Case Reports in Orthopedics最新文献

Removal of a Distally Broken Cannulated Femur Intramedullary Nail: A Novel Technique From a Level 1 Trauma Center.

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-02-25 eCollection Date: 2025-01-01 DOI: 10.1155/cro/6220126

Jeffrey Lucas Hii, Christopher J Fang, Samantha L Evans, Matthew Schuch, Erik N Kubiak

引用次数: 0

Anterior Subluxation of a Metal-on-Metal Total Hip Arthroplasty Resulting in Erosion and Metal Debris.

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.1155/cro/3718607

Connor Park, Jens Verhey, Roman Austin, Daniel Howgate, Abhijith Bathini, Mark K Lyons, Joshua S Bingham

{"title":"Anterior Subluxation of a Metal-on-Metal Total Hip Arthroplasty Resulting in Erosion and Metal Debris.","authors":"Connor Park, Jens Verhey, Roman Austin, Daniel Howgate, Abhijith Bathini, Mark K Lyons, Joshua S Bingham","doi":"10.1155/cro/3718607","DOIUrl":"10.1155/cro/3718607","url":null,"abstract":"Introduction: Total hip arthroplasty (THA) is a commonly performed and highly successful surgical procedure. Metal-on-metal (MoM) THA implants were introduced two decades ago and subsequently recalled due to high early revision rates. Acetabular cup erosion and fragmentation secondary to chronic edge loading causing delayed instability are rare but devastating complications of MoM THA warranting expeditious revision surgery. Case Presentation: We report a 70-year-old male with a history of bilateral MoM THA who presented with left hip instability. In addition to the radiographic and clinical features of hip instability, macroscopic examination at revision surgery revealed extensive erosion and fragmentation of the antero-superior margin of the implanted cup, osteolysis, and widespread metallosis of the periarticular soft tissues. Discussion: This case highlights a significant adverse complication of MoM THA. Despite the industry's wide discontinuation and recall of these implants, MoM hip arthroplasty implants are present in many patients, who are all at risk of developing similar complications. Guidelines for the surveillance and treatment of both symptomatic and asymptomatic MoM THAs have been reported, although ambiguity remains in the optimal approach for managing patients with existing MoM THA. Conclusion: Failure of MoM hip arthroplasty is most commonly the result of adverse reaction to metal debris. We present a novel mechanism of failure in a patient presenting with late instability due to asymmetric wear of the MoM bearing surface.. While it is uncertain whether early intervention in this patient may have prevented this complication, arthroplasty surgeons should be aware of the various modes of failure for MoM hip implants, as expeditious revision surgery is often required.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2025 ","pages":"3718607"},"PeriodicalIF":0.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Uncommon Cause of Hip Pain Originating From the Iliopsoas Muscle: A Case Report.

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-02-10 eCollection Date: 2025-01-01 DOI: 10.1155/cro/1491509

Mustafa Ozcan, Emre Acar, Efe Kemal Akdogan, Mehmet Erduran

引用次数: 0

Osteochondral Fracture of the Posterior Aspect of Lateral Femoral Condyle Presumably Caused by Tibia Pushing Up Against the Femur-A Case Report.

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1155/cro/3610324

Saki Inanaga, Masaki Shimizu, Shinya Yanagisawa, Keiichi Hagiwara, Masashi Kimura

引用次数: 0

A Case of Chondroblastoma in the Medial Condyle of the Femur Treated With an Intra-Articular Approach via the Intercondylar Fossa.

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-02-05 eCollection Date: 2025-01-01 DOI: 10.1155/cro/9978301

Masato Fumoto, Tomoaki Mori, Tsuyoshi Mizuma, Satoshi Kamio, Sayaka Yamaguchi, Naofumi Asano, Shu Kobayashi, Robert Nakayama

{"title":"A Case of Chondroblastoma in the Medial Condyle of the Femur Treated With an Intra-Articular Approach via the Intercondylar Fossa.","authors":"Masato Fumoto, Tomoaki Mori, Tsuyoshi Mizuma, Satoshi Kamio, Sayaka Yamaguchi, Naofumi Asano, Shu Kobayashi, Robert Nakayama","doi":"10.1155/cro/9978301","DOIUrl":"https://doi.org/10.1155/cro/9978301","url":null,"abstract":"Adequate bone curettage is crucial for treating epiphyseal chondroblastomas. However, achieving adequate curettage while minimizing damage to the articular cartilage is challenging. For lesions at the center of the distal femoral epiphysis, curettage using an intercondylar approach may have better oncological and functional outcomes than the conventional extra-articular approach from the wall of the epiphysis. We herein present a case of a 22-year-old male patient with a chondroblastoma of the femoral medial condyle close to the intercondylar fossa. Intercondylar curettage was performed at the site of the insertion of the posterior cruciate ligament (PCL). Maximal knee flexion allowed for good exposure of the lesion, and a direct approach to the tumor led to adequate curettage. Careful suturing of the PCL and postoperative care resulted in sufficient joint stability. The patient showed no signs of local recurrence or osteoarthritic changes at his 16-month follow-up. The intercondylar approach could be a surgical technique worth considering for the treatment of chondroblastoma in the distal femoral epiphysis, particularly for lesions located near the intercondylar fossa.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2025 ","pages":"9978301"},"PeriodicalIF":0.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11870758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543865","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

Early Detection for Better Patient Outcome: A Case Report on Two Patients Presenting With Fibrodysplasia Ossificans Progressiva at Tikur Anbessa Specialized Hospital, Ethiopia. 早期发现，改善患者预后：埃塞俄比亚 Tikur Anbessa 专科医院两名渐进性骨纤维增生症患者的病例报告。

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-01-29 eCollection Date: 2025-01-01 DOI: 10.1155/cro/2161762

Alazar M Haile, Abrham W Azale, Birhanu Ayana

{"title":"Early Detection for Better Patient Outcome: A Case Report on Two Patients Presenting With Fibrodysplasia Ossificans Progressiva at Tikur Anbessa Specialized Hospital, Ethiopia.","authors":"Alazar M Haile, Abrham W Azale, Birhanu Ayana","doi":"10.1155/cro/2161762","DOIUrl":"10.1155/cro/2161762","url":null,"abstract":"Fibrodysplasia ossificans progressiva is an ultrarare disorder of endochondral ossification. It is unfamiliar to most care providers in low-income countries such as Ethiopia. Even though the clinical presentation is typical, most cases remain misdiagnosed in our region. Moreover, we hypothesize that many such cases undergo unnecessary or harmful interventions for a painless lump. In Ethiopia, with a population of approximately 120 million, only one case has been reported in the literature so far. We present two cases that were referred to our institution for a biopsy of a mass. This report is aimed at summarizing the typical presentation of the disease and at highlighting the harmful interventions one should avoid in such patients. We also hope that this report serves as an entry point to try to find more patients with this similar condition early in their clinical course. Furthermore, we believe that in order to lessen the overall impact of the illness, it is crucial to provide caregivers with health education about the causes of disease flare-ups.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2025 ","pages":"2161762"},"PeriodicalIF":0.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415410","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

Iliac Crest Bone Block Autograft Transfer for Ballistic Posterior Glenoid Fracture: A Case Report. 髂嵴骨块自体移植物治疗弹道后盂骨折1例。

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-01-06 eCollection Date: 2025-01-01 DOI: 10.1155/cro/5565275

Jordan Cook Serotte, Hayden Baker, Cody Lee, Jason A Strelzow

引用次数: 0

Surgeon-Administered Ultrasound-Guided Regional Anesthesia in Fixation of Distal Fibula Fracture. 腓骨远端骨折固定术中的外科医生超声引导区域麻醉。

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-11-08 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5534624

Chun Lok Chow, Chun Man Ma, Tun Hing Lui

引用次数: 0

Chronic Patellar Dislocation Treated With Extensive Lateral Release and Vastus Medialis Obliquus Advancement: A Case Report. 慢性髌骨脱位的广泛外侧松解术和中腹肌斜方肌前移术：病例报告。

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5568998

Shayne R Kelly, Adam V Daniel, Patrick A Smith

{"title":"Chronic Patellar Dislocation Treated With Extensive Lateral Release and Vastus Medialis Obliquus Advancement: A Case Report.","authors":"Shayne R Kelly, Adam V Daniel, Patrick A Smith","doi":"10.1155/2024/5568998","DOIUrl":"https://doi.org/10.1155/2024/5568998","url":null,"abstract":"The following case report demonstrates a case of a chronic irreducible patellar dislocation, age-indeterminate associated with a large medial patellar avulsion fracture that was treated with a vastus medialis obliquus advancement following an extensive lateral release. This case is the only known report of this kind in the literature. The patient is a 41-year-old Caucasian female who presented to the clinic with an age-indeterminate, chronically dislocated patella. She has a past medical history of hypertension and ischemic stroke 1 year prior to presentation, leading to expressive aphasia and lower extremity weakness in addition to patellar instability dating back to age 13. An unsuccessful patellofemoral reduction was performed at an outside clinic, and she was placed in a knee immobilizer and referred to our office. Clinically, the patient had limited knee range of motion with a fixed lateral patellar dislocation that was confirmed on imaging. This case report demonstrates a surgical reduction technique that can be utilized by orthopedic surgeons for chronic patellar dislocations that are not amenable to routine patellar instability surgeries due to the contraction of surrounding soft tissue, chronic bone abnormalities, and position of the chronic dislocation. An extensive lateral release followed by vastus medialis obliquus advancement was performed to center the patella within the trochlear groove and to allow for stable articulation throughout range of motion. The patient was able to regain painless, full range of motion of her knee postoperatively with patellar stability noted on both physical exam and radiographic imaging.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2024 ","pages":"5568998"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11548945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629430","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

Surgical Management of Complex Multiligament Knee Injury: Case Report. 复杂多韧带膝关节损伤的手术治疗：病例报告。

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-10-19 eCollection Date: 2024-01-01 DOI: 10.1155/2024/2594659

Ramon Alonso Prieto Baeza, Fernando González González, Fernando Hernández Aragon, David Alfonso Servín Pérez, Nadia Karina Portillo Ortiz, Andrés Manuel García Carrera, Arturo Aguirre Madrid, Edmundo Berumen Nafarrate

{"title":"Surgical Management of Complex Multiligament Knee Injury: Case Report.","authors":"Ramon Alonso Prieto Baeza, Fernando González González, Fernando Hernández Aragon, David Alfonso Servín Pérez, Nadia Karina Portillo Ortiz, Andrés Manuel García Carrera, Arturo Aguirre Madrid, Edmundo Berumen Nafarrate","doi":"10.1155/2024/2594659","DOIUrl":"10.1155/2024/2594659","url":null,"abstract":"Multiligament knee injuries (MLKIs) frequently require immediate intervention to prevent severe complications, including vascular injury. We present the case of a 51-year-old male who sustained a traumatic right knee dislocation following a motor vehicle accident. The patient exhibited significant tibiofemoral dissociation with Grade 3 instability, classified as Schenck KD IV. Immediate reduction and external fixation were performed, followed by definitive surgical management, which included fibular sling, MPFL and MCL repair, and double-bundle and double-tunnel ACL and PCL reconstruction with looped proximal tibial fixation. The patient showed an excellent early postoperative outcome, with minimal edema, manageable moderate pain, and a full range of motion by the 30-day follow-up. This case underscores the effectiveness of combining fibular sling, MPFL, and MCL, with anatomical double-bundle ACL and PCL reconstruction in the treatment of complex MLKIs. The level of evidence is IV.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2024 ","pages":"2594659"},"PeriodicalIF":0.4,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509387","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