Case Reports in Orthopedics最新文献_第3页

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

Spinal Accessory Nerve Injury following Spinal Adjustment: Case Report and Literature Review of the Outcome of Accessory Nerve Pathology as Result of Blunt Trauma (Spinal Accessory Nerve Palsy after Spinal Adjustment). 脊柱调整后的脊髓附属神经损伤：钝性创伤导致的附属神经病理学结果的病例报告和文献综述（脊柱调整后脊柱附属神经麻痹）。

Case Reports in Orthopedics Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI: 10.1155/2024/7440745

Sulaiman Alanazi, Areej M Alawfi, Bander S Alrashedan, Reem A Almohaini, Majed M Shogair, Talal A Alshehri

{"title":"Spinal Accessory Nerve Injury following Spinal Adjustment: Case Report and Literature Review of the Outcome of Accessory Nerve Pathology as Result of Blunt Trauma (Spinal Accessory Nerve Palsy after Spinal Adjustment).","authors":"Sulaiman Alanazi, Areej M Alawfi, Bander S Alrashedan, Reem A Almohaini, Majed M Shogair, Talal A Alshehri","doi":"10.1155/2024/7440745","DOIUrl":"10.1155/2024/7440745","url":null,"abstract":"Spinal accessory nerve palsy (SANP) is rare and is commonly presented following iatrogenic injury. Their diagnosis is often missed on initial presentation. Injury following blunt trauma is rare, with few cases reported in literature describing blunt-associated SANP and their treatment and recovery. We present and discuss a case of SANP following an aggressive soft tissue adjustment by an uncertified individual that has been responsive to nonsurgical measures over 18 months. We also reviewed the related literature on similar cases that were presented as result of direct pressure on the nerve from soft tissue manipulation or heavy lifting and their outcome following treatment. Chiropractic is generally a safe complimentary medicine and must only be practiced by trained personnel. We found that blunt-caused SANP injuries should initially be treated conservatively as they are likely to respond and recover unlike when presented following invasive trauma accordingly to what we found in literature.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2024 ","pages":"7440745"},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10919972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060741","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}

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Two Cases of Anterior Shoulder Dislocation and Fracture Secondary to Generalized Tonic-Clonic Seizure. 两例继发于全身强直-阵挛性发作的肩关节前脱位和骨折病例。

Case Reports in Orthopedics Pub Date : 2024-02-07 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6652622

Kevin Trong Dao, Hari Kunhi Prasad Veedu, Britney Ly, Neela Zalmay, Rajashree Hariprasad, Michael Eagan, Najib Ussef

引用次数: 0

Surgical Management of Latissimus Dorsi and Teres Major Tears in a Water-Skiing Injury: A Case Report and Literature Review 滑水受伤时背阔肌、大圆肌撕裂的手术治疗：病例报告和文献综述

Case Reports in Orthopedics Pub Date : 2023-12-08 DOI: 10.1155/2023/8626419

D. Constantinou, K. Kastanos

引用次数: 0

First Clinical Case of Ilizarov Femur Lengthening over a Bioactive and Degradable Intramedullary Implant 首例使用生物活性可降解髓内植入物进行伊利扎罗夫股骨延长术的临床病例

Case Reports in Orthopedics Pub Date : 2023-12-07 DOI: 10.1155/2023/7547590

A. Popkov, S. Tverdokhlebov, Sergei Muradisinov, Dmitry Popkov

{"title":"First Clinical Case of Ilizarov Femur Lengthening over a Bioactive and Degradable Intramedullary Implant","authors":"A. Popkov, S. Tverdokhlebov, Sergei Muradisinov, Dmitry Popkov","doi":"10.1155/2023/7547590","DOIUrl":"https://doi.org/10.1155/2023/7547590","url":null,"abstract":"Introduction. The Ilizarov distraction osteogenesis is a recognized method of limb lengthening in orthopaedic practice. Its most challenging problems are long duration of external fixation and related pin-tract infection and joint contractures. The solution might be the use of a bioactive degradable intramedullary implant stimulating bone healing. Case Presentation. We present a case of a 14-year-old boy with 6 cm posttraumatic shortening of the femur and associated varus deformity of 20 degrees. He was treated with the Ilizarov technique of femur lengthening over an intramedullary degradable polycaprolactone (PCL) implant with hydroxyapatite (HA) filling. We faced no complications within the lengthening process. Shortening and deformity of the femur were corrected in 90 days. The index of external fixation was 15 days/cm. External fixation time was reduced almost twice comparing to the conventional method. Degradable intramedullary nails ensured the advantage of avoidance of the removal procedure. Radiography and CT confirmed faster new bone healing and remodeling. Conclusion. The combined lengthening technique over a PCL/HA implant might be used to shorten external fixation time and to stimulate bone healing especially in patients with compromised bone. Using a bioabsorbable material presents the benefit of eliminating the need for a second surgery to remove the nail, thereby reducing soft tissue damage.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"30 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138594452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Osteosynthesis with Arthroscopy of a Nonunited Tibial Anterior Cruciate Ligament Avulsion Fracture 30 Years after Injury 受伤 30 年后胫骨前十字韧带非联合撕脱骨折的关节镜下骨合成术

Case Reports in Orthopedics Pub Date : 2023-12-05 DOI: 10.1155/2023/4681973

Jun Tanaka, Takuya Ohno, H. Ishikawa, Shogo Fujita, H. Okamura, Shigeo Yamakami, Yoshifumi Kudo

引用次数: 0

Delayed Presentation of Popliteal Artery Injury after Salter-Harris III Proximal Tibia Fracture 萨尔特-哈里斯 III 型胫骨近端骨折后腘动脉损伤的延迟表现

Case Reports in Orthopedics Pub Date : 2023-12-05 DOI: 10.1155/2023/4104127

Alexandra Seidenstein, Timothy W. Torrez, Jacob A. Garcia, Shadi K. Awad, Henry DeBell, Shawn R. Gilbert, Kevin A. Williams

{"title":"Delayed Presentation of Popliteal Artery Injury after Salter-Harris III Proximal Tibia Fracture","authors":"Alexandra Seidenstein, Timothy W. Torrez, Jacob A. Garcia, Shadi K. Awad, Henry DeBell, Shawn R. Gilbert, Kevin A. Williams","doi":"10.1155/2023/4104127","DOIUrl":"https://doi.org/10.1155/2023/4104127","url":null,"abstract":"Introduction Proximal tibia physeal fractures in children are not very common but can be dangerous because they can harm popliteal fossa structures, especially the popliteal artery. Popliteal artery injuries (PAI) are most commonly the result of trauma to the lower extremity, including blunt force, hyperextension injuries, complex fractures, and knee dislocations that can compromise popliteal neurovascular structures. Case Presentation. A 14-year-old boy presents to the emergency department after being transferred from an outside hospital 24 hours after a left lower extremity hyperextension injury. Radiographs demonstrated a Salter-Harris III proximal tibia fracture with posterior displacement. ABIs were deferred due to palpable distal pulses and no evidence of compartment syndrome. Closed reduction and percutaneous pinning were planned to correct the fracture. Intraoperatively, it was discovered that knee extension decreased lower extremity perfusion while knee flexion returned perfusion. An angiography revealed a popliteal artery occlusion with no distal flow. Based on this, an above-knee to below-knee popliteal bypass using the contralateral great saphenous vein was performed followed by closed reduction and percutaneous pinning of the proximal tibia. Conclusion Proximal tibia physeal injuries, especially the Salter-Harris III and IV injuries, warrant a high index of suspicion of popliteal artery injuries. Palpable pulses and delayed presentation in the distal lower extremity do not rule out a PAI because collateral flow to the anterior and posterior tibial arteries may mask signs of an avascular limb, highlighting the need for a thorough history and physical exam. The authors present this case to reaffirm the importance of an ankle-brachial index when evaluating hyperextension injuries with proximal tibial epiphyseal fractures.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"124 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0