Journal of Orthopaedic Case Reports最新文献

{"title":"Unveiling the Uncommon: Ewing Sarcoma Cranium - A Rare Clinical Vignette.","authors":"Kavya Sharma, Satish Kumar, Rishabh Gupta","doi":"10.13107/jocr.2025.v15.i04.5426","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5426","url":null,"abstract":"<p><strong>Introduction: </strong>Ewing sarcoma of the skull (EWS) is an exceptionally rare variant, accounting for approximately 1% of all Ewing sarcoma cases. Due to its rarity, there are only a limited number of documented instances in medical literature, making it a topic of significant interest and importance in the field of oncology.</p><p><strong>Case report: </strong>A 13-year-old boy presented with a gradually enlarging swelling measuring 5 × 4 cm in the left parietotemporal region. Histopathological analysis confirmed a diagnosis of Ewing sarcoma of the cranium. The patient underwent neoadjuvant chemotherapy and radiotherapy, followed by surgical resection. However, 2 years later, he experienced a recurrence characterized by exophytic growth and intracranial involvement. Although a revised course of chemoradiotherapy was planned, the patient succumbed to his condition on the 14th day of hospitalization.</p><p><strong>Conclusion: </strong>The definitive diagnosis in such cases is often complex and relies heavily on histopathological findings. Early detection, along with prompt multidisciplinary intervention, is essential for effective management and improved patient outcomes.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"11-15"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023574","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":"Transient Brachial Plexus Traction Palsy Following Scoliosis Deformity Correction Surgery - A Case Report.","authors":"R Manish, Shreya Shenoy, C S Vishnu Prasath","doi":"10.13107/jocr.2025.v15.i04.5466","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5466","url":null,"abstract":"<p><strong>Introduction: </strong>Correction of spinal deformity in the pediatric age group is associated with a neurological complication at a rate of 0.71-0.94%. Of these, primary brachial plexus traction palsies have been rarely reported.</p><p><strong>Case report: </strong>We present two cases of complex painless spinal deformity in growing children, managed initially with halo gravity traction with post-operative transient brachial plexus palsy diagnosed on post-operative day 1. Post-operative magnetic resonance imaging showed edema around the brachial plexus which resolved at 4 weeks in both cases.</p><p><strong>Conclusion: </strong>Transient brachial plexus palsy may present postoperatively in patients with excessive correction of neck tilt angle and T1 slope angle. They generally have a good prognosis with medical management and the surgeon need not rush with a decision on re-exploration.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"115-120"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998302","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 Comparative Study to Assess Functional Outcomes and Proprioception in Remnant-Preserving versus Standard Anterior Cruciate Ligament Reconstruction.","authors":"Sharat Balemane, Sushanth Sudhir Rao, Hishanil Rasheed, Imthiaz Ahammed","doi":"10.13107/jocr.2025.v15.i04.5508","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5508","url":null,"abstract":"<p><strong>Introduction: </strong>Anterior cruciate ligament reconstruction (ACLR) is a commonly performed procedure for patients experiencing persistent symptomatic instability, aimed at achieving a functionally stable knee while minimizing the risk of secondary injuries and long-term complications. An anterior cruciate ligament (ACL) injury can result in damage and loss of proprioceptive receptors, leading to mechanical instability. As a result, current research is exploring innovative strategies to improve ACL healing, lower the failure rate, expedite recovery, and restore the biomechanics of the knee to pre-injury levels.</p><p><strong>Objectives: </strong>This study aimed to study the functional outcomes and post-operative proprioceptive function in patients who undergo remnant-preserving ACLR (RP-ACLR) compared to the standard ACLR (S-ACLR) technique.</p><p><strong>Materials and methods: </strong>This prospective study was conducted among patients who presented with ACL injury, and who underwent either arthroscopic remnant RP-ACLR or arthroscopic S-ACLR. Patient's functional outcome was measured by International Knee Documentation Committee (IKDC) subjective knee score, Lysholm knee score, Visual Analog Scale score, and proprioception by joint position error (JPE) in degrees was noted at presentation, at 15 days, 30 days, 3 and 6 months postoperatively.</p><p><strong>Results: </strong>A total of 30 cases of with ACL injury during the study period who underwent RP-ACLR and 30 cases of ACL injury who underwent S-ACLR. There were 83.3% males and 16.7% females in RP-ACLR group and 86.7% males and 13.3% females S-ACLR group with patients being maximally at the age group of 26-30 years (41.7%). The average time since injury of 4.04 months and average surgical time was 90 min. There was progressive improvement in functional outcome at 15 days, 30 days, 3 months, and 6 months (P = 0.01). At 6 months, the IKDC and Lysholm scores were 75.97 and 74.93 in the RP-ACLR group, 74.30 and 74.73 in S-ACLR group, respectively. There was a statistically significant enhancement in proprioception, measured by JPE in degrees between the groups as assessed at 15° flexion (P = 0.02), 45° flexion (P = 0.01), and 60° flexion (P = 0.01).</p><p><strong>Conclusion: </strong>Our results indicated no significant difference in functional outcomes between the two groups as assessed by the IKDC and Lysholm Knee scores, although both groups demonstrated significant improvements postoperatively. In conclusion, the significant differences in proprioceptive outcomes observed in the current study suggest that remnant preservation may enhance early sensory feedback post-ACLR.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"229-238"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022740","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":"Genu Valgum and Lamellar Ichthyosis: Insights into a Rare Presentation.","authors":"Ajay Dodeja, Kirtee Meshram, Sushil Pande, Yash Shewale, Ruchika Nevse","doi":"10.13107/jocr.2025.v15.i04.5428","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5428","url":null,"abstract":"<p><strong>Introduction: </strong>The main way that the skin produces Vitamin D, which is necessary for calcium metabolism and skeletal health, is through exposure to ultraviolet B rays. Long-term skin disorders such as ichthyosis can prevent the skin from producing enough Vitamin D, leading to deficiencies and issues with bone health. This report highlights the need to take Vitamin D insufficiency and its sequelae into account in clinical care by presenting a case of genu valgum in a patient with lamellar ichthyosis. Similar correlations have also been shown in earlier research, underscoring the necessity of continuing to monitor and educate patients with chronic skin problems about their bone health.</p><p><strong>Case report: </strong>A 15-year-old Indian boy came to the orthopedic outpatient department complaining of lamellar ichthyosis, progressive knee deformity, and trouble walking over the last 6 months, with a recent exacerbation in the previous month. Upon examination, he had bilateral genu valgum, widespread scaly skin lesions, and biochemical indications of Vitamin D insufficiency.</p><p><strong>Conclusion: </strong>This case study underscores the importance of early diagnosis and treatment of musculoskeletal disorders in patients with chronic skin conditions. It also highlights the unusual association between genu valgum and lamellar ichthyosis. It underscores the need for interdisciplinary teamwork in managing difficult patients and influencing pediatric dermatology, orthopedics, and other medical disciplines. It also contributes to research on the relationship between skin conditions and orthopedic problems, aiming to improve patient outcomes and care.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016409","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":"Successful Management of a Rare Case of Arteriovenous Malformation of the Forearm in a 15-Year-Old Girl: A Case Report.","authors":"Abhishek Kothari, Amit Chaudhari, Dhruv Gupta, Warid Altaf","doi":"10.13107/jocr.2025.v15.i04.5473","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5473","url":null,"abstract":"<p><strong>Introduction: </strong>Arteriovenous malformations (AVMs) are rare congenital vascular abnormalities involving direct connections between arteries and veins, bypassing capillaries. While they can occur throughout the body, AVMs in the forearm are uncommon, representing a diagnostic and therapeutic challenge when they produce symptoms, such as neurovascular compressions, such as unspecified swelling or mass, throbbing pain, localized or radiating tingling, and numbness. These lesions often remain asymptomatic until adolescence, when growth spurts and hormonal changes can trigger enlargement and clinical symptoms.</p><p><strong>Case report: </strong>We describe a 15-year-old female with a 2-year history of an enlarging, non-painful mass in her right forearm, accompanied by tingling and numbness in the ulnar nerve distribution of her hand. On examination, a subcutaneous, non-tender swelling extending from her elbow to the distal forearm without overlying skin changes. MRI showed a complex vascular lesion within the intramuscular plane, mass effect on the extensor digitorum and extensor digiti minimi muscles compressing the ulnar nerve, and suspecting an AVM.Given the lesion's proximity to the ulnar nerve and the disturbing symptoms in the right dominant hand, surgical intervention was planned. An excision of the localized swelling was performed under a tourniquet control, with precise dissection to protect the epineurium and vasa nervosum of the ulnar nerve, however since no frank bleeding was observed post-excision, no vascular anastomosis or repair was performed. Histolo-pathology of the soft tissue sample confirmed an AVM consisting of dilated vascular channels.The patient's recovery was smooth, with complete symptomatic relief and no evidence of recurrence at 1-year follow-up.</p><p><strong>Conclusion: </strong>This case underscores the need to consider AVMs as an important differential in adolescent patients presenting with progressively enlarging soft tissue masses and neurovascular symptoms not amenable to common etiology, such as radiculopathy, epicondylitis, and trauma. MRI provides essential insight into lesion extent and guides surgical planning, which remains the primary treatment modality for symptomatic AVMs causing nerve compression. Although recurrence is a common risk, especially in pediatric patients, careful excision and follow-up are key to reducing this risk and ensuring better long-term outcomes. This case reinforces the importance of multidisciplinary care involving radiology, vascular surgery, and pathology for effective diagnosis, and management of occult symptomatic vascular malformations in adolescents.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"132-135"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977304","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":"Clinicoradiological Outcome of Variable Angle Volar Locking Plate in the Management of Distal Radius Fractures.","authors":"Pp Bhagat Singh, E Pradeep, J Daniel Jey Janeson, Kv Arun Kumar, Mohideen Sheik, Pragadeeshwaran Gopi","doi":"10.13107/jocr.2025.v15.i04.5518","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5518","url":null,"abstract":"<p><strong>Introduction: </strong>Treatment of distal radius fractures (DRFs) has evolved throughout time. The current management practices typically entail the use of locking compression plates. The inclusion of locking plates with variable angle options made it easier for surgeons to handle comminuted fracture fragments. This study examines the functional and radiological results of DRFs treated using a variable angle locking compression plate.</p><p><strong>Materials and methods: </strong>Between July 2022 and May 2024, a cohort of 25 patients with DRFs presented to the Department of Orthopaedics and was preoperatively examined before undergoing surgery with variable angle locking plates. They were followed up on a regular basis for a year after surgery, with the clinical and radiological outcomes assessed using the Modified Mayo Wrist Score.</p><p><strong>Results: </strong>Only two fractures failed to unite within a period of 4 months. The average range of motion was slightly restricted in comparison to the normal wrist. The mean grip strength after 1 year was 17.84 ± 6.05 kg. Merely 12% of individuals developed complications that were successfully addressed with conservative management. Approximately 72% (18 patients) of the patients achieved excellent results, whereas 24% (6 patients) had good outcomes, and approximately 4% (1 patient) had fair outcomes. The mean MMWS score at the end of 1 year was 91 ± 6.61.</p><p><strong>Conclusion: </strong>The utilization of variable-angle locking plates has been associated with excellent to good functional outcomes with very few complications.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"270-276"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970440","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":"Reconstructive Surgical Management of Vasopressor-Ischemia Related Distal Extremity Loss.","authors":"Matthew C Henn, Brynn A Hathaway, Angelo B Lipira","doi":"10.13107/jocr.2025.v15.i04.5440","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5440","url":null,"abstract":"<p><strong>Introduction: </strong>In the critically ill patient with severe sepsis and persistent hypotension, mitigating ischemia to the distal extremities is often not the priority. However, when vasopressor-induced ischemia leads to partial distal extremity loss, this can present a complex reconstructive challenge.</p><p><strong>Case report: </strong>We present a case of reconstructive surgical management of multiple distal extremity loss induced by prolonged vasopressor use for treatment of septic shock, with thumb reconstruction through pollicization of a partially amputated index finger and foot salvage using a free neurotized anterolateral thigh (ALT) flap for sensate reconstruction. A 48-year-old male with a history of septic shock requiring prolonged vasopressors presented with dry gangrenous partial loss of the upper and lower extremities, including loss of his left thumb at the metacarpal and right foot at the Lisfranc level. Thumb reconstruction was completed with pollicization, which involved transferring the remaining index finger to the thumb position, and a reverse radial forearm flap to cover the resulting webspace defect. Despite good reverse flow through the radial artery, the distal-most flap did not survive, requiring placement of an acellular dermal matrix (Integra), and an eventual full thickness skin graft. The lower extremity required a combined approach with orthopedics, who performed a Lisfranc amputation, Achilles lengthening, and tendon transfer, followed by free neurotized fasciocutaneous ALT flap with neurotization using the lateral femoral cutaneous nerve coapted to the medial plantar nerve and a medial femoral sensory branch coapted to the tibial nerve.</p><p><strong>Conclusion: </strong>This case demonstrates an approach for reconstruction of prehensile function and sensate foot salvage following vasopressor-induced distal loss of multiple extremities, with a focus on specific challenges and pitfalls.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"45-51"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987823","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 Rare Footprint: A Case Report of Isolated Pre-Axial Fully Developed Supernumerary Toe.","authors":"Varun Kumar, Mohan Choudhary, Srinivasan Rajappa, Kevin Lourdes, Arjun Ganesh, P Velmurugan","doi":"10.13107/jocr.2025.v15.i04.5486","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5486","url":null,"abstract":"<p><strong>Introduction: </strong>Polydactyly of the foot, particularly pre-axial polydactyly, is a rare congenital malformation that can occur alongside various congenital anomalies and syndromes. Classification of polydactyly, such as Venn-Watson's system, aids in understanding the complexity and variability of this congenital condition.</p><p><strong>Case report: </strong>This case report details the presentation and surgical intervention of a 5-year-old boy with pre-axial polydactyly characterized by an accessory toe on the right foot, which had hindered his ability to walk properly since birth and his journey through surgical excision for a better stand in life.</p><p><strong>Conclusion: </strong>Pre-axial polydactyly of the foot is a rare congenital anomaly that can significantly affect mobility and quality of life. Early diagnosis, aided by a detailed clinical evaluation and radiographic imaging, is crucial for appropriate management.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"167-170"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004606","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":"Acute Traumatic Lumbar Spondyloptosis with Complete Neurological Deficit: A Case Report and Literature Review.","authors":"Gaurav Kumar Sharma, Amit Kumar Salaria, Harshit Verma, Sukhmin Singh","doi":"10.13107/jocr.2025.v15.i04.5492","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5492","url":null,"abstract":"<p><strong>Introduction: </strong>Acute traumatic spondyloptosis is a rare injury resulting from high-energy impactcreating an unstable injury requiring surgical reconstruction and stabilization. Although rarely described in clinical practice this injury needs to be emphasized due to severe clinical manifestations and poor prognosis due to associated neurological injury.</p><p><strong>Case report: </strong>In this paper, we report a rare case of traumatic lumbar spondyloptosis at L2-L3 and the reduction technique. Case was managed with minimally invasive technique with percutaneous fixation and reduction.</p><p><strong>Conclusion: </strong>These types of rare injuries are a real challenge to manage properly and as the literature is scarce, this marks the further difficulty in their proper management.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"180-185"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009662","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 Anterior Shoulder Dislocations with Greater Tuberosity FracturesStudy Design: A Case Report.","authors":"Jerrin George, Erika Wilt, Shivangi Sharma, Connor D Burke","doi":"10.13107/jocr.2025.v15.i04.5476","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5476","url":null,"abstract":"<p><strong>Introduction: </strong>Bilateral anterior shoulder dislocation with associated fracture is a rare pediatric injury that may occur secondary to different etiologies. While trauma is often cited as the most common cause, this injury pattern can also seldomly occur following a seizure episode. With anterior shoulder dislocation, timely reduction is of utmost importance to prevent potential complications.</p><p><strong>Case report: </strong>We present a case of bilateral anterior shoulder dislocations with greater tuberosity fractures in a 17-year-old male secondary to status epilepticus. Closed reduction of each dislocation followed by surgical fixation was performed. On final follow-up, the patient demonstrated appropriate range of motion with intact strength, motor, and sensory function of both upper extremities.</p><p><strong>Conclusion: </strong>Our patient had an uncommon presentation of bilateral shoulder fracture-dislocations secondary to atypical etiology. Delayed diagnosis and treatment of a shoulder dislocation may have devastating consequences, especially in the pediatric population. This includes the increased risk of avascular necrosis if not managed appropriately. In this case, we highlight the significance of being vigilant about the potential complications of bilateral shoulder dislocations while patients are admitted and in critical status. This unusual presentation in a pediatric male with status epilepticus illustrates the necessity for prompt recognition and intervention. Healthcare professionals should remain cognizant of this potential presentation to mitigate potential long-term consequences of failed recognition of this pathology.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"141-145"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977301","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}