Case Reports in Orthopedics最新文献_第2页

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

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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。

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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。

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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。

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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

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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

Navigation-Assisted One-Stage Total Knee Arthroplasty With Extra-Articular Corrective Osteotomy for Knee Osteoarthritis With Femoral and Tibial Extra-Articular Deformity: A Case Report. 导航辅助一期全膝关节置换术加关节外矫正截骨术治疗伴有股骨和胫骨关节外畸形的膝骨关节炎：病例报告。

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-07-25 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6699418

Mitsuhiko Kubo, Sho Hirobe, Tsutomu Maeda, Kosuke Kumagai, Yasutaka Amano, Yuki Nosaka, Takahide Hasegawa, Shinji Imai

{"title":"Navigation-Assisted One-Stage Total Knee Arthroplasty With Extra-Articular Corrective Osteotomy for Knee Osteoarthritis With Femoral and Tibial Extra-Articular Deformity: A Case Report.","authors":"Mitsuhiko Kubo, Sho Hirobe, Tsutomu Maeda, Kosuke Kumagai, Yasutaka Amano, Yuki Nosaka, Takahide Hasegawa, Shinji Imai","doi":"10.1155/2024/6699418","DOIUrl":"10.1155/2024/6699418","url":null,"abstract":"Background: Knee osteoarthritis (OA) with extra-articular deformity (EAD) is a rare condition for which achieving accurate alignment with total knee arthroplasty (TKA) is difficult. Extra-articular corrective osteotomy may be necessary for severe deformities. Case Presentation: A 76-year-old man underwent TKA for knee OA with EAD due to malunion after fractures of the femur and tibia. The femoral varus and the tibial valgus/recurvatum deformities were mild and corrected by intra-articular osteotomy using navigation (i.e., navigation-assisted standard TKA). However, the femoral antecurvatum deformity was severe, and we performed extra-articular corrective osteotomy simultaneously with TKA. Navigation was used not only for TKA but also for extra-articular corrective osteotomies. The osteotomy site was fixed with a cemented stem and metaphyseal sleeve. The postoperative hip-knee-ankle angle was 1° varus, the femoral implant was implanted at 0.5° varus/0.5° flexion, and the tibial implant was implanted at 0.5° varus/0° posterior slope. Two years after surgery, improvements were obtained in the range of motion from 15°-95° to 0°-110°, the Knee Society Score from 39 to 92 points, and the functional score from 35 to 100 points. Conclusions: One-stage TKA with extra-articular corrective osteotomy achieved good clinical results due to accurate alignment using navigation and firm fixation of the osteotomy site using cemented-stem and metaphyseal sleeve without any fixation devices.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2024 ","pages":"6699418"},"PeriodicalIF":0.4,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11300108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894504","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

Open Repair of Posterior Cruciate Ligament Tibial Bony Avulsion With Metal Anchor: A Case Report. 用金属锚开放式修复后交叉韧带胫骨骨性撕脱：病例报告

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-07-09 eCollection Date: 2024-01-01 DOI: 10.1155/2024/3137345

Giovanni Bonaspetti, Stefano Tonolini, Giovanni Dib, Alessia Piovani

{"title":"Open Repair of Posterior Cruciate Ligament Tibial Bony Avulsion With Metal Anchor: A Case Report.","authors":"Giovanni Bonaspetti, Stefano Tonolini, Giovanni Dib, Alessia Piovani","doi":"10.1155/2024/3137345","DOIUrl":"10.1155/2024/3137345","url":null,"abstract":"Introduction: The posterior cruciate ligament (PCL) is the largest and strongest intra-articular ligament of the knee joint and the primary posterior stabilizer. PCL injuries are less frequent than other knee ligament injuries and are typically combined with meniscal and chondral injuries or in the context of multiligamentous injuries. It is critical to properly diagnose and treat these lesions in order to avoid the risk of PCL insufficiency, subsequent knee instability, and early osteoarthritis. Surgical management can vary, and the ideal fixation device is still debated. Suture anchors are an unusual mean of fixation of PCL tibial bony avulsion. We report on two patients treated with open anchor fixation for PCL tibial bony avulsion with a follow-up of 3 years. Case Presentation: A 15-year-old male and a 65-year-old male were treated with open anchor fixation for bony tibial avulsion of the PCL. Surgical treatment was performed at 5 weeks and 3 weeks after the trauma, respectively. Diagnosis was made with an X-ray followed by CT and MR scans. Repair was achieved by reinserting the PCL bony fragment to its posterior tibial eminence with suture anchors through an open posterior approach. Both patients recovered full knee stability and a pain-free full range of motion (ROM) within 4 months and returned to their previous activities with a high satisfaction. The patient has been followed up for 3 years, and no complications were observed. Conclusion: PCL bony avulsions are rare, and their optimal treatment remains a significant subject of debate, particularly in the skeletally immature patient. We believe that open repair with metal anchors could be a good choice to repair PCL bony tibial avulsion in patients without concomitant intra-articular lesions and immature growth plates or severe fragmentation.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2024 ","pages":"3137345"},"PeriodicalIF":0.4,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11251802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627891","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 Case of Neglected Posterior Fracture Dislocation of the Shoulder Treated With Greater Tuberosity Osteotomy. 一例被忽视的肩关节后方骨折脱位病例：大结节截骨术

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-06-11 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6486750

Masashi Koide, Satoshi Tateda, Sayaka Miyasaka, Akihiro Yasuyama, Yoichi Sasaki, Mika Abe

{"title":"A Case of Neglected Posterior Fracture Dislocation of the Shoulder Treated With Greater Tuberosity Osteotomy.","authors":"Masashi Koide, Satoshi Tateda, Sayaka Miyasaka, Akihiro Yasuyama, Yoichi Sasaki, Mika Abe","doi":"10.1155/2024/6486750","DOIUrl":"10.1155/2024/6486750","url":null,"abstract":"Posterior dislocation of the shoulder joint is a rare condition. It is often misdiagnosed owing to a lack of evident clinical features compared with anterior shoulder dislocation, and inappropriate radiological examination. We present a case of chronic posterior fracture dislocation treated with greater tuberosity osteotomy. A 66-year-old man was injured in a fall while carrying a drone. He was referred to our hospital following 3 months of conservative treatment at a nearby clinic, without reduction of the posterior dislocation. Physical examination revealed a prominent reduction in shoulder joint range of motion and shoulder pain. Radiological examination revealed posterior shoulder dislocation associated with greater tuberosity malunion and a small bone fracture of the posterior portion of the glenoid. Open reduction and internal fixation, including greater tuberosity osteotomy, were performed. Although subluxation of the posterior dislocation persisted postoperatively, the humeral head gradually returned to its centric shoulder joint position owing to rotator cuff force coupling. At 24-month follow-up, the patient showed excellent shoulder results.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2024 ","pages":"6486750"},"PeriodicalIF":0.4,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11221983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141500149","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