Journal of Orthopaedic Case Reports最新文献

{"title":"Team Work in Orthopedics - The Winning Formula.","authors":"Abhay Nene, Ashok Shyam","doi":"10.13107/jocr.2025.v15.i04.5422","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5422","url":null,"abstract":"","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970703","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 Wrestler's Nightmare: Pectoralis Major Tendon Tear and its Repair-A Case Report.","authors":"Maulik Kothari, Rajendra Phunde, Kumar Parth, Sourav Kumar, Surendar Singh Bava, Rohit Somani","doi":"10.13107/jocr.2025.v15.i04.5474","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5474","url":null,"abstract":"<p><strong>Introduction: </strong>Pectoralis major tendon (PMT) tears are increasingly common, particularly among young, athletic individuals.</p><p><strong>Case report: </strong>This case report discusses the management of a chronic PMT tear in a 24-year-old professional wrestler who sustained an injury during a wrestling match. Initially treated conservatively with immobilization and physiotherapy, the patient presented 1 year later with unsatisfactory functional outcomes. Clinical examination and imaging confirmed the retracted tendon, leading to a decision for surgical repair. An open repair of the PMT was performed using a standard clavipectoral approach with suture anchors to reattach the tendon to its anatomical insertion on the humerus. Post-operative rehabilitation focused on progressive range of motion and strength training, enabling the patient to return to pre-injury levels of athletic performance after 8 months.</p><p><strong>Conclusion: </strong>The results highlight the importance of early diagnosis, prompt surgical intervention, and a structured rehabilitation plan in achieving optimal functional and cosmetic outcomes in young athletes with chronic PMT tears.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"136-140"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970749","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":"Ipsilateral Autologous Peroneus Longus and Bone Patellar Tendon Graft for Revision Anterior Cruciate Ligament Reconstruction Leads to Similar Functional Outcome.","authors":"Vivek Kumar Gupta, Harish Mahesan, Vignesh Murali, Parthiban Jeganathan, Suresh Perumal, Arumugam Sivaraman","doi":"10.13107/jocr.2025.v15.i04.5506","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5506","url":null,"abstract":"<p><strong>Introduction: </strong>Due to the yearly rise in primary anterior cruciate ligament (ACL) reconstructions, revision ACL reconstruction is becoming more and more common in knee surgery. Choosing the appropriate graft and determining the surgical treatment staging by assessing the likelihood of doing the most anatomical revision canals and placing them with the primary canals before surgery are crucial factors affecting treatment outcomes.</p><p><strong>Aim of the study: </strong>The purpose of this study was to evaluate the differences in the patient-reported functional outcomes in revision ACL reconstruction using peroneus longus and bone-patellar tendon-bone (BTB) autografts in a single-stage revision ACL reconstruction.</p><p><strong>Materials and methods: </strong>Twenty-three patients who were eligible for follow-up among 25 surgeries performed between 2015 and 2023 were included in this retrospective analysis and met the inclusion criteria. The patient reported functional outcome, Lysholm knee score, Tegner activity level, and Visual Analog Scale (VAS) for pain before the injury and during the most recent follow-up. The peroneus longus (PL) and bone-patellar tendon-bone (BPTB) groups' patient-reported results were assessed.</p><p><strong>Results: </strong>There were no significant differences between the two revision groups with PL and BPTB autograft in terms of age, sex, duration between injury and surgery, concurrent injuries, and isolated or complex surgeries. There was not a significant difference between the groups' pre-injury patient-reported outcomes, including the Lysholm knee score, Tegner activity, and VAS for pain (n.s.). There was not a significant difference in the two groups' functional results at follow-up, although both groups' functional outcomes improved and all patients recovered to their pre-injury activity level.</p><p><strong>Conclusion: </strong>Overall, the findings suggest that graft options (peroneus longus and BTB) and surgical complexities (isolated and complex revision) yield comparable functional outcomes for most measures. However, notable differences in post-operative pain levels warrant further exploration. These results underscore the effectiveness of both graft types and surgical techniques in achieving satisfactory recovery while acknowledging the necessity of customized approaches to pain management based on individual patient circumstances.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"221-228"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970767","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":"Beyond Hemostasis: Exploring Intra-articular Tranexamic Acid's Analgesic Effect in Post-operative Care in Total Knee Arthroplasty - Original Article.","authors":"Dilbans Singh Pandher, Nitish Khosla, Pardumanjit Singh Dhaliwal","doi":"10.13107/jocr.2025.v15.i04.5504","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5504","url":null,"abstract":"<p><strong>Introduction: </strong>Tranexamic acid (TXA) is widely recognized for its hemostatic properties, particularly in reducing blood loss during surgical procedures. Recent studies, however, suggest that TXA may have potential analgesic benefits beyond its role in hemostasis. This study aims to evaluate the efficacy of intra-articular TXA in reducing post-operative pain and improving early recovery outcomes in patients undergoing total knee arthroplasty (TKA).</p><p><strong>Materials and methods: </strong>Fifty-four patients undergoing simultaneous bilateral TKA were randomly assigned to receive intra-articular TXA in one knee, with the contralateral knee serving as the control. A 1 g dose of TXA, diluted in 10 mL of normal saline, was administered intra-articularly after capsule and skin closure. In addition, 3 g of TXA were administered intravenously (1 g at 30 min preoperatively and 1 g each at 3 and 6 h postoperatively). Closed suction drains were placed for 24 h postoperatively to assess the drainage output. Pain levels were measured using the Visual Analog Scale (VAS) at 48 h, 3 weeks, 6 weeks, and 12 weeks, with the primary outcome being early pain relief and knee range of motion (ROM). Functional outcomes were assessed preoperatively and at 12 weeks follow-up, using the oxford knee score (OKS) and the knee injury and osteoarthritis outcome score for joint replacement (KOOS-JR).</p><p><strong>Results: </strong>At 48 h postoperatively, the intra-articular TXA group exhibited statistically significant improvements in early pain relief, as measured by VAS scores (P = 0.004), and reduced 24-h closed drain output (P = 0.015) compared to the control group. A greater percentage of patients in the TXA group demonstrated superior knee ROM at 48 h (68.5% vs. 59.3% in the control group). Functional scores, as measured by the OKS and KOOS-JR, improved in both groups, with no significant differences between the study and control knees at the 12-week follow-up.</p><p><strong>Conclusion: </strong>Intra-articular TXA significantly improves early post-operative pain control and reduces blood loss in TKA patients. These findings suggest that intra-articular TXA can be a valuable adjunct in multimodal analgesia, potentially reducing opioid consumption and enhancing recovery. Further studies are warranted to confirm these results and explore the long-term benefits of TXA in TKA.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"215-220"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014435","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":"Minimally Invasive Posterior Plating for Comminuted Middle to Distal One-Third Humeral Shaft Fractures: A Case Report.","authors":"Shlok Patel, Kalp Shah, Stuti Shah, Stuti Dave, Pranav Shah","doi":"10.13107/jocr.2025.v15.i04.5434","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5434","url":null,"abstract":"<p><strong>Introduction: </strong>Humeral shaft fractures constitute 1-1.5% of all fractures, with most occurring in the middle and distal segments. While conservative treatment is common, surgical fixation is often preferred for displaced or comminuted fractures, particularly in young, active individuals. Minimally invasive plate osteosynthesis (MIPO) techniques have been developed to minimize soft-tissue damage and reduce the risks of complications such as non-union and radial nerve palsy. Although anterior approaches are well-studied, the posterior approach remains less explored. This case report highlights the use of a minimally invasive posterior approach similar to MIPO for treating a highly comminuted middle to distal 1/3rd humeral shaft fracture.</p><p><strong>Case report: </strong>A 25-year-old woman presented with a comminuted middle to distal one-third humeral shaft fracture after a fall. Due to the small size of the distal fragment, anterior plating was unfeasible. A conventional posterior incision from deltoid to lateral supracondylar ridge was made. A minimally invasive triceps split was done with minimal soft-tissue disruption. Radial neurovascular bundle was isolated and protected. An anatomical extra-articular plate was inserted via a submuscular tunnel, and four distal screws were fixed. The patient began early mobilization postoperatively, and at 5 months, X-rays confirmed fracture union, with full functional recovery of the left upper extremity.</p><p><strong>Conclusion: </strong>This case demonstrates the successful use of a minimally invasive posterior approach albeit with a conventional posterior incision for distal comminuted humeral fractures. Comparable to the MIPO technique, this technique prioritizes the preservation of soft-tissue envelope around the fracture fragments, blood supply, and muscle integrity, resulting in favorable outcomes and minimal complications. It supports minimally invasive posterior techniques as a safe and effective alternative for complex distal humeral fractures, warranting further research into its long-term outcomes.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"31-35"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023568","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":"Impact of Knee Pain and Osteoarthritis on Quality of Life: A Comprehensive Assessment of Physical, Social, and Psychological Factors.","authors":"Dimitrios Giotis, Maria Gianniki, Christos Koukos, Konstantia Veliou, Samundeeswari Saseendar, Alexandra Chaidou","doi":"10.13107/jocr.2025.v15.i04.5528","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5528","url":null,"abstract":"<p><strong>Introduction: </strong>Osteoarthritis (OA) is a prevalent disease that affects the quality of life (QoL) not only through pain and physical disability but also by influencing social and psychological aspects of life. This study aims to compare patients diagnosed with knee OA to those with knee pain and other comorbidities to evaluate the specific impact of OA on QoL.</p><p><strong>Materials and methods: </strong>A total of 150 patients presenting with knee pain or knee OA were assessed using standardized QoL instruments, including the World Health Organization QoL-BREF (WHOQOL-BREF), the Western Ontario and McMaster Universities Arthritis Index (WOMAC), the Brief Illness Perception Questionnaire (Brief IPQ), and the Patient Health Questionnaire-9 (PHQ-9).</p><p><strong>Results: </strong>The influence of various factors, such as patient characteristics, demographics, medical history, medication use, OA diagnosis, and related symptoms, was analyzed using regression models. Significant correlations were observed between QoL and variables including knee injuries (WOMAC score: 54.662 vs. 38.657, P < 0.001), depression (PHQ-9: 9.894 vs. 6.608, P < 0.001), elevated BMI (WOMAC: F = 5.305, P = 0.023), and occasional crepitus (WOMAC score: 53.144 vs. 40.175, P = 0.003). No statistically significant differences were found between patients with OA and those with other diagnoses in any of the outcome measures.</p><p><strong>Conclusions: </strong>The findings suggest that QoL is influenced more by general factors such as psychological well-being (depression), pain (knee injuries), and overall health (BMI) rather than the specific diagnosis of OA. This underscores the importance of addressing these broader health attributes to improve the QoL in patients with knee-related issues.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"306-312"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Outcome of Intra-Articular Distal Humerus Fracture Fixation by Orthogonal Plating - In Indian Population: A Case Series.","authors":"Pankaj Sharma, Amit Kale, Setu Kaneria, Kaman Kuity","doi":"10.13107/jocr.2025.v15.i04.5524","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5524","url":null,"abstract":"<p><strong>Introduction: </strong>The study aimed to evaluate the functional outcomes by treating intra-articular distal humerus fractures using orthogonal plating, with or without olecranon osteotomy. The evaluation criteria included Mayo Elbow Performance score (MEPS), range of motion, and complications arising from surgical management.</p><p><strong>Materials and methods: </strong>This is a retrospective study of 34 intra-articular distal humerus fractures (AO classification type C) admitted at our institution for 2 years, 6 months from May 2021 to September 2023, all treated with orthogonal plating. Follow-up was for 1 year period at an interval of 3 months.</p><p><strong>Results: </strong>The mean age of the study group was 42.2 ± 14.83 years, ranging from 22 to 76. The mean MEPS was 82.06 ± 10.66. According to MEPS, the outcome was excellent to good in 29 (85.3%) cases, fair in 3 (8.8%), and poor in 2 (5.9%) individuals. Complications such as superficial infection, soft-tissue infection, transient ulnar nerve neuropathy, and elbow stiffness were observed in six out of 34 patients (17.65%), and the mean flexion range was 117.2.</p><p><strong>Conclusion: </strong>This study demonstrates that orthogonal plating for intra-articular distal humerus fractures provides satisfactory functional outcomes. The surgical approach was effective in restoring elbow function with acceptable complication rates. The decision to perform olecranon osteotomy was based on intraoperative visualization needs, and outcomes were comparable between patients with and without osteotomy. No significant differences were observed in functional recovery between right- and left-sided fractures or between male and female patients. Therefore, we conclude that orthogonal plating represents a reliable treatment option regardless of age, gender, or the specific type of intra-articular distal humerus fracture.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"293-298"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026116","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 hallux Saltans, a Rare Finding: Diagnosis and Arthroscopic Treatment in a Young Ballet Dancer: Report of a Case.","authors":"Ainú Verdini Gasti, Rosemary James, Felix Neumayer","doi":"10.13107/jocr.2025.v15.i04.5484","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5484","url":null,"abstract":"<p><strong>Introduction: </strong>Hallux Saltans is an uncommon pathological entity mostly encountered in correlation with physical activities such as ballet dancing or football. It is a stenosing tenosynovitis of the flexor hallucis longus (FHL) tendon, relating to inflammation and fibrous metaplasia of the pulleys. This disorder can cause pain and hinder sport career progression.</p><p><strong>Case report: </strong>A 16-year-old female, training to become a professional ballet dancer, presented with a 2-year history of pain and swelling of the right ankle, associated with triggering of the hallux and audible cracking at active extension.After a magnetic resonance imaging (MRI) diagnosis of tenosynovitis of right FHL tendon, the patient was treated operatively by posterior arthroscopic tenolysis of the FHL, which was entrapped by the fibrous tissue of the tendon sheath.During post-operative period, the patient presented an immediate relief from triggering of the hallux. She was able to start dancing again 6 weeks after surgery and her right hallux remained asymptomatic. However, about 8 months after surgery, she presented with the same triggering symptoms on the contralateral side.The pain, blocking, and triggering of her left hallux lead to an MRI investigation and once the diagnosis of tenosynovitis of the FHL was confirmed, an arthroscopic tenolysis was performed again. The treatment relieved the patient immediately.On follow-up, at 5 years after surgery on the right side and 4 years after left one, the patient remained asymptomatic on both sides. She keeps dancing, but stopped the professional career for personal reasons.</p><p><strong>Conclusion: </strong>The condition known as trigger hallux is a rare yet debilitating pathology. When present, it should be taken seriously, and further radiological investigations should be performed to diagnose any potential tenosynovitis of the FHL. Arthroscopic release of FHL tendon sheath has proven to be a useful and minimally-invasive technique to approach hallux saltans pathology in a semi-professional young ballet dancer, enabling fast return to sport and long lasting results.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"161-166"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026507","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":"Cartilage Regeneration Potential of Platelet-Rich Plasma versus Plasma Rich in Growth Factors in Knee Osteoarthritis Based on Serum Biomarker of Cartilage Degradation, Coll2-1: A Triple-Blind Randomized Study.","authors":"Amit Saraf, Hamza Habib, Sandeep Bishnoi, Naman Kumar Parakh, Abhishek Sharma","doi":"10.13107/jocr.2025.v15.i04.5520","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5520","url":null,"abstract":"<p><strong>Background: </strong>Through the course of the reported triple-blind randomized single-center study, we compared the clinical effectiveness of platelet-rich plasma (PRP) and plasma rich in growth factors (PRGF) and evaluated their cartilage regeneration potential by studying the change in blood biomarkers related to cartilage breakdown, Coll2-1 before and after the intervention.</p><p><strong>Materials and methods: </strong>During our study, the candidates with symptomatic KL grade 2 and 3 knee osteoarthritis were recruited and randomized into two groups. Each group received three intra-articular injections of PRP or PRGF, each one 4 weeks apart. Baseline visual analog scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores were compared with scores reported before 2nd and 3rd injection and at the 6-month and 12-month follow-ups since the first intervention. Furthermore, baseline serum Coll2-1 levels were compared with those obtained at the 12-month follow-up since the first intervention.</p><p><strong>Results: </strong>The difference between the baseline means serum Coll2-1 values and the mean value obtained at the 12-month follow-up was found to be significant in both the PRP (P = 0.005) and PRGF (P = 0.009) groups showing significant reductions in the Coll2-1 levels at the 12-month follow-up of the patient.</p><p><strong>Conclusion: </strong>Both PRGF and PRP showed statistically significant reductions in serum Coll2-1 levels at 12 months. PRGF showed better VAS and WOMAC outcomes at the 12-month follow-up as compared to PRP.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"277-286"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997653","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":"Pseudoaneurysm as a Complication of Femur Fracture Fixation.","authors":"Mohamed Elzayat, Ahmed Ahmed, Jessica O'Connell, Stephen Davitt, Barry J O'Neill","doi":"10.13107/jocr.2025.v15.i04.5478","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i04.5478","url":null,"abstract":"<p><strong>Introduction: </strong>Hip fractures are within the most injuries coming to the emergency department, and one of the highest operations done in the trauma section of the orthopedics department. Within this, hip fractures treatment can vary depending on where the fracture is situated within the femur, either intracapsular that requires a hip hemiarthroplasty or extracapsular with require in situ fixation, with each of these methods or any surgical procedure there are risks that can happen, in this case report, we are highlighting a rare complication of a hip fixation and how it was managed.</p><p><strong>Case report: </strong>An 89-year-old lady presented to our emergency department with a 6-week history of left thigh pain and swelling. She sustained a left hip fracture 8 weeks before this presentation for which she had an uneventful surgery. On examination her left thigh was swollen, there was no pitting edema and her pulses were intact. A Doppler ultrasound showed a large pseudoaneurysm arising from the profunda femoris artery. A computed tomography angiogram was subsequently performed to confirm the diagnosis. The patient had a successful embolization of the pseudoaneurysm. This was confirmed with ultrasound 24 h later, which showed no refilling of the pseudoaneurysm. The patient was discharged home in good condition.</p><p><strong>Conclusion: </strong>Arterial vessel damage following hip fractures is very rare. It may be caused by the fracture itself or more commonly as a consequence of intertrochanteric fracture fixation. A high index of suspicion should be maintained as the symptoms can be non-specific and the diagnosis can be challenging.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 4","pages":"146-149"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970698","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}