Trauma Case Reports最新文献_第2页

External iliac artery entrapment associated with pelvic fracture. A case report. 骨盆骨折伴髂外动脉卡压。一份病例报告。

Trauma Case Reports Pub Date : 2026-04-25 eCollection Date: 2026-05-01 DOI: 10.1016/j.tcr.2026.101346

Marlon M Mencia, Shamir O Cawich, Dave Harnanan, Robbie Rampersad, Andrew Mike, Thivy Kuruvilla, Sheeva Mungroo

{"title":"External iliac artery entrapment associated with pelvic fracture. A case report.","authors":"Marlon M Mencia, Shamir O Cawich, Dave Harnanan, Robbie Rampersad, Andrew Mike, Thivy Kuruvilla, Sheeva Mungroo","doi":"10.1016/j.tcr.2026.101346","DOIUrl":"https://doi.org/10.1016/j.tcr.2026.101346","url":null,"abstract":"We report the case of a 64-year-old male cyclist who sustained a complex pelvic fracture after a fall. Initial imaging revealed an unusual finding: entrapment of the left external iliac artery within the pelvic fracture site, although distal perfusion remained intact. A multidisciplinary surgical approach was undertaken. The vascular team first freed the entrapped artery followed by stabilisation of the pelvic fracture using reconstruction plates by the orthopaedic team. Notably, no arterial injury was observed, though the vessel appeared tortuous and was at risk for compression or thrombosis. The patient's early postoperative course was uneventful, however at the one-year follow up radiographs show significant post-traumatic osteoarthritis and he has been advised to consider total hip arthroplasty. To our knowledge, this represents the first reported case of external iliac artery entrapment by a pelvic fracture. The case underscores the importance of early surgical exploration when arterial entrapment is suspected, even in the absence of bleeding or pulse deficit. Delay in intervention can result in thrombosis or ischemia. Clinicians should also be aware of underlying vascular anomalies, such as tortuous arteries, which may predispose patients to entrapment and complicate surgical management.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"63 ","pages":"101346"},"PeriodicalIF":0.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13141033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843152","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

Distal third diaphyseal humeral fractures treated with posterior minimally invasive plate osteosynthesis (MIPO). 后路微创钢板固定术治疗肱骨第三骨干远端骨折。

Trauma Case Reports Pub Date : 2026-04-25 eCollection Date: 2026-05-01 DOI: 10.1016/j.tcr.2026.101342

Edgar Barros Prieto, Carlos Ballesteros Ponce, Carlos Eduardo Noboa Freile, Carlos Peñaherrera Carrillo, Francisco Endara, Paul Santiago Vaca, Diego Michilena, Alejandro Xavier Barros Castro

{"title":"Distal third diaphyseal humeral fractures treated with posterior minimally invasive plate osteosynthesis (MIPO).","authors":"Edgar Barros Prieto, Carlos Ballesteros Ponce, Carlos Eduardo Noboa Freile, Carlos Peñaherrera Carrillo, Francisco Endara, Paul Santiago Vaca, Diego Michilena, Alejandro Xavier Barros Castro","doi":"10.1016/j.tcr.2026.101342","DOIUrl":"https://doi.org/10.1016/j.tcr.2026.101342","url":null,"abstract":"Objectives: To describe the technique, safety, and clinical outcomes of posterior minimally invasive plate osteosynthesis (MIPO) in patients with distal third diaphyseal humeral fractures, highlighting its advantages over traditional approaches.Methods: This retrospective case series included four patients with distal third diaphyseal humeral fractures (AO/OTA 1.2.A-c and 1.2.B-c) treated using posterior MIPO. Patients aged 18-70 years, without prior radial nerve injuries, were included. The procedure involved two small longitudinal incisions, nerve protection, and submuscular plate placement with indirect reduction techniques. Functional outcomes were assessed using VAS, DASH, Constant Score, and MEPI at 1 month, 6 months, and 12 months postoperatively. Radiographic alignment and complications were also evaluated.Results: Four patients (mean age 45 years) were treated. The average surgical time was 1 h 30 min. No infections or cases of nonunion were observed. Only one patient developed transient radial nerve paresthesia, which resolved completely within 4 weeks. Functional outcomes were excellent at final follow-up (12-36 months): VAS: 0-2;DASH: 0-5; Constant Score: 95-100; MEPI: 90-100. Radiographs demonstrated fracture union at an average of 4 months, with residual varus angulation between 0° and 5° without functional impact.Conclusions: Posterior MIPO is a safe and effective technique for distal third diaphyseal humeral fractures, offering excellent functional outcomes, low complication rates, and reduced soft tissue disruption. Proper identification and protection of the radial nerve are critical to success.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"63 ","pages":"101342"},"PeriodicalIF":0.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13141028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843145","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

A utility of video-assisted thoracoscopy (VATS) for management of gunshot injury to the esophagus in Role 2 hospital: case report from Russia-Ukraine war. 视频胸腔镜（VATS）在第二角色医院治疗食道枪伤中的应用：俄乌战争病例报告

Trauma Case Reports Pub Date : 2026-04-25 eCollection Date: 2026-04-01 DOI: 10.1016/j.tcr.2026.101341

Igor Lurin, Eduard Khoroshun, Vitalii Makarov, Volodymyr Nehoduiko, Serhii Shypilov, Maksym Gorobeiko, Andrii Dinets

{"title":"A utility of video-assisted thoracoscopy (VATS) for management of gunshot injury to the esophagus in Role 2 hospital: case report from Russia-Ukraine war.","authors":"Igor Lurin, Eduard Khoroshun, Vitalii Makarov, Volodymyr Nehoduiko, Serhii Shypilov, Maksym Gorobeiko, Andrii Dinets","doi":"10.1016/j.tcr.2026.101341","DOIUrl":"https://doi.org/10.1016/j.tcr.2026.101341","url":null,"abstract":"Importance: The Russo-Ukrainian war is associated severe gunshot injuries to various locations. The gunshot injury to the esophagus is rare condition requiring differential clinical approach.The aim of the study was to demonstrate the specific features of a management of combat patient with penetrating gunshot shrapnel wound to the chest with the injury to the esophagus in the ongoing war in Ukraine.Case presentation: A 46 years old male patient was wounded by artillery shelling in East Ukraine. CT scan showed presence of a metal density foreign body 22 × 7 mm in the mediastinum between the trachea and the esophagus. The video-assisted thoracoscopy (VATS) was applied followed by mobilization of the esophagus in the area of its damage and a metal fragment of 22 × 7 mm was identified within the esophageal wall and removed by endoscopic tool. The patient was discharged on the 12th post-operative day.Clinical discussion: In this study we demonstrated a rare case of war-related gunshot injury to the chest with damage to the esophagus, that was managed by using VATS. Penetrating gunshot wounds to the chest with esophagus injuries are a rare and its management is difficult task.Conclusions: To summarize, the gunshot injury in the ongoing Russo-Ukrainian war is severe with presentation of rare injuries to chest with damage to the esophagus. The whole-body CT scan is important diagnostic tool to identified all injuries, including rarely damage to esophagus. The application of VATS might be applied for gunshot wounds to the esophagus in combat settings for selected patients in Role 3 and 4 deployed hospitals.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"62 ","pages":"101341"},"PeriodicalIF":0.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13141782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843394","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

Rotating-hinge arthroplasty for chronic posterolateral knee fracture-dislocation. 旋转铰链关节置换术治疗慢性膝后外侧骨折脱位。

Trauma Case Reports Pub Date : 2026-04-22 eCollection Date: 2026-04-01 DOI: 10.1016/j.tcr.2026.101331

Yassine Ben Bouzid, Moulay Omar Lamrani

{"title":"Rotating-hinge arthroplasty for chronic posterolateral knee fracture-dislocation.","authors":"Yassine Ben Bouzid, Moulay Omar Lamrani","doi":"10.1016/j.tcr.2026.101331","DOIUrl":"https://doi.org/10.1016/j.tcr.2026.101331","url":null,"abstract":"Background: Chronic knee fracture-dislocation is an exceptionally rare and disabling condition, most often resulting from neglected trauma. In elderly patients with degenerative changes and extensive ligamentous insufficiency, total knee arthroplasty (TKA) may represent a reliable salvage procedure to restore alignment, stability, and function.Case presentation: A 76-year-old woman with hypertension and type 2 diabetes presented four months after a fall with a chronic posterolateral dislocation of the left knee. Clinical examination revealed a fixed varus deformity and posterior tibial translation. Radiographs confirmed chronic fracture-dislocation with secondary osteoarthritic degeneration. Given the chronicity and poor soft-tissue quality, a rotating-hinge TKA was performed. Intraoperative findings included fibrosis, retracted cruciate ligaments, and posterior capsule shortening. After extensive soft-tissue release, the prosthesis was implanted with cemented stems.Outcome: At one-year follow-up, the patient achieved a painless and stable range of motion from 0° to 100°, with a Knee Society Score of 82, indicating excellent function.Conclusion: Rotating-hinge TKA offers a valuable reconstructive option in chronic knee fracture-dislocations with severe ligament deficiency, providing stable, pain-free, and functional outcomes when anatomic reconstruction is not feasible.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"62 ","pages":"101331"},"PeriodicalIF":0.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843475","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

Acalculous cholecystitis with gallbladder perforation in a critically ill trauma patient: An unexpected complication. 无结石性胆囊炎伴胆囊穿孔的危重病人：一个意想不到的并发症。

Trauma Case Reports Pub Date : 2026-04-22 eCollection Date: 2026-05-01 DOI: 10.1016/j.tcr.2026.101334

Kapil Soni, Nirav Gandhi, Alfred Adiamah, Meetal Shah, Talha Azam Tarrar, Lauren Blackburn, Adam Brooks

{"title":"Acalculous cholecystitis with gallbladder perforation in a critically ill trauma patient: An unexpected complication.","authors":"Kapil Soni, Nirav Gandhi, Alfred Adiamah, Meetal Shah, Talha Azam Tarrar, Lauren Blackburn, Adam Brooks","doi":"10.1016/j.tcr.2026.101334","DOIUrl":"https://doi.org/10.1016/j.tcr.2026.101334","url":null,"abstract":"Gallbladder perforation is a rare complication following blunt abdominal trauma, largely due to its anatomical protection within the liver parenchyma. We present the case of a male in his 50s who sustained multiple traumatic injuries following high-impact motor vehicle collision. He was initially admitted with haemodynamic compromise necessitating emergency trauma laparotomy, splenectomy and a traumatic diaphragmatic hernia repair. There was no evidence of gallbladder or liver injury in the preoperative abdominal CT scan or laparotomy. Despite this, he developed new RUQ pain, anaemia and early signs of sepsis on day 17 day after his initial presentation with repeat imaging confirming gallbladder perforation consistent with acalculous cholecystitis in the context of critical illness. This was managed radiologically with a percutaneous cholecystostomy drain. This case illustrates the diagnostic challenges and management of acalculous cholecystitis with perforation in critical illness, highlighting ischaemia, biliary stasis, and hypoperfusion mechanisms.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"63 ","pages":"101334"},"PeriodicalIF":0.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13145363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147842382","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

Treatment of infected tibial nonunion with angular deformity and shortening using the Masquelet technique combined with the Ilizarov technique: A case report. Masquelet技术联合Ilizarov技术治疗感染性胫骨骨不连伴角状畸形和短缩1例

Trauma Case Reports Pub Date : 2026-04-22 eCollection Date: 2026-05-01 DOI: 10.1016/j.tcr.2026.101335

Akifumi Honda, Yoshinobu Watanabe, Gen Sasaki, Natsumi Saka, Mari Nishizawa, Kunihiko Arakawa, Hirotaka Kawano

{"title":"Treatment of infected tibial nonunion with angular deformity and shortening using the Masquelet technique combined with the Ilizarov technique: A case report.","authors":"Akifumi Honda, Yoshinobu Watanabe, Gen Sasaki, Natsumi Saka, Mari Nishizawa, Kunihiko Arakawa, Hirotaka Kawano","doi":"10.1016/j.tcr.2026.101335","DOIUrl":"https://doi.org/10.1016/j.tcr.2026.101335","url":null,"abstract":"The induced membrane technique (Masquelet technique) combined with the Ilizarov technique may provide a novel strategy for managing infected nonunion with angular deformity and limb shortening within a relatively short treatment period. We report a 45-year-old male with a Gustilo-Anderson type IIIA open tibial fracture complicated by fracture-related infection, 33° valgus deformity, and 50-mm limb shortening. Treatment was performed in three stages: radical debridement with rapid soft-tissue lengthening at 3 mm/day using an Ilizarov external fixator; definitive fixation with an intramedullary nail and Masquelet technique; and cancellous bone grafting with beta-tricalcium phosphate, delayed to 10 months after the second stage due to psychiatric comorbidity. Bone healing was achieved uneventfully within 2 years, with a residual limb-length discrepancy of <1 cm and good functional recovery. This case illustrates that rapid soft-tissue lengthening can effectively correct limb shortening and malalignment, thereby reducing the duration of external fixation and its complications. Moreover, delayed bone grafting did not compromise bone healing, underscoring the robustness of the Masquelet technique combined with intramedullary nail fixation. Overall, this combined approach represents a promising strategy for complex infected nonunions, reducing patient burden while ensuring reliable bone reconstruction and functional recovery.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"63 ","pages":"101335"},"PeriodicalIF":0.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13141035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843229","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

The arc-technique using a photodynamic nail in a dysmorphic fragility fracture of the posterior pelvic ring - a technical note & case report. 弧线技术应用光动力钉治疗骨盆后环畸形脆性骨折-技术笔记及病例报告。

Trauma Case Reports Pub Date : 2026-04-22 eCollection Date: 2026-04-01 DOI: 10.1016/j.tcr.2026.101330

Tobias Fritz, Emmanouil Liodakis, Jonas Gras, Marcel Orth, Antonius Pizanis, Marcus Örgel, Tim Pohlemann, David Osche

引用次数: 0

Augmented stabilization of a rare geriatric "open book"-injury, using a cement augmented internal fixator - a case report. 使用水泥增强内固定器增强稳定罕见的老年性“开卷式”损伤1例报告。

Trauma Case Reports Pub Date : 2026-04-22 eCollection Date: 2026-04-01 DOI: 10.1016/j.tcr.2026.101327

Alexa Stansell, Antonius Pizanis, David Osche, Marcel Orth, Emmanouil Liodakis, Tim Pohlemann, Tobias Fritz

{"title":"Augmented stabilization of a rare geriatric \"open book\"-injury, using a cement augmented internal fixator - a case report.","authors":"Alexa Stansell, Antonius Pizanis, David Osche, Marcel Orth, Emmanouil Liodakis, Tim Pohlemann, Tobias Fritz","doi":"10.1016/j.tcr.2026.101327","DOIUrl":"https://doi.org/10.1016/j.tcr.2026.101327","url":null,"abstract":"Background: Pelvic ring injuries in elderly patients, particularly in the context of low-energy trauma, typically involve posterior ring structures due to underlying osteopenia or osteoporosis. However, symphyseal disruptions are extremely rare in this population. Pelvic ring injuries in elderly patients are increasingly common due to demographic changes, often resulting from low-energy falls. We present a unique case of a 77-year-old morbidly obese female with a Type B1.1 pelvic ring injury (APC-2, according to Young & Burgess classification), characterized by an open book lesion with no posterior fracture. Given the patient's body habitus and reduced bone quality, a minimally invasive internal fixator spine system was implanted and augmented with polymethylmethacrylate (PMMA) cement to enhance fixation strength and allow early mobilization.Case presentation: A 77-year-old female (BMI: 36 kg/m2) presented with a rare isolated Type B1.1 pelvic ring injury (Fig. 1A) following a domestic fall. After emergency stabilization using an external fixator, in a secondary definitive surgery a subcutaneous internal fixator was implanted bilaterally in a minimally invasive fashion. To improve fixation in the osteoporotic supra-acetabular bone, the screws were cement-augmented using PMMA. The patient showed good postoperative recovery, early mobilization, and stable radiographic outcomes at 6 weeks follow-up.Conclusion: This case illustrates the feasibility and benefit of cement-augmented internal fixator of the pubic symphysis with a rare case of an \"open-book\" injury in elderly, obese female patient. Cement augmentation may offer additional pull-out strength in patients with reduced bone quality, facilitating early mobilization and avoiding complications related to implant loosening.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"62 ","pages":"101327"},"PeriodicalIF":0.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13126326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821408","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

Survival after severe blunt cardiac injury: Right atrial rupture. 严重钝性心脏损伤后的存活：右心房破裂。

Trauma Case Reports Pub Date : 2026-04-22 eCollection Date: 2026-04-01 DOI: 10.1016/j.tcr.2026.101329

Joseph Richards, Michelle Mendiola Pla, Jonathan Reimer, Grace Chang

{"title":"Survival after severe blunt cardiac injury: Right atrial rupture.","authors":"Joseph Richards, Michelle Mendiola Pla, Jonathan Reimer, Grace Chang","doi":"10.1016/j.tcr.2026.101329","DOIUrl":"https://doi.org/10.1016/j.tcr.2026.101329","url":null,"abstract":"Background: Blunt cardiac rupture is a rare but life-threatening injury that imparts extremely high mortality. Most patients who experience cardiac rupture die at the scene, but timely response in diagnosis and treatment can improve the survivability of this injury.Purpose: To describe a case of blunt cardiac injury with right atrial rupture after involvement in a high-speed motor vehicle collision. Early resuscitation with blood products and timely operative treatment were pivotal for the survival of this patient. Follow up with echocardiography revealed a rare presentation of inter-atrial septal aneurysm formation.Case presentation: A 37 year old man presented by ambulance after involvement in a high-speed motor vehicle collision. On arrival, he was agitated but hemodynamically stable. Chest x-ray showed a massive right-sided pleural effusion and placement of right sided chest tube immediately drained more than 1300 mL of dark blood. Massive blood product transfusion was initiated and the patient was taken to the operating room for emergent right anterior thoracotomy. A laceration to the pericardium was identified and right atrial rupture which were managed by primary repair and wide drainage. Echocardiography in the post-traumatic period demonstrated an inter-atrial septal aneurysm that was managed conservatively.Conclusion: Survival after blunt cardiac rupture is rare but feasible if aggressive blood product resuscitation and timely operative treatment are provided. Close follow up with serial echocardiography in the peri-traumatic and post-traumatic period is imperative to assess for associated cardiac complications.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"62 ","pages":"101329"},"PeriodicalIF":0.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13126330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821348","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

Restoring shoulder function after osteoporotic fracture using a novel double-coil rPMS protocol: A case report with functional and radiological follow-up. 使用新型双线圈rPMS方案恢复骨质疏松性骨折后的肩关节功能：附功能和放射学随访一例报告。

Trauma Case Reports Pub Date : 2026-04-22 eCollection Date: 2026-04-01 DOI: 10.1016/j.tcr.2026.101328

Vincenzo Di Modica, Giuseppe J Sciarrone

{"title":"Restoring shoulder function after osteoporotic fracture using a novel double-coil rPMS protocol: A case report with functional and radiological follow-up.","authors":"Vincenzo Di Modica, Giuseppe J Sciarrone","doi":"10.1016/j.tcr.2026.101328","DOIUrl":"https://doi.org/10.1016/j.tcr.2026.101328","url":null,"abstract":"Background: Post-traumatic shoulder stiffness is a frequent complication following humeral fracture surgery, particularly in elderly osteoporotic patients. Even after radiographic fracture healing, persistent functional limitation may occur, especially in patients unable to complete structured postoperative rehabilitation. Osteoporosis further complicates rehabilitation due to bone fragility and the increased risk of re-fracture.Case report: A 76-year-old woman with severe osteoporosis presented nine months after surgical fixation of a humeral head fracture (Neer one-part, treated with K-wires) with secondary shoulder stiffness, characterized by severe pain, functional limitation, muscle weakness, and sleep disturbances. Radiographs obtained at presentation confirmed fracture union without secondary displacement. A four-month non-invasive rehabilitation program based on a combined repetitive peripheral magnetic stimulation (rPMS) protocol, using a novel double-coil static applicator and a dynamic handheld applicator, was prescribed. After two months, marked clinical improvement was observed: pain intensity decreased from 9/10 to 1/10, muscle strength improved from 1/5 to 4/5, and sleep disturbances resolved. Serial MRI scans demonstrated a progressive reduction of bone marrow edema and complete resolution of intra-articular effusion, while functional testing confirmed near-complete recovery of shoulder function.Conclusions: This case illustrates that a combined approach using the novel double-coil and handheld rPMS may represent a feasible non-invasive adjunct in the management of persistent postoperative shoulder stiffness in elderly osteoporotic patients. While clinical and radiological improvement was observed, causal inference remains limited in a single-case design, and these findings should be confirmed in future controlled studies.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"62 ","pages":"101328"},"PeriodicalIF":0.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13126336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821394","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