Case Reports in Orthopedics最新文献

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

Surgical Technique for Removal of Old Universal Slotted AO Femoral Nail: A Case Report. 拔除老式通用开槽 AO 股骨钉的手术技术：病例报告

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-10-03 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5603392

Naoko Onizuka, Brenton Douglass, Marc Swiontkowski

引用次数: 0

Advanced Technique of Unilateral Biportal Endoscopy on Revision Surgery for Recurred Herniated Interverbral Disc: A Technical Note. 复发椎间盘突出翻修手术中的单侧双孔内窥镜先进技术：技术说明。

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-09-26 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4095518

Hun-Chul Kim, Jin Young Lee, Hyeon Guk Cho, Jeong Woo Park, Sang-Ho Han, Young-Il Ko

{"title":"Advanced Technique of Unilateral Biportal Endoscopy on Revision Surgery for Recurred Herniated Interverbral Disc: A Technical Note.","authors":"Hun-Chul Kim, Jin Young Lee, Hyeon Guk Cho, Jeong Woo Park, Sang-Ho Han, Young-Il Ko","doi":"10.1155/2024/4095518","DOIUrl":"10.1155/2024/4095518","url":null,"abstract":"Introduction: Revision surgery in the spine poses considerable challenges due to the presence of scar tissue and structural differences, necessitating careful surgical planning and precise techniques. In this technical note, we focus on lumbar unilateral biportal endoscopy (UBE) for single-level reoperations, outlining principles and methods for handling soft tissue in such cases. Materials and Methods: We reviewed our surgical approach for lumbar reoperations with UBE, emphasizing the importance of meticulous preoperative planning and bone-centered manipulation. Our technique involves utilizing biportal endoscopy for enhanced visualization and employing specific strategies for managing scar tissue, including the \"pull-and-cut technique.\" We present two illustrative cases to demonstrate the application of our method. Results: The described approach yielded successful outcomes in both cases presented. Case 1 involved a posterior interlaminar approach for a recurrent disc at the L4-5 level, while Case 2 utilized a far lateral approach for recurrent disc herniation at the L4-5 level. Both surgeries were completed with relatively short operation time, minimal blood loss, and immediate improvement in symptoms postoperatively. Conclusion: Lumbar UBE offers a promising option for safe and effective reoperation in spinal surgery. Our technique, emphasizing bone-centered manipulation and specific strategies for scar tissue management, provides excellent visibility and enables precise tissue handling. Overall, UBE facilitates relatively simple and safe reoperations, contributing to improved patient outcomes in the challenging field of spinal surgery.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2024 ","pages":"4095518"},"PeriodicalIF":0.4,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11449562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373101","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

Gouty Tophi Surrounding the Nonabsorbable Sutures of an Achilles Tendon Repair Surgical Site: A Case Report. 跟腱修复手术部位不可吸收缝合线周围的痛风性肉赘：病例报告。

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8878405

Arcole Brandon, Robert Rella, Tanner Cox, Jess Mullens

引用次数: 0

Acute Bilateral Posterior Meniscal Root Tears in the Setting of a Noncontact Anterior Cruciate Ligament Rupture. 非接触性前十字韧带断裂导致的急性双侧后半月板根撕裂。

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-09-12 eCollection Date: 2024-01-01 DOI: 10.1155/2024/2021725

Adam V Daniel, Shayne R Kelly, Patrick A Smith

{"title":"Acute Bilateral Posterior Meniscal Root Tears in the Setting of a Noncontact Anterior Cruciate Ligament Rupture.","authors":"Adam V Daniel, Shayne R Kelly, Patrick A Smith","doi":"10.1155/2024/2021725","DOIUrl":"https://doi.org/10.1155/2024/2021725","url":null,"abstract":"Combined medial and lateral posterior meniscal root tears in the setting of an acute anterior cruciate ligament (ACL) rupture are extremely rare. The following case report demonstrates a high school football player who sustained a noncontact knee injury while performing a spin move at practice. The patient is a 17-year-old high school football defensive end who was presented to the clinic 1 week following the injury complaining of persistent knee pain with associated swelling, limited range of motion (ROM), and complaint of instability. During physical examination, the patient was found to have anterior cruciate laxity. Magnetic resonance imaging (MRI) demonstrated a complete midsubstance tear of the ACL and increased signal within the posterior horn of the medial meniscus with no obvious signs of pathology localized to the lateral meniscus. ACL reconstruction (ACLR) was performed and intraoperatively, both medial and lateral root tears were found. A standard bone patellar-tendon bone (BTB) autograft ACLR was performed with combined medial and lateral root repair utilizing a transtibial pull-out method for both. The clinical importance is root tears with associated ACL tears can be hard to diagnose on preoperative MRI, especially laterally, so careful assessment of both meniscal roots at the time of arthroscopy is critical. Furthermore, careful creation of the needed root repair tunnels for transtibial repair is critical to avoid coalescence with the ACL tibial tunnel.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2024 ","pages":"2021725"},"PeriodicalIF":0.4,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297074","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

Traumatic Disruption of Profunda Femoris Artery Branch Following Treatment of an Intertrochanteric Hip Fracture With a Cephalomedullary Nail. 用头髓内钉治疗髋关节转子间骨折后股深动脉分支的外伤性中断。

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5590091

Nathan C Beckett, Jack Haglin, Paul Van Schuyver, Mark J Spangehl, Maziyar A Kalani, Mark K Lyons, Abhijith R Bathinin, Joshua S Bingham

{"title":"Traumatic Disruption of Profunda Femoris Artery Branch Following Treatment of an Intertrochanteric Hip Fracture With a Cephalomedullary Nail.","authors":"Nathan C Beckett, Jack Haglin, Paul Van Schuyver, Mark J Spangehl, Maziyar A Kalani, Mark K Lyons, Abhijith R Bathinin, Joshua S Bingham","doi":"10.1155/2024/5590091","DOIUrl":"10.1155/2024/5590091","url":null,"abstract":"Introduction: Surgical management of intertrochanteric hip fractures is a common surgery with low rates of intraoperative complications. Vascular injuries are exceptionally rare when placing an intramedullary nail without open reduction. There are very few reported cases of direct arterial injury and active bleed at the level of the distal interlocking screw following closed reduction and intramedullary nailing of a hip fracture. We report one such case. Case Presentation: An 88-year-old female presented to the emergency department with a left intertrochanteric hip fracture. Closed reduction with a cephalomedullary nail fixation of the left hip fracture occurred as planned without any obvious intraoperative technical issues. The patient remained stable intraoperatively. No open reduction was required. Postoperatively, the patient developed hemorrhagic shock and required massive transfusion protocol. Angiography demonstrated an intramuscular hematoma at the level of the distal intramedullary nail interlocking screw with active extravasation. The patient subsequently required embolization. Nine days following surgery, she began Eliquis for DVT prophylaxis and was ambulating independently with signs of hematoma resolution. Discussion: Profunda femoris artery injury can stem from various mechanisms during surgery. Atherosclerosis places patients at a higher risk of complication due to rigid vessels. In this case, it is believed that drilling beyond the medial femoral cortex led to the arterial injury. Conclusion: Care should be taken to prevent drills from plunging beyond the medial femoral cortex during surgery. Cautious observation of patient's vitals and clinical course can allow for early detection of vascular complication.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2024 ","pages":"5590091"},"PeriodicalIF":0.4,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11357815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112796","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

Atypical Aggressive Hemangioma of Thoracic Vertebrae Associated With Thoracic Myelopathy-A Case Report and Review of the Literature. 胸椎非典型侵袭性血管瘤伴胸椎脊髓病--病例报告和文献综述。

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.1155/2024/2307950

Krishna Timilsina, Sandesh Shrestha, Om Prakash Bhatta, Sushil Paudel, Rajesh Bahadur Lakhey, Rohit Kumar Pokharel

引用次数: 0

Patient of Congenital Absence of a Lumbar Pedicle With Nerve Root Anomaly Presenting With Ipsilateral Foraminal Stenosis by Vertebral Fracture. 先天性腰椎骨盆缺失伴神经根异常患者因椎骨骨折导致同侧椎管狭窄

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-07-30 eCollection Date: 2024-01-01 DOI: 10.1155/2024/2671270

Shotaro Fukada, Takeru Tsujimoto, Masahiro Kanayama, Fumihiro Oha, Yukitoshi Shimamura, Yuichi Hasegawa, Shogo Fukase, Tomoyuki Hashimoto, Norimasa Iwasaki

{"title":"Patient of Congenital Absence of a Lumbar Pedicle With Nerve Root Anomaly Presenting With Ipsilateral Foraminal Stenosis by Vertebral Fracture.","authors":"Shotaro Fukada, Takeru Tsujimoto, Masahiro Kanayama, Fumihiro Oha, Yukitoshi Shimamura, Yuichi Hasegawa, Shogo Fukase, Tomoyuki Hashimoto, Norimasa Iwasaki","doi":"10.1155/2024/2671270","DOIUrl":"10.1155/2024/2671270","url":null,"abstract":"Background: Patients with congenital absence of a lumbar pedicle and nerve root anomaly presenting with ipsilateral foraminal stenosis are extremely rare. Case Presentation: An 80-year-old man had low back and right thigh pain. Radiographs and computed tomography (CT) showed L3 vertebral body fracture and the absence of the right L3 lumbar pedicle. He was diagnosed with L2-L3 right foraminal stenosis caused by an L3 vertebral fracture and underwent lumbar fusion at L2-L3 and L3-L4. Intraoperatively, we confirmed that an anomalous nerve root was divided from the right L2 nerve root near the dorsal root ganglion (DRG). Conclusions: Patients with congenital absence of a lumbar pedicle are less prone to ipsilateral foraminal stenosis because they theoretically have a large space in the foramen. This rare case was caused because of additional instability due to vertebral fracture under the condition of a nerve root anomaly and lumbar degeneration.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2024 ","pages":"2671270"},"PeriodicalIF":0.4,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11303050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898484","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