Journal of Orthopaedic Case Reports最新文献_第9页

Thermographic Insights into Degenerative Spinal Disorders: Evaluating the Diagnostic Potential of Digital Infrared Thermography Imaging. 热成像对退行性脊柱疾病的洞察：评估数字红外热成像的诊断潜力。

Journal of Orthopaedic Case Reports Pub Date : 2025-08-01 DOI: 10.13107/jocr.2025.v15.i08.5864

Sathish Muthu, Guna Pratheep Kalanchiam, Ashok Shyam

{"title":"Thermographic Insights into Degenerative Spinal Disorders: Evaluating the Diagnostic Potential of Digital Infrared Thermography Imaging.","authors":"Sathish Muthu, Guna Pratheep Kalanchiam, Ashok Shyam","doi":"10.13107/jocr.2025.v15.i08.5864","DOIUrl":"10.13107/jocr.2025.v15.i08.5864","url":null,"abstract":"Degenerative spinal disorders are a growing concern, affecting millions worldwide and often leading to chronic pain, functional impairment, and reduced quality of life. Traditional imaging techniques such as magnetic resonance imaging and computed tomography scans primarily focus on structural abnormalities, limiting real-time physiological assessments. Digital infrared thermography imaging (DITI) has emerged as a promising non-invasive diagnostic tool that evaluates thermal emissions from the body, offering valuable insights into musculoskeletal dysfunction. This review explores the principles of DITI, its application in diagnosing degenerative spinal disorders, and its clinical implications. DITI operates on the principle that physiological disturbances - such as inflammation, neuropathy, and vascular irregularities -alter skin temperature distribution, which can be captured using infrared technology. It has shown promise in detecting conditions such as herniated discs, spinal stenosis, and facet joint degeneration by identifying abnormal thermal asymmetry. While DITI offers advantages such as real-time functional assessment, cost-effectiveness, and early disease detection, challenges related to standardization, environmental variability, and specificity persist. Recent advancements, including artificial intelligence-driven thermal analysis and hybrid imaging approaches, are improving DITI's diagnostic precision and clinical utility. Establishing standardized protocols for environmental control, patient preparation, and image validation is crucial for ensuring reproducibility in spinal evaluations. As research progresses, integrating DITI with conventional imaging methods may enhance its role in clinical practice, optimizing diagnostic accuracy and treatment outcomes for patients with degenerative spinal disorders.","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"6-10"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816880","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}

引用次数: 0

Open Dislocation of Hallux Interphalangeal Joint in a Child: A Rare Case Report. 儿童拇指间关节开放性脱位1例。

Journal of Orthopaedic Case Reports Pub Date : 2025-08-01 DOI: 10.13107/jocr.2025.v15.i08.5930

Demah M Benfaris, Aref A Altawair, Abdulnasser Alwabel, Fahad S Alhuzaimi

引用次数: 0

Personalized Alignment Strategies and the Need for Customization in Total Knee Arthroplasty: The Role of MISSO Joint Robotic System. 全膝关节置换术中个性化对齐策略和定制需求：MISSO关节机器人系统的作用。

Journal of Orthopaedic Case Reports Pub Date : 2025-08-01 DOI: 10.13107/jocr.2025.v15.i08.5862

Kunal Aneja, Ravi Teja Rudraraju, Ashok Shyam

引用次数: 0

Elbow Dislocation Associated with Severely Displaced Radial Neck Fracture and Ulnar Diaphyseal Fracture in an 11-Year-Old Girl - A Very Rare Case Report. 1例11岁女孩肘关节脱位合并严重移位的桡骨颈骨折和尺骨干骨折-一例非常罕见的病例报告。

Journal of Orthopaedic Case Reports Pub Date : 2025-08-01 DOI: 10.13107/jocr.2025.v15.i08.5952

Louis Biernaux, Valentina Maestri, Manon Deguée, Pierre-Louis Docquier

引用次数: 0

Knee Arthodesis , as a salvage procedure for Non-union of floating knee after ilizarov fixation-A case report. 膝关节固定术治疗漂浮膝关节ilizarov固定术后不愈合1例报告。

Journal of Orthopaedic Case Reports Pub Date : 2025-08-01 DOI: 10.13107/jocr.2025.v15.i08.5954

Harsh Kumar, Raj Suhas Kamble, Suhas Laxman Kamble

{"title":"Knee Arthodesis , as a salvage procedure for Non-union of floating knee after ilizarov fixation-A case report.","authors":"Harsh Kumar, Raj Suhas Kamble, Suhas Laxman Kamble","doi":"10.13107/jocr.2025.v15.i08.5954","DOIUrl":"10.13107/jocr.2025.v15.i08.5954","url":null,"abstract":"Introduction: The Ilizarov technique is a widely used method for managing complex fractures, especially those involving periarticular regions such as the distal femur and proximal tibia. Ilizarov is a versatile process which can also be used for limb lengthening, deformity correction and for septic and aseptic non-unions.Case report: We present the case of 48-year-old male with non-union of proximal tibia and distal femur fracture with Ilizarov in situ. A floating knee on the right side was unsuitable for open reduction and internal fixation due to poor skin health. Ilizarov fixation was planned for the patient. This instance demonstrates the difficulties associated with floating knee. The technique's limits in treating specific periarticular fractures are highlighted by the Ilizarov fixation's failure in this instance.Conclusion: An efficient salvage technique that provides permanent pain relief and functional stability is knee arthrodesis. The need of customized treatment planning in handling complicated fracture situations is highlighted by this example.","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"239-243"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816950","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}

引用次数: 0

Unexplained Pseudotumor Formation in Ceramic-on-ceramic Hip Bearings: A Case Report. 不明原因的假肿瘤形成陶瓷对陶瓷髋关节轴承：一个病例报告。

Journal of Orthopaedic Case Reports Pub Date : 2025-08-01 DOI: 10.13107/jocr.2025.v15.i08.5868

Prithvi Mohandas, Sunil D Magadum, J Ram Prasad, Mahesh Karthick, Umesh Kumar Singh, Bhagyalakshmi Purushothaman

{"title":"Unexplained Pseudotumor Formation in Ceramic-on-ceramic Hip Bearings: A Case Report.","authors":"Prithvi Mohandas, Sunil D Magadum, J Ram Prasad, Mahesh Karthick, Umesh Kumar Singh, Bhagyalakshmi Purushothaman","doi":"10.13107/jocr.2025.v15.i08.5868","DOIUrl":"10.13107/jocr.2025.v15.i08.5868","url":null,"abstract":"Introduction: Adverse local tissue reactions (ALTRs) is a known complication post total hip arthroplasty (THA). ALTR is usually associated with cobalt chromium alloy joints with incidence rate of 36-61%. It has also been documented in mixed bearings such as metal on polyethylene. Although uncommon, pseudotumor formation has been reported in ceramic on ceramic (CoC) THA, suggesting that the ceramic debris is not entirely inert.Case report: This case study relates the history of a 56-year-old man with ankylosing spondylitis who underwent bilateral THA using a CoC articulations. Initially asymptomatic for 4 years, he developed pain, swelling around the right hip, and his imaging showed extensive osteolysis with pseudotumor formation. His fine-needle aspiration cytology report was inconclusive, so he underwent stage 1 procedure that is removal of prosthesis and biopsy. His histopathology report confirmed pseudotumor formation with presence of fibrin, proliferating fibroblasts, hemosiderin-laden macrophages and lymphocytes. Since the patient was not keen on second stage revision arthroplasty, he was mobilized with heel and sole raise and walking aid.Conclusion: Pseudotumor formation occurred without any damage to ceramic head and liner, without any malposition of components, with no impingement between components and normal metal ion levels in our case. This case report further strengthen existing literature about pseudotumor formation in CoC articulation. Further studies needed to know exact tribology and individual immune response for ceramic wear debris.","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"18-23"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816965","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}

引用次数: 0

Exploring the Complexity of Klippel-Trenaunay Syndrome: A Case Study and Review. 探讨Klippel-Trenaunay综合征的复杂性：个案研究与回顾。

Journal of Orthopaedic Case Reports Pub Date : 2025-08-01 DOI: 10.13107/jocr.2025.v15.i08.5964

Shivam Tyagi, J K Giriraj Harshavardhan

引用次数: 0

Externally Applied Metaphyseal Locking Plate: An Alternative to Unilateral External Fixator in Definitive Management of Compound Tibia Fractures - A Prospective Study. 外用干骺端锁定钢板：单侧外固定架在复合胫骨骨折决定性治疗中的替代方案-一项前瞻性研究。

Journal of Orthopaedic Case Reports Pub Date : 2025-08-01 DOI: 10.13107/jocr.2025.v15.i08.5970

Supratim Roy, Kiran Wandile, Aliasger Moaiyadi, Akshay Rode, Bhavesh Patidar, C M Badole

{"title":"Externally Applied Metaphyseal Locking Plate: An Alternative to Unilateral External Fixator in Definitive Management of Compound Tibia Fractures - A Prospective Study.","authors":"Supratim Roy, Kiran Wandile, Aliasger Moaiyadi, Akshay Rode, Bhavesh Patidar, C M Badole","doi":"10.13107/jocr.2025.v15.i08.5970","DOIUrl":"10.13107/jocr.2025.v15.i08.5970","url":null,"abstract":"Introduction: Compound tibial fractures are a common injury due to high velocity trauma and its management is always a challenge to the surgeon due to increased chances of infection, non-union, poor blood supply, and potential risk of amputation. Unilateral external fixator, though the gold standard, had many problems related to patient compliance and complications, such as joint stiffness. We aim to evaluate the effectiveness of the metaphyseal locking plate applied as an external fixator in managing the compound tibia fracture.Materials and methods: We treated 16 cases of tibia fractures (proximal, diaphyseal, distal) with soft tissue injury using a metaphyseal locking plate as an external fixator and followed them for a period of 9 months to assess fracture union, complication, functional outcome, and patient compliance. Regular ankle knee range of movement was done and radiographs were taken to assess union and alignment of the limb.Results: The mean time to bony union was 19.7 weeks and the standard deviation is 5.75. Two cases of non-union, 3 cases of malunion, and 11 cases of union in proper alignment were achieved. 11 patients had excellent (68.75%), 2 had good functional results (12.5%), 1 had a fair functional outcome (6.25%), and 2 cases had poor functional outcome (12.5%).Conclusion: Metaphyseal locking plate can be an effective alternative to unilateral external fixator in terms of patient compliance, achieving good knee-ankle range of motion, fracture union, and thereby achieving good functional outcome.","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"280-286"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816918","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}

引用次数: 0

Acute Carpal Tunnel Syndrome: Is It Only Wrist Fractures? A Case Series Report and Literature Review. 急性腕管综合征：仅仅是手腕骨折吗？病例系列报告及文献回顾。

Journal of Orthopaedic Case Reports Pub Date : 2025-08-01 DOI: 10.13107/jocr.2025.v15.i08.5968

Panos Christodoulou, Donald Osarumwense, Antonios Papadopoulos

{"title":"Acute Carpal Tunnel Syndrome: Is It Only Wrist Fractures? A Case Series Report and Literature Review.","authors":"Panos Christodoulou, Donald Osarumwense, Antonios Papadopoulos","doi":"10.13107/jocr.2025.v15.i08.5968","DOIUrl":"10.13107/jocr.2025.v15.i08.5968","url":null,"abstract":"Introduction: Acute carpal tunnel syndrome (CTS) is a rare but serious condition requiring prompt diagnosis and intervention to prevent permanent neurological deficits. This case series presents our department's experience in managing this condition, highlighting diagnostic challenges, treatment strategies, and patient outcomes.Materials & methods: This retrospective study analyses medical records of patients diagnosed with acute carpal tunnel syndrome from 2021 to 2023 within our coverage area. Information was extracted from medical records, including diagnostic codes and clinical assessments for all cases of acute carpal tunnel syndrome, diagnosed during the period from 2021 to 2023. Data analysed, include age, sex, medical history, symptoms, mechanism of injury, clinical features, imaging, management, and follow-up. Six native Scottish patients, aged 43 to 65, developed acute carpal tunnel syndrome due to various causes, including flexor sheath infection, wrist soft tissue injury, distal radius fractures (with and without plate fixation), and scaphoid fracture.Discussion and results: Our case series highlights the heterogeneous presentation and aetiology of acute carpal tunnel syndrome, with causes ranging from trauma to infection. Early recognition remained challenging due to overlapping symptoms with other wrist pathologies. Surgical decompression was the mainstay of treatment, performed with variable urgency depending on clinical progression. Despite intervention outcomes were mixed. Some patients experienced full recovery while others had lingering symptoms.Conclusion: These findings underscore the importance of high clinical suspicion and prompt surgical intervention to optimise outcomes.","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"275-279"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816929","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}

引用次数: 0

An Unusual Presentation of Keratinous Cyst - A Case Report. 罕见的角性囊肿1例报告。

Journal of Orthopaedic Case Reports Pub Date : 2025-08-01 DOI: 10.13107/jocr.2025.v15.i08.5918

V Ashwanth, R V Raghav, Harish Kiran, Arjun Ganesh, Pravin K Vanchi, M Mohan Kumar

{"title":"An Unusual Presentation of Keratinous Cyst - A Case Report.","authors":"V Ashwanth, R V Raghav, Harish Kiran, Arjun Ganesh, Pravin K Vanchi, M Mohan Kumar","doi":"10.13107/jocr.2025.v15.i08.5918","DOIUrl":"10.13107/jocr.2025.v15.i08.5918","url":null,"abstract":"Introduction: Keratinous cysts are benign lesions that primarily affect the skin but can occasionally involve bones, presenting a diagnostic challenge due to their rarity and varied manifestations.Case report: We present a case of a 65-year-old male farmer who presented with swelling and persistent pain in the right foot, particularly over the third toe. The patient had a history of trivial trauma and previous incision and drainage for a foot swelling. Radiographic and magnetic resonance imaging findings indicated a well-defined lytic lesion with cortical thinning and breach over the third metatarsal, raising suspicion for tuberculous osteomyelitis. Surgical exploration revealed an encapsulated cyst filled with cheesy material. No sequestrated bone or osteomyelitis was found.Conclusion: The cyst was excised, and the affected bone underwent curettage. Histopathological examination confirmed the diagnosis of a keratinous cyst with no evidence of granuloma or malignancy. Postoperatively, the patient experienced an uneventful recovery, undergoing immobilization and later non-weight-bearing mobilization. This case highlights the importance of considering non-infective causes, such as keratinous cysts, when evaluating bone lesions with lytic characteristics, especially in the presence of a history of trauma or previous interventions. Prompt surgical intervention and histopathological examination are critical for accurate diagnosis and management.","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"145-149"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816932","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}

引用次数: 0