Case Reports in Orthopedics最新文献

Recurrent Meniscal Instability Requiring Revision Repair 28 Years After the Initial Repair for a Bucket Handle Medial Meniscus Tear: A Case Report. 桶柄内侧半月板撕裂初次修复28年后复发性半月板不稳定需要翻修修复：1例报告。

IF 0.6

Case Reports in Orthopedics Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI: 10.1155/cro/7395591

Shintaro Onishi, Tomoya Iseki, Ryo Kanto, Hiroshi Nakayama, Motoi Yamaguchi, Toshiya Tachibana, Shinichi Yoshiya

{"title":"Recurrent Meniscal Instability Requiring Revision Repair 28 Years After the Initial Repair for a Bucket Handle Medial Meniscus Tear: A Case Report.","authors":"Shintaro Onishi, Tomoya Iseki, Ryo Kanto, Hiroshi Nakayama, Motoi Yamaguchi, Toshiya Tachibana, Shinichi Yoshiya","doi":"10.1155/cro/7395591","DOIUrl":"10.1155/cro/7395591","url":null,"abstract":"In recent decades, arthroscopic meniscal repair has been increasingly indicated for meniscal tears in the last decades. Although literature generally reports favorable surgical outcomes, it remains unclear whether the repaired meniscus maintains its function over the long term while performing its chondroprotective function without recurrent tear after clinical healing. A 43-year-old Japanese man who underwent meniscal repair for a bucket handle tear of the medial meniscus (MM) at the age of 15 years presented with right knee pain and catching symptoms without a preceding traumatic event. Physical examination revealed joint line tenderness and a catching sensation with rotating motion in the medial aspect of the knee. Plain radiographs showed no apparent osteoarthritic changes. Magnetic resonance imaging (MRI) showed infiltration of joint fluid at the interface between the MM and the joint capsule. Based on the patient's history and the examination results, a retear of the MM was diagnosed, and revision MM repair was conducted using the inside-out technique. At the 2-year follow-up, the patient remained asymptomatic, physical examination revealed no meniscal symptoms, and radiological examination showed no signs of osteoarthritic progression. The present study details a case involving a retear of a repaired meniscus without an inciting traumatic event after a 28-year asymptomatic period is reported. The long-term results of meniscus repair surgery performed more than 20 years ago have rarely been reported in the literature. This case report indicates that the long-term preservation of articular cartilage following successful meniscal repair can be attributed to the maintenance of meniscal function. On the other hand, even after clinical healing has been achieved, there is a possibility that the risk of meniscal retear will continue over time.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2025 ","pages":"7395591"},"PeriodicalIF":0.6,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016334","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

Transient C5 Palsy After Full-Endoscopic Posterior Cervical Foraminotomy. 全内窥镜颈椎后椎间孔切开术后一过性C5麻痹。

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-07-02 eCollection Date: 2025-01-01 DOI: 10.1155/cro/7787076

João Paulo Machado Bergamaschi, Ariel Falbel Lugão, Rangel Roberto de Assis, Kelsen de Oliveira Teixeira, Fernando Flores de Araújo, Thiago Queiroz Soares, Gustavo Vitelli Depieri, Álvaro Dowling, Robson Cruz de Oliveira, Fernanda Wirth, Fábio da Silva Forti, Helton Luiz Aparecido Defino

{"title":"Transient C5 Palsy After Full-Endoscopic Posterior Cervical Foraminotomy.","authors":"João Paulo Machado Bergamaschi, Ariel Falbel Lugão, Rangel Roberto de Assis, Kelsen de Oliveira Teixeira, Fernando Flores de Araújo, Thiago Queiroz Soares, Gustavo Vitelli Depieri, Álvaro Dowling, Robson Cruz de Oliveira, Fernanda Wirth, Fábio da Silva Forti, Helton Luiz Aparecido Defino","doi":"10.1155/cro/7787076","DOIUrl":"10.1155/cro/7787076","url":null,"abstract":"Introduction: Postoperative C5 paralysis is defined as new-onset and/or progressive muscle weakness with mild or no sensory disturbances occurring as a result of probable neuropraxia of the cervical root due to injury during surgery. Case Report: A 40-year-old female patient underwent endoscopic technique for treatment of cervical foraminal stenosis, level C4-C5. The procedure proceeded without incident in the intraoperative period. In the immediate postoperative period, the patient developed a motor deficit, Grade 2 muscle strength of the right deltoid muscle, and right C5 allodynia. Early and multidisciplinary treatment resulted in complete recovery of the neurological deficit and satisfactory evolution of the presented case. Discussion: Although postoperative C5 palsy is one of the most common postoperative complications after multilevel cervical decompression surgery, its exact mechanism remains poorly understood. Despite the various studies in this field and the possible causes described, there is still no absolute confirmation, so the formulation of hypotheses depends on clinical monitoring and postoperative examinations. The indicated treatment depends on the causal suspicion and pathophysiology and ranges from clinical drug therapy to physical therapies and/or rehabilitation. Conclusion: C5 paralysis after endoscopic surgery, although rare, is a potential complication. The likely pathophysiology is multifactorial: anatomic features of C5, manipulation of the root, and use of the bipolar in the foraminal region.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2025 ","pages":"7787076"},"PeriodicalIF":0.4,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601758","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

Effectiveness of Peripheral Nerve Block for Early Active Exercise: Three Cases of Pyogenic Flexor Tenosynovitis. 周围神经阻滞治疗早期主动运动的疗效：3例化脓性屈肌腱滑膜炎。

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-06-30 eCollection Date: 2025-01-01 DOI: 10.1155/cro/4789432

Takahiro Sato, Tsuyoshi Shirahata, Koji Nozaka, Naohisa Miyakoshi

引用次数: 0

Bilateral Open Achilles Tendon Complete Lacerations Following Interpersonal Violence: A Case Report. 人际暴力致双侧开放性跟腱完全性撕裂1例。

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-06-12 eCollection Date: 2025-01-01 DOI: 10.1155/cro/5557419

Collen Sandile Nkosi, Bongiwe Hadebe, Papa Kwabena Offeh Kyei

引用次数: 0

Management of Isolated Tibial Plateau Defect in the Setting of Anterior Cruciate Ligament Reconstruction and Meniscus Repair: A Case Report and Review of the Literature. 前交叉韧带重建及半月板修复中孤立性胫骨平台缺损的处理：1例报告及文献复习。

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-06-10 eCollection Date: 2025-01-01 DOI: 10.1155/cro/5136390

Hillary Rolfs, Petros Frousiakis, Brent Sanderson, Brian Kwan

{"title":"Management of Isolated Tibial Plateau Defect in the Setting of Anterior Cruciate Ligament Reconstruction and Meniscus Repair: A Case Report and Review of the Literature.","authors":"Hillary Rolfs, Petros Frousiakis, Brent Sanderson, Brian Kwan","doi":"10.1155/cro/5136390","DOIUrl":"10.1155/cro/5136390","url":null,"abstract":"Purpose: Our work describes the use of matrix-induced autologous chondrocyte implantation (MACI) for a lateral tibial plateau osteochondral defect, in the setting of a concomitant meniscus repair and anterior cruciate ligament (ACL) reconstruction. To our knowledge, there is minimal research describing the application of MACI for cartilage defects of the tibial plateau, which brings about its own challenges. Methods: A 26-year-old male presented with lateral right knee pain and instability following a soccer injury. A bucket-handle lateral meniscus tear, 2 cm by 2 cm osteochondral defect of the lateral tibial plateau, and complete ACL tear were identified on magnetic resonance imaging (MRI). Our case vignette describes a two-stage MACI procedure for an osteochondral defect of the lateral tibial plateau with concurrent all-inside meniscus repair and ACL reconstruction using bone-patellar tendon-bone (BTB) autograft. Results: Follow up period was 20 months with excellent patient satisfaction and resolution of pain. Outcome measures (International Knee Documentation Committee (IKDC)) and Knee Injury and Osteoarthritis Outcome Score (KOOS) returned to preinjury levels at 8.5 months. Return to sport was achieved at 10 months postoperatively. Conclusion: The miniopen MACI procedure provides a logistically reasonable technique mitigating the anatomic challenges of tibial plateau osteochondral defects and potentially providing improved long-term outcomes. It is our hope that this work will contribute to the current understanding of the treatment options for osteochondral defects of the tibial plateau.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2025 ","pages":"5136390"},"PeriodicalIF":0.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12173553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318166","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

Corrigendum to "Iliac Crest Bone Block Autograft Transfer for Ballistic Posterior Glenoid Fracture: A Case Report". “髂嵴骨块自体移植物移植治疗弹道后盂骨折1例报告”的更正。

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-06-05 eCollection Date: 2025-01-01 DOI: 10.1155/cro/9790302

引用次数: 0

A Novel Case of Tenosynovial Giant Cell Tumor at 4 Years After Total Knee Arthroplasty for Medial Osteoarthritis With Synovial Osteochondromatosis. 内侧骨关节炎合并滑膜骨软骨瘤病全膝关节置换术后4年发生腱鞘巨细胞瘤一例。

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-05-09 eCollection Date: 2025-01-01 DOI: 10.1155/cro/9220974

Yu-Uichi Mishima, Takao Kaneko, Kosuke Shiga, Ayakane Yamamoto, Shu Yoshizawa

引用次数: 0

Periprosthetic Joint Infection Occurring Following a Femoral Subcutaneous Cyst: A Rare Complication Post-Total Knee Arthroplasty. 股骨皮下囊肿后发生的假体周围关节感染：全膝关节置换术后罕见的并发症。

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-04-24 eCollection Date: 2025-01-01 DOI: 10.1155/cro/7710384

Naohiro Oka, Shigeshi Mori, Yu Shinyashiki, Nobuhisa Shokaku, Kenji Yamazaki, Koji Goto, Daisuke Togawa

{"title":"Periprosthetic Joint Infection Occurring Following a Femoral Subcutaneous Cyst: A Rare Complication Post-Total Knee Arthroplasty.","authors":"Naohiro Oka, Shigeshi Mori, Yu Shinyashiki, Nobuhisa Shokaku, Kenji Yamazaki, Koji Goto, Daisuke Togawa","doi":"10.1155/cro/7710384","DOIUrl":"https://doi.org/10.1155/cro/7710384","url":null,"abstract":"Herein, we present a rare case of periprosthetic joint infection (PJI) which was triggered by an infection with a latent subcutaneous cyst on the thigh and occurred in a strange course following total knee arthroplasty (TKA). An 87-year-old female underwent right TKA followed by left TKA 5 months later. Six weeks after left TKA, a painful subcutaneous induration appeared in the left medial thigh. Magnetic resonance imaging revealed a 30∗50-mm multifocal mass. The cystic fluid was brown and cloudy, indicating an infected cyst. Oral antimicrobial therapy was initiated for 7 days. Nine weeks after the left TKA, a left calcaneal fracture occurred. Subsequently, edema of the lower extremities and pain in the left knee gradually developed. Arthrocentesis was performed twice: joint fluid Gram staining and culture examination were negative. However, at 12.5 weeks, an alpha-defensin test of the synovial fluid was positive. Therefore, PJI was diagnosed. DAIR was performed, followed by multiantibiotic therapy. The infection subsided gradually. Edema of the lower limbs was treated with oral diuretics, lymphatic massage, and compression stockings. Consequently, the lower limb edema also improved. In this case, infection of a latent subcutaneous cyst in the thigh occurred and spread around the prosthesis due to leg edema, which was associated with loss of lower limb motion due to a calcaneal fracture. The presence of a potential thigh subcutaneous cyst is a risk factor for PJI. Moreover, lower extremity edema occurs by decreasing lower extremity motion, such as after a calcaneal fracture, and it increases the risk of extending extra-articular infection to the PJI. Potential thigh subcutaneous cysts and lower extremity edema are risk factors for the development of PJI. Orthopedic surgeons need to be aware of these facts during follow-up after TKA.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2025 ","pages":"7710384"},"PeriodicalIF":0.4,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040139","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

When Time Is Not on Your Side: Delayed Recognition of Hand Compartment Syndrome After a Fracture. 当时间不在你身边：骨折后手筋膜室综合征的延迟识别。

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-04-15 eCollection Date: 2025-01-01 DOI: 10.1155/cro/1830898

Edmund M Bediako, Geraldine K Mould, Eadbert Nortey, Abigail Mills-Annoh, Priscilla Kyei-Baffour, Ama Ekem, Jemima C A Clarke, Eugene F E K Apaloo, Susan Quartey-Papafio, Kwame Ekremet

引用次数: 0

Unusual Large Parosteal Lipoma of the Proximal Forearm: A Case Report and Literature Review. 前臂近端不寻常的大骨旁脂肪瘤1例报告及文献复习。

IF 0.4

Case Reports in Orthopedics Pub Date : 2025-04-11 eCollection Date: 2025-01-01 DOI: 10.1155/cro/7750483

Abdullah K Ghafour, Saywan K Asaad, Soran S Raoof, Rezheen J Rashid, Rebaz M Ali, Hiwa O Abdullah, Abdullah A Qadir, Shvan H Mohammed, Lawen Jamal Mustafa, Fahmi H Kakamad

{"title":"Unusual Large Parosteal Lipoma of the Proximal Forearm: A Case Report and Literature Review.","authors":"Abdullah K Ghafour, Saywan K Asaad, Soran S Raoof, Rezheen J Rashid, Rebaz M Ali, Hiwa O Abdullah, Abdullah A Qadir, Shvan H Mohammed, Lawen Jamal Mustafa, Fahmi H Kakamad","doi":"10.1155/cro/7750483","DOIUrl":"https://doi.org/10.1155/cro/7750483","url":null,"abstract":"Introduction: Parosteal lipomas are rare soft-tissue tumors with challenging surgical management. The current report is aimed at presenting a case of parosteal lipoma in a middle-aged female patient. Case Presentation: A 53-year-old diabetic lady presented with a gradually growing, painless mass in her right proximal forearm for the past 3 years. She complained of fatigue and reduced grip strength. The physical examination indicated a hard, immobile lump. A computed tomography scan revealed a clearly defined fat-density tumor with no bone involvement. Magnetic resonance imaging showed a well-defined fat-density mass surrounding most of the proximal radial shaft. The histological diagnosis of parosteal lipoma was made following surgical excision via Henry's approach. Literature Review: This minireview identified six reports on giant parosteal lipomas, involving patients aged adolescence to 83 years, mainly female. Common complaints were slowly progressive painless swellings. Imaging (radiographs, ultrasounds, CT, and MRI) revealed distinct features of lipomas. Surgical excision was the preferred management, with histopathology confirming lipoma diagnoses. Postoperative outcomes were positive, with no major complications or recurrences reported during follow-up. Conclusion: The tumor is a rare osseous neoplasm that may remain asymptomatic for years until it reaches a size capable of exerting pressure and causing motion difficulty. Meticulous care is paramount during surgical management to prevent iatrogenic nerve injury.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2025 ","pages":"7750483"},"PeriodicalIF":0.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050085","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