Trauma Case Reports最新文献

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Isolated pisiform dislocation after a seizure episode 癫痫发作后的孤立性蝶鞍脱位
Trauma Case Reports Pub Date : 2024-05-13 DOI: 10.1016/j.tcr.2024.101039
Ahmadreza Afshar, Ali Tabrizi, Mohammad Javad Shariyate, Nasrin Navaeifar
{"title":"Isolated pisiform dislocation after a seizure episode","authors":"Ahmadreza Afshar,&nbsp;Ali Tabrizi,&nbsp;Mohammad Javad Shariyate,&nbsp;Nasrin Navaeifar","doi":"10.1016/j.tcr.2024.101039","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101039","url":null,"abstract":"<div><p>A 31-year-old woman had a seizure episode three weeks before, leading to a fall on her left hand. Following the accident, she had discomfort on the ulnar side of her left wrist. She decided to seek treatment from a local bone setter; however, her hand discomfort continued and she then came to us for treatment. The radiography and computed tomography scan demonstrated a pisiform dislocation. The pisiform bone was surgically removed. The pisiform dislocation should be considered in the differential diagnosis of the ulnar side wrist discomfort following wrist trauma.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000621/pdfft?md5=eb9d0a507fc7573494bd8dd7fc8c2d0e&pid=1-s2.0-S2352644024000621-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140950196","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
Intra-articular elevating osteotomy for tibial plateau fracture malunion with intra-articular depression: Surgical technique and review 关节内抬高截骨术治疗伴有关节内凹陷的胫骨平台骨折愈合不良:手术技巧与回顾
Trauma Case Reports Pub Date : 2024-05-13 DOI: 10.1016/j.tcr.2024.101038
Sohaib E.L. Mahjoubi, Ilyesse Haichour, Amine E.L. Farhaoui, Oussama Jelti, Adnane Lachkar, Najib Abdeljaouad, Hicham Yacoubi
{"title":"Intra-articular elevating osteotomy for tibial plateau fracture malunion with intra-articular depression: Surgical technique and review","authors":"Sohaib E.L. Mahjoubi,&nbsp;Ilyesse Haichour,&nbsp;Amine E.L. Farhaoui,&nbsp;Oussama Jelti,&nbsp;Adnane Lachkar,&nbsp;Najib Abdeljaouad,&nbsp;Hicham Yacoubi","doi":"10.1016/j.tcr.2024.101038","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101038","url":null,"abstract":"<div><p>Open reduction with internal fixation is the gold standard treatment for tibial plateau fractures. However, some complications can be observed despite a well-established procedure. Apart from stiffness, malunion is the most frequent complication of tibial plateau fractures.</p><p>These malunions may be intra-articular or extra-articular or combined.</p><p>Intra-articular or extra-articular osteotomy is a good option to treat malunion in young and active patients without significant joint damage. When malunion is associated with extensive joint involvement or the initial cartilage damage has resulted in knee osteoarthritis, the surgical option is a total replacement of the knee joint with arthroplasty.</p><p>We report the case of a patient with a tibial plateau fracture treated initially at a traditional bonesetter complicated at the end of the treatment with the persistent of the knee pain and limping.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235264402400061X/pdfft?md5=5ced4ff01af316f29cfc49c7b7313159&pid=1-s2.0-S235264402400061X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140950197","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
Pancreaticoduodenectomy for trauma in an adolescent female with complex pancreatic and duodenal injuries: Case report and review of the literature 一名胰腺和十二指肠复杂损伤的青少年女性因外伤接受胰十二指肠切除术:病例报告和文献综述
Trauma Case Reports Pub Date : 2024-05-09 DOI: 10.1016/j.tcr.2024.101034
Sarah E. Kim , Farah Al Rahmani , Rembrandt VanDruff , Marc Mesleh , J. Kayle Lee
{"title":"Pancreaticoduodenectomy for trauma in an adolescent female with complex pancreatic and duodenal injuries: Case report and review of the literature","authors":"Sarah E. Kim ,&nbsp;Farah Al Rahmani ,&nbsp;Rembrandt VanDruff ,&nbsp;Marc Mesleh ,&nbsp;J. Kayle Lee","doi":"10.1016/j.tcr.2024.101034","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101034","url":null,"abstract":"<div><h3>Background</h3><p>We present a successful staged surgical repair of an adolescent who sustained a high grade combined pancreaticoduodenal injury following a high-speed motor vehicle collision.</p></div><div><h3>Methods</h3><p>We discuss our case as well as provide a thorough literature review made on databases such as PubMed, Google Scholar, and Embase.</p></div><div><h3>Summary</h3><p>A fifteen-year-old female presented after a motor vehicle collision with abdominal pain and imaging suggestive of pancreatic and duodenal injuries. Emergent exploratory laparotomy confirmed a transection of the pancreatic neck in addition to disruption of the second portion of the duodenum. She sustained other injuries including an injury to the portal vein and a right colonic perforation. A damage control strategy was employed, and the patient underwent duodenal repair, wide drainage of the pancreatic injury, primary portal vein repair, right hemicolectomy, and temporary abdominal closure using negative pressure wound dressing placement. She remained stable overnight in the ICU and was taken back to the operating room for a pylorus-preserving pancreaticoduodenectomy with a hepatobiliary surgeon the following afternoon. The patient required additional surgery for fixation of an unstable vertebral fracture but was discharged to inpatient rehab within two weeks of presentation. She did not require TPN, and the only long-term sequelae have been admissions for acute uncomplicated pancreatitis that have been treated medically.</p></div><div><h3>Conclusion</h3><p>Combined pancreatic and duodenal injury in the pediatric population is uncommon. We discuss our case of a patient requiring a pancreaticoduodenectomy. Despite postoperative pancreatitis and limited information in this field, we believe we provided the optimal surgical care, and this is a potential area for future investigation.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000578/pdfft?md5=01b99ac7a7681a189afa99f8d880f8b5&pid=1-s2.0-S2352644024000578-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140905925","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
Pulsed radiofrequency of iPACK (interspace between the popliteal artery and the posterior knee capsule) for pain control following meniscus repair - A case report 脉冲射频 iPACK(腘动脉与膝关节后囊之间的间隙)用于控制半月板修复术后的疼痛 - 病例报告
Trauma Case Reports Pub Date : 2024-05-09 DOI: 10.1016/j.tcr.2024.101035
Romy Deviandri , M. Pramana KH , Viet Yuliana , D. Irawan
{"title":"Pulsed radiofrequency of iPACK (interspace between the popliteal artery and the posterior knee capsule) for pain control following meniscus repair - A case report","authors":"Romy Deviandri ,&nbsp;M. Pramana KH ,&nbsp;Viet Yuliana ,&nbsp;D. Irawan","doi":"10.1016/j.tcr.2024.101035","DOIUrl":"10.1016/j.tcr.2024.101035","url":null,"abstract":"<div><p>Adequate postoperative pain control is an essential factor for the success of rehabilitation programs after meniscus repair (MR). The pulsed radiofrequency of the interspace between the popliteal artery and the posterior knee capsule (PRF-iPACK) is a recently developed method. This study aimed to evaluate the use of PRF-iPACK in patients who underwent MR. We performed PRF-iPACK guided by ultrasonography for patients who underwent MR with aggravated pain. PRF-iPACK was performed following MR four weeks after surgery. The pain was evaluated using the visual analogue scale (VAS), Lysholm score, and the Euroqol-5 Dimension (EQ-5D).</p><p>In this study, two patients participated. For the results, a week and three months after treatment, the mean VAS score, Lysholm score, and EQ5D improved from 7 to 1 and 0 respectively, and 42 to 86 and 90 respectively, and 0.48 to 0.82 and 0.92 respectively.</p><p>We concluded that PRF-iPACK is an adequate and safe procedure for managing postoperative pain after MR. It may enhance the postoperative rehabilitation program.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235264402400058X/pdfft?md5=67385f05a04801cd511728517c7868b5&pid=1-s2.0-S235264402400058X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141047368","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
Articular fracture of the distal humerus classified Dubberley 2b: Case report of two patients and review of the literature 肱骨远端关节骨折(Dubberley 2b)分类:两名患者的病例报告和文献综述
Trauma Case Reports Pub Date : 2024-04-10 DOI: 10.1016/j.tcr.2024.101032
Raphaël Fouché , Laela El Amiri , Nassim Bestandji , André-Pierre Uzel
{"title":"Articular fracture of the distal humerus classified Dubberley 2b: Case report of two patients and review of the literature","authors":"Raphaël Fouché ,&nbsp;Laela El Amiri ,&nbsp;Nassim Bestandji ,&nbsp;André-Pierre Uzel","doi":"10.1016/j.tcr.2024.101032","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101032","url":null,"abstract":"<div><p>Articular fractures of the distal humerus are rare, and even rarer are fractures involving the trochlea and capitellum in a single fragment, with no associated comminution. These fractures are classified as 2a according to the Dubberley classification and are rarely described in the literature. Two cases of Dubberley 2a fractures were treated at our hospital. The first case, involving a 68-year-old patient, was treated with a medial and a lateral approach, combined with posteroanterior fixation using 3 Herbert screws. In the 2nd case, a 16-year-old male was treated with a single lateral approach, permitting fixation with two Herbert screws. One of the two screws is inserted into the bone at the edge of the cartilage, with an anteroposterior trajectory that leaves the cartilage intact. We opted mainly for posteroanterior screw fixation in subchondral bone, which is less damaging to articular cartilage and soft tissues and has already demonstrated its reliability. No associated lesions were found, and no complications were encountered. Results were excellent, with Mayo Elbow Performance Index (MEPI) scores of 95 and 100 respectively. Herbert screw fixation therefore appears to be an option of choice for these fractures, although comparative studies are needed to evaluate the different treatments available.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000554/pdfft?md5=2068a6b17bd48ffe2f39a31bd5eefc7b&pid=1-s2.0-S2352644024000554-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140555384","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
Coconut leaf midrib skewer as a cause for small bowel obstruction and perforation: A case report 椰子叶中肋骨串是导致小肠梗阻和穿孔的原因:病例报告
Trauma Case Reports Pub Date : 2024-04-10 DOI: 10.1016/j.tcr.2024.101033
Orlando O. Ocampo , Siegfredo R. Paloyo , Ferri P. David-Paloyo , Leonard Christopher T. Sena , Emmanuel T. Limpin , Eduardo C. Ayuste Jr
{"title":"Coconut leaf midrib skewer as a cause for small bowel obstruction and perforation: A case report","authors":"Orlando O. Ocampo ,&nbsp;Siegfredo R. Paloyo ,&nbsp;Ferri P. David-Paloyo ,&nbsp;Leonard Christopher T. Sena ,&nbsp;Emmanuel T. Limpin ,&nbsp;Eduardo C. Ayuste Jr","doi":"10.1016/j.tcr.2024.101033","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101033","url":null,"abstract":"<div><p>Foreign body ingestion is an infrequent cause of small bowel obstruction and, rarely, perforation. It is a common occurrence among pediatric patients, mentally impaired and the edentulous elderly population majority of which will pass through the gastrointestinal tract uneventfully. The likelihood of complications such as perforation, bleeding or fistula formation increases markedly particularly for sharp, stiff, and elongated objects (i.e. toothpicks, meat bones, pins, and razor blades). Diagnosis can be difficult as frequently patients are incognizant of the nature and time of ingestion. Imaging is commonly non-specific as well. We present an unusual case of a 65-year-old male who had an ileal perforation secondary to a coconut leaf midrib skewer initially presenting as small bowel obstruction. Intraoperatively, adhesions were seen in the ileum with note of the foreign body perforating two bowel loops that was not identified in preoperative imaging. This case highlights the importance of considering atypical causes of small bowel obstruction even in the background of previous surgery. Finally, early recognition, accurate diagnosis, and timely intervention are essential to improve patient outcomes and decrease mortality in such cases.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000566/pdfft?md5=936986129739930558addf248b1c9d1f&pid=1-s2.0-S2352644024000566-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140542630","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
Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case report 剖宫产术后因创伤性胎儿娩出而采用血管栓塞术治疗乳内假性动脉瘤导致的大面积血胸:病例报告
Trauma Case Reports Pub Date : 2024-04-10 DOI: 10.1016/j.tcr.2024.101022
Bruna Mohr Franciosi , Eduardo Zanotta Rodrigues , Israel Dumont Pedroso de Oliveira , Maria Fernanda Oliva Detanico
{"title":"Management of massive hemothorax due to internal mammary pseudoaneurysm treated with angioembolization post-cesarean section involving traumatic fetal extraction: A case report","authors":"Bruna Mohr Franciosi ,&nbsp;Eduardo Zanotta Rodrigues ,&nbsp;Israel Dumont Pedroso de Oliveira ,&nbsp;Maria Fernanda Oliva Detanico","doi":"10.1016/j.tcr.2024.101022","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101022","url":null,"abstract":"<div><h3>Introduction</h3><p>Pseudoaneurysm, or false aneurysm, is a clinical entity caused by rupture of the arterial wall, leading to blood leakage that is confined by sorroundig tissue. Massive hemothorax constitutes a life-threatening condition demanding timely and accurate medical response.</p></div><div><h3>Case report</h3><p>A puerperal presented with a massive hemothorax precipitated by a traumatic cesarean section due to hemorrhage from a pseudoaneurysm of the left internal thoracic artery. Initial treatment involved a sternotomy, followed by a conclusive therapy via angioembolization.</p></div><div><h3>Conclusion</h3><p>Precise assessment, including the measurement and localization of the ITA pseudoaneurysm is crucial to formulate an appropriate therapeutic strategy. Current medial practice favors endovascular embolization as a reliable and minimally invasive alternative to open surgery, establishing ir as the treatment of choice.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000451/pdfft?md5=669f311606d206c95cd4a343e270f489&pid=1-s2.0-S2352644024000451-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140633195","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 clinical application of incisional negative pressure wound therapy in severe subcutaneous emphysema: A case series 切口负压伤口疗法在严重皮下气肿中的临床应用:病例系列
Trauma Case Reports Pub Date : 2024-04-09 DOI: 10.1016/j.tcr.2024.101026
Luis Fernandez , Reginald Carl Baptiste , Rebekah Bjorklund , Ala'a Alkhatib , Nesiya Sheriff , Claudia Sanchez , Mary Anne Obst , Rebecca Swindall
{"title":"The clinical application of incisional negative pressure wound therapy in severe subcutaneous emphysema: A case series","authors":"Luis Fernandez ,&nbsp;Reginald Carl Baptiste ,&nbsp;Rebekah Bjorklund ,&nbsp;Ala'a Alkhatib ,&nbsp;Nesiya Sheriff ,&nbsp;Claudia Sanchez ,&nbsp;Mary Anne Obst ,&nbsp;Rebecca Swindall","doi":"10.1016/j.tcr.2024.101026","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101026","url":null,"abstract":"<div><p>Severe subcutaneous emphysema (SSE) is the presence of a high-volume accumulation of air in the subcutaneous tissue caused by traumatic injuries, infections, iatrogenic causes, or can also manifest spontaneously. A variety of techniques have been reported, with varying levels of success.</p><p>We present a multicenter case series detailing four patients who developed SSE and were treated with Incisional Negative Pressure Wound Therapy (INPWT). All patients significantly improved with the INPWT treatment within 6 to 48 h. Our experience suggests INPWT is a valuable procedure available for treating SSE and recommend prospective randomized studies be conducted to determine targeted patient selection and clinical application of INPWT among the SSE patient population.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000499/pdfft?md5=67199e937ca8042fa556939b6c5b00ec&pid=1-s2.0-S2352644024000499-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140534959","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 brachial plexopathy secondary to surgical management of an atrophic nonunion of a clavicle fracture 手术治疗锁骨骨折萎缩性不愈合继发的急性臂丛神经病
Trauma Case Reports Pub Date : 2024-04-09 DOI: 10.1016/j.tcr.2024.101025
Gabriel Larrota, Ricardo Castro Gaona, Néstor Sánchez Dicelis, Diego A. Sánchez Cruz
{"title":"Acute brachial plexopathy secondary to surgical management of an atrophic nonunion of a clavicle fracture","authors":"Gabriel Larrota,&nbsp;Ricardo Castro Gaona,&nbsp;Néstor Sánchez Dicelis,&nbsp;Diego A. Sánchez Cruz","doi":"10.1016/j.tcr.2024.101025","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101025","url":null,"abstract":"<div><p>We report the case of a 28-year-old patient who developed acute transient brachial plexopathy secondary to surgical management of an atrophic clavicle nonunion. The treatment was conservative, with symptom resolution at 4 months after surgery. This is the first reported case with electromyographic and neuroconduction follow-up, demonstrating complete and spontaneous resolution of axonal damage. The limited number of cases reported in the scientific literature allows for exploring some underlying causes of the acute plexopathy depending on the nature of the non-union (hypertrophic or atrophic).</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000487/pdfft?md5=fcde0a224f4af6acc2226e8bbb863dac&pid=1-s2.0-S2352644024000487-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140551640","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 secondary atypical diaphyseal femoral fracture after intramedullary nailing for an atypical subtrochanteric femoral fracture: A case report 髓内钉治疗非典型股骨转子下骨折后继发的非典型股骨骨骺骨折:病例报告
Trauma Case Reports Pub Date : 2024-04-08 DOI: 10.1016/j.tcr.2024.101024
Shuya Nohmi , Masakazu Kogawa , Taro Ogawa
{"title":"A secondary atypical diaphyseal femoral fracture after intramedullary nailing for an atypical subtrochanteric femoral fracture: A case report","authors":"Shuya Nohmi ,&nbsp;Masakazu Kogawa ,&nbsp;Taro Ogawa","doi":"10.1016/j.tcr.2024.101024","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101024","url":null,"abstract":"<div><p>Intramedullary nailing is the gold standard of treatment for atypical femoral fractures, with a few reports of secondary atypical subtrochanteric femoral fractures following intramedullary nailing for atypical diaphyseal femoral fractures. However, there are no reports of secondary atypical diaphyseal femoral fractures following intramedullary nailing for atypical subtrochanteric femoral fractures.</p><p>A 71-year-old woman with adult-onset Still's disease sustained a right atypical subtrochanteric femoral fracture and was treated with a mid-length intramedullary nail. One year after the surgery, the patient sustained a contralateral atypical diaphyseal femoral fracture and was treated with a long-length intramedullary nail. Moreover, 6 months after the second surgery, the patient complained of right-thigh pain, and a radiograph of the lateral view of the femur revealed a diaphyseal femoral fracture at the distal screw-insertion site. Revision surgery was performed using a long-length nail and screws directed toward the femoral head. Bony union of the bilateral diaphyseal femoral lesion was obtained, but the subtrochanteric lesion remained unhealed 1.5 years postoperatively.</p><p>Mid-length intramedullary nailing for atypical subtrochanteric femoral fractures can cause secondary atypical diaphyseal fractures because of stress concentration at the distal screw-insertion site. For atypical subtrochanteric femoral fractures, the use of long-length nails and proximal screws directed toward the femoral head may be important to prevent secondary atypical diaphyseal femoral fractures.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000475/pdfft?md5=4e9889327575408db2103c471ab8f2e9&pid=1-s2.0-S2352644024000475-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140542628","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
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