Trauma Case Reports最新文献_第2页

Watch out your pins! Periprosthetic femoral fracture at tracking pin site early after robotic-assisted knee arthroplasty treated with dual nail-plate fixation 小心你的别针！机器人辅助膝关节置换术后早期股骨假体周围骨折伴双钢板固定

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101182

Jaime Sánchez del Saz , Jaime Coderch Carretero , Javier García Coiradas , Rodrigo García Crespo

{"title":"Watch out your pins! Periprosthetic femoral fracture at tracking pin site early after robotic-assisted knee arthroplasty treated with dual nail-plate fixation","authors":"Jaime Sánchez del Saz , Jaime Coderch Carretero , Javier García Coiradas , Rodrigo García Crespo","doi":"10.1016/j.tcr.2025.101182","DOIUrl":"10.1016/j.tcr.2025.101182","url":null,"abstract":"<div><div>Robotic-assisted orthopedic surgeries are gaining popularity due to several factors such as its potential for enhanced precision and alignment in prosthetic implant placement, as well as its better pain control and reduction in hospital stay time. However, complications such as pin-related periprosthetic fractures, though rare, highlight the importance of technical precision during pin placement and adequate postoperative monitoring.</div><div>We present the case of a 76-year-old obese female patient who presented to the Emergency Department with severe pain and deformity around the knee two months after robotic-assisted total knee arthroplasty following a fall from standing height. Radiographs revealed a displaced femoral periprosthetic fracture at tracking pin sites without associated implant instability. Surgical management involved combined nail-plate fixation, which promoted both early weight-bearing and functional recovery. At one year postoperatively, the patient achieved satisfactory fracture healing and functional outcomes, with a Knee Society Score of 92 and an EuroQol-5D index value of 0.78.</div><div>Combined nail-plate osteosynthesis, though more invasive compared to other fixation methods, could be an effective strategy for managing distal femoral fractures following robotic-assisted arthroplasty, especially in obese and elderly patients, due to its biomechanical advantages, supporting early mobilization and weight-bearing with reliable fracture healing.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101182"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recurrent myelitis secondary to peripheral nerve root stretching: A case report and review of the literature 继发于周围神经根伸展的复发性脊髓炎1例报告及文献复习

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101178

Abbas Rahimi Jaberi , Ghazanfar Rafiee

{"title":"Recurrent myelitis secondary to peripheral nerve root stretching: A case report and review of the literature","authors":"Abbas Rahimi Jaberi , Ghazanfar Rafiee","doi":"10.1016/j.tcr.2025.101178","DOIUrl":"10.1016/j.tcr.2025.101178","url":null,"abstract":"<div><div>Stretching a nerve more than 5% of its resting length for an extended period can result within changes dysfunction and ischemia. Nerve damage known as neuropathy can range from minor sensory changes like tingling or numbness to more severe injuries such as paralysis. 55-year-old male without significant past medical history experienced numbness, pain, and tingling in his left arm and forearm while lifting weights. An Electromyography-Nerve Conduction Study indicated multiple active root irritations on the left side at levels C5-C8. A Magnetic Resonance Image of the cervical spine showed a hyperintense signal lesion in the area of the cervical spinal cord from C2-C5 vertebrae, ruling out cervical myelitis. His symptoms gradually improved and were relieved for approximately 5 months with minimal signs, but recurred during daily activities. This second episode has lasted 12 months with ongoing treatment. After 12 months of follow-up, his issue has diminished but remains unresolved. It is uncommon to observe peripheral or peripheral-like symptoms in patients with recurrent peripheral neuritis and myelitis affecting only the left upper extremity. The study was approved by the ethics committee of Shiraz University of Medical Sciences with the code of IR.Sums.Med.Rec.1403.154. The patient signed the written informed consent form to document this case and include the accompanying images. It is unusual to see peripheral or peripheral-like symptoms in patients experiencing recurrent myelitis and peripheral neuritis and specifically affecting the left upper extremity. The exacerbation of symptoms when lying down on the affected side and stretching nerves is also significant. This unique presentation may be attributed to the reduced muscle mass in the proximal muscles of the upper extremity, making the nerve roots more susceptible to damage during weightlifting.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101178"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Proximal Humerus Allogenic Transplant for Treatment of a Complex Proximal Humerus Fracture-Dislocation 肱骨近端同种异体移植治疗复杂的肱骨近端骨折-脱位

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101180

Lucas Armada , Pedro Amaro , Raul Alonso , Luís Pires

引用次数: 0

Saphenous nerve compression in the differential diagnosis of knee pain. Case study and a review of the literature 隐神经压迫在膝关节疼痛的鉴别诊断中的应用。个案研究及文献回顾

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101183

Timo Jokela, Pekka Löppönen

{"title":"Saphenous nerve compression in the differential diagnosis of knee pain. Case study and a review of the literature","authors":"Timo Jokela, Pekka Löppönen","doi":"10.1016/j.tcr.2025.101183","DOIUrl":"10.1016/j.tcr.2025.101183","url":null,"abstract":"<div><div>A 17-year old male athlete presented with right knee and lower extremity pain that was resistant to traditional physical therapy and pain management for almost two years. He had played ice hockey as a goalie since childhood but was unable to return to play because of the pain. He had to a history of several different injuries to the same knee and had several MRI scans and physician visits without any help. Pain was aggravated by physical activity especially when the knee was extended but there was no major problem in the knee itself. Palpation of the adductor canal greatly aggravated the pain radiating below the knee. As local anaesthetic to the adductor canal eased the pain saphenous nerve impingement was suspected. Successful decompression of the nerve was performed and pain disappeared right after surgery. He was able to return to play ice hockey as a goalie three months after surgery. Even though iatrogenic injuries to saphenous nerve are common after orthopaedic operations, compression of the nerve in adductor canal is a rare condition that can cause problems in the differential diagnosis of knee pain. If needed, surgical treatment seems to yield a good outcome.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101183"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary diaphyseal tuberculosis of the tibia, presenting as a pathological fracture – A case report 原发性胫骨骨干结核，表现为病理性骨折1例

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101161

Cheuk Kin Kwan , Stephanie Wing Sum Tso , Wing Hong Liu , Chi Yin Tso , Wing Hoi Cheung , Ronald Man Yeung Wong , Ning Tang

{"title":"Primary diaphyseal tuberculosis of the tibia, presenting as a pathological fracture – A case report","authors":"Cheuk Kin Kwan , Stephanie Wing Sum Tso , Wing Hong Liu , Chi Yin Tso , Wing Hoi Cheung , Ronald Man Yeung Wong , Ning Tang","doi":"10.1016/j.tcr.2025.101161","DOIUrl":"10.1016/j.tcr.2025.101161","url":null,"abstract":"<div><h3>Background</h3><div>Isolated involvement of the shaft of a long bone is a rare presentation of skeletal tuberculosis (TB). To our knowledge, primary skeletal TB of the tibia manifesting as a pathological fracture has not been widely reported. We report a case of primary TB of the right tibia in an immunocompetent 85-year-old woman.</div></div><div><h3>Case presentation</h3><div>An immunocompetent 85-year-old woman with tuberculosis osteomyelitis of her right tibia and fibula, presenting as pathological fracture. Fibular ostectomy was performed followed by application of a bioabsorbable bone substitute and an Ilizarov external fixator. The patient was pain-free and ambulating with a walking frame one year post-operatively.</div></div><div><h3>Conclusions</h3><div>Tuberculosis osteomyelitis is challenging to diagnose due to the absence of distinctive clinical and radiographic features. This case highlights the potential of a bioabsorbable bone substitute in achieving osteoconduction and providing sustained local antimicrobial release in tuberculous osteomyelitis.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101161"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lower limb preservation after severe degloving injury: a case report 严重脱手套损伤后下肢保存1例

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101162

Zoltan Cibula , Maros Hrubina , Marian Melisik , Peter Lisy , Monika Cervencova

引用次数: 0

How can we deal with stoma supplies in a resource-limited setting? The Golbasi earthquake experience 在资源有限的情况下，我们如何处理造口供应？戈尔巴斯地震经验

Trauma Case Reports Pub Date : 2025-04-14 DOI: 10.1016/j.tcr.2025.101172

Elsa Leiritz , Laurent Bernhard , Michel Orcel , Isabelle Arnaud , Philippe Agopian , Benjamin Conte , Tristan Tison , Brice Malgras , Sebastien Gaujoux

{"title":"How can we deal with stoma supplies in a resource-limited setting? The Golbasi earthquake experience","authors":"Elsa Leiritz , Laurent Bernhard , Michel Orcel , Isabelle Arnaud , Philippe Agopian , Benjamin Conte , Tristan Tison , Brice Malgras , Sebastien Gaujoux","doi":"10.1016/j.tcr.2025.101172","DOIUrl":"10.1016/j.tcr.2025.101172","url":null,"abstract":"<div><h3>Introduction</h3><div>In winter 2023, two earthquakes struck southern and central Turkey, resulting in an estimated 56.000 deaths and more than 100.000 persons with injuries. The management of patients presenting post-earthquake injuries and the usual surgical emergencies was highly challenging in these extremes' conditions. This report presents a home-made temporary solution for ostomy care and supplies in a resource-limited setting.</div></div><div><h3>Case presentation</h3><div>A 72-year-old woman, admitted 9 days after the earthquake, presented with a transverse colonic incarceration in a Morgagni-Larrey parasternal diaphragmatic hernia, associated with Hinchey III peritonitis. Extended right colectomy was performed with right ileostomy and left colostomy. A home-made ostomy was designed using as supplies an empty intravenous perfusion bag and transparent film dressings. This cheap, homemade and ready-to-use stoma supply was used during the first 3 postoperative days, without any leak or peri-ostomy skin irritation.</div></div><div><h3>Conclusion</h3><div>In extreme perioperative condition, in a resource-limited setting, ostomy can be temporary equip using a homemade and ready-to-use stoma supply. This equipment is feasible at a low cost in all condition and fit until definitive ostomy supplies can be provided.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101172"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Delayed hemorrhagic shock due to reverse chance thoracic vertebrae fracture complicated with hypoxemia caused by diaphragmatic eventration 胸椎反向偶然骨折导致的延迟性失血性休克，并发膈肌分离引起的低氧血症

Trauma Case Reports Pub Date : 2025-04-14 DOI: 10.1016/j.tcr.2025.101177

Kentaro Taniguchi , Tadashi Kaneko , Takanori Yamaguchi

{"title":"Delayed hemorrhagic shock due to reverse chance thoracic vertebrae fracture complicated with hypoxemia caused by diaphragmatic eventration","authors":"Kentaro Taniguchi , Tadashi Kaneko , Takanori Yamaguchi","doi":"10.1016/j.tcr.2025.101177","DOIUrl":"10.1016/j.tcr.2025.101177","url":null,"abstract":"<div><div>Deceleration injuries sometimes cause thoracolumbar spine burst fractures. These injuries can also occur in people with kyphosis, which is common in elderly societies. The type of fracture and initial treatment require greater consideration in elderly than in non-elderly cases.</div><div>An 82-year-old woman with kyphosis was involved in a traffic accident and was admitted to our hospital with severe back pain, to treat reverse chance thoracic vertebrae burst fracture. The initial treatment involving rest in the spine position was unsuccessful. Continuous hemorrhage resulted in shock. She also developed respiratory insufficiency due to diaphragm elevation and diaphragmatic eventration. She required respiratory management with tracheal intubation and massive transfusion to treat her shock.</div><div>Spine burst fractures in elderly patients with kyphosis could cause retroperitoneal hemorrhage and hemothorax. Initial treatment of the spine burst fracture, by placing the patient in a supine position, resulted in massive hemorrhage and shock.</div><div>Learning objectives:<ul><li><span>•</span><span><div>Practitioners should acknowledge the difficulty of treating spine burst fracture in elderly patients with kyphosis, particularly reverse chance fracture. Repositioning of the patient for treatment, unlike in non-elderly patients, may be required to prevent retroperitoneal hemorrhage and hemothorax.</div></span></li><li><span>•</span><span><div>Practitioners should recognize that placing the patient in the supine position, which is conventional initial treatment for spine burst fracture, may not be optimal in elderly patients with kyphosis, given the difficulty of stabilizing the fracture, which can cause hemorrhage. Lying in a supine position can cause diaphragm elevation in patients with diaphragmatic eventration, a common complication in elderly patients with kyphosis that could lead to respiratory insufficiency.</div></span></li></ul></div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101177"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143829141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Delayed chest wall abscess after blunt trauma chest leading to multi-organ failure: A case report 钝伤胸腔后延迟性胸壁脓肿导致多器官衰竭：病例报告

Trauma Case Reports Pub Date : 2025-04-14 DOI: 10.1016/j.tcr.2025.101168

Binayak Deb , V.M. Balasubramani , Ram Varaham , Ramesh Vaidyanathan

引用次数: 0

“Close to the tip, with little bone to grip”: stabilizing two periprosthetic proximal femur fractures above a distal femur megaprosthesis using a combination of DHS and 3.5 mm screws “接近尖端，几乎没有骨头可握”：使用DHS和3.5 mm螺钉组合稳定股骨远端大型假体上方的两个假体周围股骨近端骨折

Trauma Case Reports Pub Date : 2025-04-14 DOI: 10.1016/j.tcr.2025.101167

José-Vicente Andrés-Peiró , Carlos Alberto Piedra-Calle , Jordi Tomàs-Hernández , Pablo S. Corona , Carles Amat , Jordi Teixidor-Serra

{"title":"“Close to the tip, with little bone to grip”: stabilizing two periprosthetic proximal femur fractures above a distal femur megaprosthesis using a combination of DHS and 3.5 mm screws","authors":"José-Vicente Andrés-Peiró , Carlos Alberto Piedra-Calle , Jordi Tomàs-Hernández , Pablo S. Corona , Carles Amat , Jordi Teixidor-Serra","doi":"10.1016/j.tcr.2025.101167","DOIUrl":"10.1016/j.tcr.2025.101167","url":null,"abstract":"<div><div>The incidence of periprosthetic fractures is increasing, presenting significant challenges due to patient longevity and the complexity of repeated surgeries. This report details the successful treatment of a previously unreported periprosthetic fracture pattern using a modified dynamic hip screw (DHS) technique. Two cases involved patients with extracapsular fractures in short proximal femur segments above megaprostheses. The fractures were reduced and stabilized with a DHS device, complemented by 3.5 mm screws from a different manufacturer to achieve effective bicortical fixation around the thick stems. Early weight-bearing was initiated postoperatively, with both patients achieving fracture healing without mechanical complications. This approach highlights the importance of careful preoperative planning and the selection of appropriate fixation methods, particularly in complex cases where traditional solutions may not be viable.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101167"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0