{"title":"Incomplete femoral neck fracture with characteristics of atypical femoral fracture: A case report and literature review","authors":"Yasuhiro Higai , Yuji Kanaya , Hiroyoshi Hagiwara , Yuichirou Yano , Takashi Fukushima , Norihiro Akazawa , Takahiro Shimizu , Sueo Nakama , Katsushi Takeshita","doi":"10.1016/j.tcr.2024.101091","DOIUrl":"10.1016/j.tcr.2024.101091","url":null,"abstract":"<div><p>Femoral neck fractures are considered exclusion criteria for atypical femoral fractures; however, femoral neck fractures with atypical femoral fractures have also been reported. Here, we report a case of a femoral neck fracture with features of atypical femoral fractures and a review of the related literature. A 76-year-old woman had been treated with denosumab for five years. The patient had no history of trauma, but complained of pain in the right hip. Radiological examination revealed an incomplete fracture of the right femoral neck. Internal fixation was performed, but fusion was delayed. Bipolar hemiarthroplasty was performed four months after surgery. In a patient with long-term bisphosphonate use, complaints of hip pain could indicate the possibility of an atypical fracture. According to the existing literature, as with atypical femoral fractures, this fracture has a high risk of delayed union; therefore, temporary prosthetic replacement should be considered as a treatment option.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001146/pdfft?md5=d9bf40555f46bb9cc00ae545233f453a&pid=1-s2.0-S2352644024001146-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950032","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 closed reduction of Bosworth ankle fracture-dislocation: A case report","authors":"Shuya Nohmi, Taro Ogawa","doi":"10.1016/j.tcr.2024.101080","DOIUrl":"10.1016/j.tcr.2024.101080","url":null,"abstract":"<div><p>Bosworth fracture-dislocation presents a challenge in ankle joint injuries owing to its irreducible nature, requiring open reduction in most cases. Reports on successful outcomes following closed reduction are limited, necessitating exploration into alternative treatment approaches.</p><p>Herein, we report a case of Bosworth fracture-dislocation in a 39-year-old man, with radiographic evidence of posterior displacement of the distal portion of the proximal fibular fragment incarcerated behind the tibia. Closed reduction was attempted with the patient's knee flexed at 90°, employing gradual traction, internal foot rotation, and counterforce provided by an assistant.</p><p>The procedure resulted in a successful reduction, highlighting the potential of closed reduction in managing Bosworth fracture-dislocations. This underscores the importance of considering closed reduction as an initial treatment option before surgery, particularly given the injury mechanism. However, repeated attempts for closed reduction should be avoided to prevent iatrogenic soft tissue damage, which could result in postoperative wound complications and compartment syndrome. This case demonstrates the feasibility of closed reduction in Bosworth fracture-dislocation cases, offering a potential avenue to delay surgical intervention until the resolution of limb swelling and improve patient outcomes.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001031/pdfft?md5=d289c39c972621137bfcedf6ac84f1ec&pid=1-s2.0-S2352644024001031-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141960310","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":"Debilitating ocular globe rupture due to a forklift accident: A case report","authors":"Takashi Ono , Takuya Iwasaki , Michiyo Kato , Toshihiro Sakisaka , Yosai Mori , Ryohei Nejima , Fumiki Okamoto , Kazunori Miyata","doi":"10.1016/j.tcr.2024.101081","DOIUrl":"10.1016/j.tcr.2024.101081","url":null,"abstract":"<div><p>We describe a case of globe rupture due to a forklift accident. A 64-year-old man presented to the ophthalmology hospital shortly after the jaws of a forklift struck his left eye. The left eye was shrunken with a full-thickness scleral laceration. B-scan ultrasonography revealed a hypotonic eyeball with antero-posterior shrinkage. We promptly performed scleral suturing to maintain the ocular shape. The patient's intraocular pressure improved to 7.1 mmHg, and visual acuity was limited to light perception. Despite this, intraocular hemorrhage in the anterior chamber persisted, and an electroretinogram demonstrated poor response to light. Subsequently, the patient underwent a vitrectomy with silicone oil tamponade to address the vitreous hemorrhage, proliferative membranes, and retinal detachment. However, proliferative vitreoretinopathy with tractional retinal detachment progressed postoperatively, resulting in the loss of light perception. Ocular trauma caused by forklifts accident is rare; however, the strong external forces they exert can cause severe and irreversible visual impairment. Therefore, it is necessary for forklift operators and other concerned individuals to exercise caution to prevent forklift-related ocular trauma. Moreover, ophthalmologists should be aware of the dangers of forklift-related ocular trauma and treatment and management of the same.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001043/pdfft?md5=dbf961d8a670f506564fa742c01120c4&pid=1-s2.0-S2352644024001043-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639220","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":"Simultaneous ipsilateral hip and knee dislocation: Management and outcome – A case report","authors":"Christian G. Falgons , Stephen J. Warner","doi":"10.1016/j.tcr.2024.101079","DOIUrl":"10.1016/j.tcr.2024.101079","url":null,"abstract":"<div><h3>Case</h3><p>This clinical case report presents a 40-year-old male who sustained an ipsilateral hip and knee dislocation with ipsilateral femoral head fracture and incomplete femoral neck fracture following a motorcycle collision.</p></div><div><h3>Conclusion</h3><p>This report describes acute and later definitive orthopedic care and management, with focus on urgent interventions and timing of immediate treatments. Given the presented patient's favorable clinical outcomes, return to baseline activities, and absence of significant sequelae following injury, the considerations from the acute management and surgical planning of this patient's injuries can be used as a reference for treating the rare injury of ipsilateral knee and hip dislocations.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235264402400102X/pdfft?md5=a9a2d077ad3f0546fc81bbf6c5cf356b&pid=1-s2.0-S235264402400102X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141706572","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":"Effective use of fibrinogen concentrate in a pediatric splenic injury requiring transcatheter arterial embolization","authors":"Sho Ando, Hisashi Dote, Seigo Okuma, Takahiro Atsumi","doi":"10.1016/j.tcr.2024.101076","DOIUrl":"10.1016/j.tcr.2024.101076","url":null,"abstract":"<div><p>Correction of coagulation is a crucial aspect of trauma care. While there are reports highlighting the effectiveness of fibrinogen concentrate in severe trauma cases with coagulopathic complications, literature on its use in pediatric cases remains limited. This paper discusses the case of a 5-year-old male presenting with a splenic injury and associated coagulopathy. We administered fibrinogen concentrate to enhance his coagulability prior to performing transcatheter arterial embolization utilizing gelatin sponges, aiming for optimal hemostasis. Post-administration, the patient's fibrinogen levels improved significantly, leading to successful hemostasis and a positive clinical outcome.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000992/pdfft?md5=982986ffb43f754dcbcb01b1a4083ad8&pid=1-s2.0-S2352644024000992-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141704849","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":"Hop, skip and a thump: Kangaroo inflicted trauma","authors":"Chloe Price, Amyn Pardhan","doi":"10.1016/j.tcr.2024.101078","DOIUrl":"10.1016/j.tcr.2024.101078","url":null,"abstract":"<div><p>Although hospital presentations from kangaroo-related injuries commonly stem from motor vehicle collisions, a lesser-known subset involves assaults by kangaroos. In an Australian study over 10 years, only 40 attacks on humans were reported (Herbert et al., 2021). The rate of human injury from kangaroos has speculatively increased, attributed to changes in its natural habitat from fires and urbanisation (Hardy et al., 2021). We present the case of a 75-year-old gentleman who sustained multiple injuries, including a scrotal tear and hemopneumothorax, from a kangaroo-related assault. This case highlights the diverse nature of kangaroo-related injuries and underscores the need for public safety campaigns and comprehensive reporting mechanisms to capture injury rates from incidents involving kangaroos, especially in the setting of climate change-altering environments and increasing human-wildlife contact.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001018/pdfft?md5=e490a6bb6dcf08ecc287048a674c5adc&pid=1-s2.0-S2352644024001018-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629898","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":"Monoclonal antibody anti-sclerostin for treatment of pelvic insufficiency fractures in adult hypophosphatasia: A case report","authors":"Pierre-Emmanuel Schwab , Alicia Dessain , Joshua Milby","doi":"10.1016/j.tcr.2024.101077","DOIUrl":"10.1016/j.tcr.2024.101077","url":null,"abstract":"<div><p>Hypophosphatasia is a rare inherited metabolic disease leading to inhibition of bone and teeth mineralization that can be complicated by multiple insufficiency fractures. Treatment is currently limited to enzyme replacement therapy using bone-targeting recombinant human alkaline phosphatase, or asfotase alfa. Romosozumab is a monoclonal anti-sclerostin antibody originally indicated for the treatment of osteoporosis in postmenopausal women with high-risk of fracture. Recently its indication had been expanded to other metabolic bone disorders such as osteogenesis imperfecta. We report a unique case of a 67-yer-old female with hypophosphatasia complicated by multiple delayed-union and nonunion insufficiency fractures of the pelvis. After 12-month therapy with Romosozumab to address her osteoporosis, the patient healed her fractures and increased her bone mass density. Our case report shows interesting effects of Romozumab in an adult patient with hypophosphatasia. It not only helped increase bone density, but also help in the healing process of delayed-union and nonunion insufficiency fractures of the pelvis and prevented the occurrence of new fractures during the treatment period. To our knowledge, this is the first report describing the potential effect of Romosozumab on insufficiency fractures in patients with hypophosphatasia.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001006/pdfft?md5=e34889c19e770c1b9c786847ad97e135&pid=1-s2.0-S2352644024001006-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639221","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":"Intramedullary nailing in a tibial shaft fracture distal to a total knee prosthesis with compromised soft tissue condition","authors":"Baegyun Kim, Ji Won Lee, Euisun Yoon, Sungho Lee","doi":"10.1016/j.tcr.2024.101063","DOIUrl":"10.1016/j.tcr.2024.101063","url":null,"abstract":"<div><h3>Case</h3><p>We present a case report on the management and outcome of a periprosthetic tibial shaft fracture treated with intramedullary nailing. The patient, a 78-year-old female, presented with a history of having undergone total knee arthroplasty ten years ago due to osteoarthritis. She sustained a periprosthetic fracture of the tibial shaft with compromised soft tissues surrounding the fracture site following a motor vehicle accident. Plain radiographs revealed a displaced tibial shaft fracture with a flipped large spiral wedge fragment located distal to the total knee prosthesis. Due to the poor soft tissue condition and the risk of complications in wound healing, as well as the desire to avoid prolonged bed rest and immobilization, intramedullary nailing was chosen as the primary treatment modality. Despite the challenging circumstances, the patient achieved satisfactory healing and recovered her pre-injury ambulation status with no significant complications at the six-month follow-up.</p></div><div><h3>Conclusion</h3><p>Managing periprosthetic tibial shaft fractures in the presence of compromised soft tissues presents significant challenges for orthopedic surgeons. In this case, intramedullary nailing proved to be a suitable treatment option, minimizing soft tissue trauma and providing stable fixation to facilitate early mobilization and weight bearing.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000864/pdfft?md5=1d3b7a603564dd1dbe4291a0556d9346&pid=1-s2.0-S2352644024000864-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141416324","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":"The ICHI-FIXATOR® system, a novel wire-connected external fixator, demonstrates efficacy in managing intra-articular fractures involving the proximal phalanx of the big toe","authors":"Yusuke Hattori , Yuji Joyo , Yohei Kawaguchi , Sanshiro Yasuma , Ryohei Kondo , Soichiro Watanabe , Yusuke Komoto , Satoshi Okumura , Takahiro Esaki , Yuko Waguri-Nagaya","doi":"10.1016/j.tcr.2024.101048","DOIUrl":"10.1016/j.tcr.2024.101048","url":null,"abstract":"<div><p>Proximal phalanx fractures of the big toe involving angulation or dislocation of the articular surface require repositioning and fixation. We treated a patient with such a fracture using a novel wire-connected external fixator, the ICHI-FIXATOR® system. A 45-year-old male sustained an injury when slipping down the stairs and impacting his left big toe. Plain radiography and computed tomography revealed a proximal phalangeal fracture of the left big toe with dislocation of the articular surface and comminution. The surgical intervention was performed using 1.1-mm diameter C-wires and an external fixator. The patient regained ambulation and resumed work immediately after surgery. Four weeks postoperatively, all wires were removed on an outpatient basis. Eight months postoperatively, the patient experienced no pain during strenuous activities or exercises. This novel wire-connected external fixator provides reliable and secure fixation, facilitating a prompt return to normal daily activities. This technique may be an effective option for managing toe fractures.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000712/pdfft?md5=e64887b055f172b109b6d985252f96d7&pid=1-s2.0-S2352644024000712-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141410677","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}
Ibrahim Saeed Ibrahim, Isam Sami Moghamis, Kareem Elsweify, Jasim Alsaei, Ahmad AL-Saddi, Mazhar Fuad
{"title":"Medial swivel dislocation with impacted navicular bone into the talar head: A case report","authors":"Ibrahim Saeed Ibrahim, Isam Sami Moghamis, Kareem Elsweify, Jasim Alsaei, Ahmad AL-Saddi, Mazhar Fuad","doi":"10.1016/j.tcr.2024.101073","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101073","url":null,"abstract":"<div><p>Medial swivel dislocation is a rare subtype of midtarsal bone dislocation, mostly associated with fracture rather than isolated dislocation. It is caused by medially or laterally direct forces to the midfoot. In case of failed closed reduction of the deformity, the patient should undergo open reduction and stabilization of the injury as soon as possible. We are presenting a 17-year-old, male, who sustained a left ankle injury and presented with a deformity, closed reduction of the deformity failed multiple times, and the patient was taken for open reduction and stabilization of the deformity in the operating theater. Intra-operatively, the dislocation was locked with the lateral process of the navicular being impacted into the taller head. Six months following the injury the patient was back to his pre-injury status and did not have any recurrent dislocation of the midfoot.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000967/pdfft?md5=f57772a0ccadd2516b5854466dc541e0&pid=1-s2.0-S2352644024000967-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141308360","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}