Case Reports in Orthopedics最新文献_第3页

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

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

Solitary Bone Cyst in the Lumbar Spine: Case Report and Literature Review. 腰椎中的孤立性骨囊肿：病例报告与文献综述

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-06-06 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9975362

José Ramírez-Villaescusa, David Ruiz-Picazo, Ana Verdejo-González, Adriana Canosa-Fernández, Pedro Torres-Lozano, Gracia Guerrero-Álvarez

{"title":"Solitary Bone Cyst in the Lumbar Spine: Case Report and Literature Review.","authors":"José Ramírez-Villaescusa, David Ruiz-Picazo, Ana Verdejo-González, Adriana Canosa-Fernández, Pedro Torres-Lozano, Gracia Guerrero-Álvarez","doi":"10.1155/2024/9975362","DOIUrl":"10.1155/2024/9975362","url":null,"abstract":"Introduction: To describe a rare case of solitary bone cyst in the vertebral body of the lumbar vertebra in an adult patient. The solitary bone cyst is defined as a cystic lesion with liquid content. Few cases have been described in the vertebral location without preference for the posterior arch or vertebral body. Most have been treated with resection, curettage, and/or grafting. No case described to date has been treated with polymethylmetacrylate (PMMA) injection in the vertebral location. Case Presentation. A 50-year-old male patient was consulted for lumbar pain with no traumatic history and no neurologic deficit. The radiological study showed lumbar arthrodesis with L2-L4 instrumentation due to an L3 fracture twenty years earlier. Computed tomography (CT) scan showed a lytic lesion occupying practically the entire vertebral body of L5, with incomplete septum and sclerotic edge, without cortical rupture. The previous steel instrumentation was removed, to avoid the presence of artifacts when performing the magnetic resonance (MR), and a biopsy of L5 vertebra was performed via transpedicular in the same act. The MR study findings and biopsy were compatible with the simple bone cyst. Finally, a new intervention was performed by filling the lesion with PMMA. Follow-up at 5 years was satisfactory without lumbar pain as well as the radiological study and with a return to previous activity.Conclusions: The spinal location of the simple bone cyst is extremely infrequent. Its diagnosis excludes other lesions and is made by imaging studies and biopsy. Treatment can be performed by excision, curettage, or filling with graft or as in this case, with PMMA.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2024 ","pages":"9975362"},"PeriodicalIF":0.4,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141500150","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

Excision of Intra-articular Knee Heterotopic Ossification Using a 70° Arthroscope. 使用 70° 关节镜切除膝关节内异位骨化症

IF 0.4

Case Reports in Orthopedics Pub Date : 2024-06-06 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9998388

Alexander J Hoffer, Eugenia A Lin, Maziyar A Kalani, Mark K Lyons, Meghan Richardson

{"title":"Excision of Intra-articular Knee Heterotopic Ossification Using a 70° Arthroscope.","authors":"Alexander J Hoffer, Eugenia A Lin, Maziyar A Kalani, Mark K Lyons, Meghan Richardson","doi":"10.1155/2024/9998388","DOIUrl":"10.1155/2024/9998388","url":null,"abstract":"Heterotopic ossification is ectopic lamellar bone formation within soft tissue and can result in significant functional limitations. There are multiple underlying etiologies of HO including musculoskeletal trauma and traumatic brain injury. Intra-articular HO of the knee is rare and is typically located within the cruciate ligaments. We report a case of a 24-year-old female who presented with worsening right knee pain and limited knee extension two and a half years after a motor vehicle crash with multiple lower extremity fractures. Physical examination of the knee revealed anterior pain, limited extension, and a palpable infrapatellar prominence. Imaging showed a retropatellar tendon, intra-articular excrescence of bone proximal to the anterior tibial plateau. Diagnostic arthroscopy with a 70° arthroscope identified HO at the proximal anterior tibial plateau, which was excised with a high-speed burr under direct visualization. At the three-month follow-up, the patient remained asymptomatic and returned to sport. Retropatellar tendon, intra-articular anterior knee HO is a rare but debilitating clinical entity that can be successfully and safely managed with excision under direct visualization using a 70° arthroscope.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2024 ","pages":"9998388"},"PeriodicalIF":0.4,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11221981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499171","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

Unusual Presentation of Leiomyoma in the Hindfoot. 后足雷肌瘤的不寻常表现

Case Reports in Orthopedics Pub Date : 2024-03-14 eCollection Date: 2024-01-01 DOI: 10.1155/2024/1217277

Abdullah Zaher, Jaouad Yasser, Daniel Badaro, Noureddine Sekkach

引用次数: 0

Massive Osteolysis and Pseudotumor Formation following Maestro Total Wrist Arthroplasty. Maestro 全腕关节置换术后大量骨溶解和假瘤形成。

Case Reports in Orthopedics Pub Date : 2024-03-04 eCollection Date: 2024-01-01 DOI: 10.1155/2024/1301778

Marcus Sagerfors, Daniel Reiser

引用次数: 0