra-articular deposits confirming isolated tophaceous gout of knee, and histopathological analysis confirmed gross inflammatory synovial hypertrophy. Surgical debridement and synovectomy, followed by medical management, gave good clinical outcomes.</p><p><strong>Conclusion: </strong>The treating surgeon should recognize this presentation and choose appropriate arthroscopic and medical management, which can lead to favorable outcomes.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 3","pages":"33-36"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649264","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":"Neglected Chronically Dislocated Hip in a Prader-Willi Child: A Case Report and Literature Review.","authors":"Aakarsh Aggarwal, Prateek Behera, Dibya Ranjan Sahoo, Vimal Prakash, John A Santoshi, Kuldeep Singh","doi":"10.13107/jocr.2025.v15.i03.5338","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i03.5338","url":null,"abstract":"<p><strong>Introduction: </strong>Prader-Willi syndrome (PWS) is an uncommon genetic disorder resulting from the loss of function of genes in the paternal copy of chromosome 15q11.2-q13. Although the clinical features and diagnosis of PWS are well described, the management protocol for hip dysplasia (HD) is still controversial.</p><p><strong>Case report: </strong>We present a case of a 4-year-old female child who was diagnosed with PWS and had developmental dysplasia of the hip (DDH) as a skeletal manifestation. She underwent an open reduction of the hip, femoral shortening with fixation using a plate, Dega osteotomy, capsulorrhaphy, and temporary stabilization of the hip joint with a K-wire, similar to any other case of DDH. Postoperative recovery was uneventful. However, there were challenges associated with her management from both a surgical and an anesthetic point of view.It is imperative that once diagnosed, the condition be addressed comprehensively. A detailed preoperative evaluation by the anesthesia team is required to ensure preparedness for potential surgical challenges. Similarly, the surgical team must be equipped with all necessary instruments and a backup plan.</p><p><strong>Conclusion: </strong>Hip dysplasia (HD) should be diagnosed as early as possible. Nonoperative treatment is usually sufficient before the age of 6 months. However, in PWS, it may present late and be neglected, requiring surgical management similar to a case of DDH, with the associated challenges.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 3","pages":"70-75"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649268","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}