Case Reports in Orthopedics最新文献_第4页

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}

引用次数: 0

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}

引用次数: 0

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

Fusion of the 2nd with the 3rd Cervical Vertebrae (C2-C3): A Case Series with Possible Clinical Significance 第二与第三颈椎（C2-C3）融合术：具有潜在临床意义的病例系列

Case Reports in Orthopedics Pub Date : 2023-12-01 DOI: 10.1155/2023/3577693

Eirini Demeneopoulou, Dorina Papa, Ilias Giotas, Angelos Nikolaou, George Tsakotos, Vasilios Karampelias, Theodore Mariolis-Sapsakos, Dimitrios Filippou, Maria Piagkou

{"title":"Fusion of the 2nd with the 3rd Cervical Vertebrae (C2-C3): A Case Series with Possible Clinical Significance","authors":"Eirini Demeneopoulou, Dorina Papa, Ilias Giotas, Angelos Nikolaou, George Tsakotos, Vasilios Karampelias, Theodore Mariolis-Sapsakos, Dimitrios Filippou, Maria Piagkou","doi":"10.1155/2023/3577693","DOIUrl":"https://doi.org/10.1155/2023/3577693","url":null,"abstract":"Purpose The current case series describes three cases of fusion between the 2nd cervical vertebra, the axis (C2), and the 3rd cervical vertebra (C3), creating a C2-C3 osseous complex and highlighting its morphological type of fusion (partial or complete) and morphometric details. The developmental background of this complex is emphasized, pointing out the possible clinical significance. Materials and Methods The osseous complexes were derived from disarticulated skeletons of body donors and were collected from the osseous collection of the Anatomy Department of the Medical School of the National and Kapodistrian University of Athens. Results Three blocked vertebral complexes (2 partial and 1 complete C2-C3 osseous masses) were identified. In two cases, the vertebral bodies were partially fused and in one case were completely fused. In the 1st case, the C2-C3 complex had fused spinous processes and distinct transverse processes. Facets were completely fused on the left and partially fused on the right side. In the 2nd case, the C2-C3 complex had partially fused vertebral bodies and distinguishable spinous processes. In the 3rd case, the C2-C3 complex had completely fused vertebral bodies, facets, laminae, and transverse and spinous processes. Conclusions Among the three (C2-C3) fused osseous complexes, the two were partially and the one was completely ossified. The fused vertebrae were characterized by osteophytic formations (at the dens and C3 area) and osteoporotic lesions. Taking into consideration the C2-C3 fusion, and possible coexisted variants, particular caution should be made in the upper cervical area, to interpret possible neurological manifestations and to reach a safe surgical plan.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":" 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138619682","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

The Novel Ulnar Nerve Coverage Method Which Has the Potential to Prevent the Postoperative Ulnar Neuropathy after Plate Fixation of Distal Humerus Fractures: Three Case Reports. 有可能预防肱骨远端骨折钢板固定术后尺神经病变的新型尺神经覆盖法：三个病例报告

Case Reports in Orthopedics Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5008141

Hiroki Shibayama, Shintaro Yamaga, Yutaro Sugawara, Tsuyoshi Asano, Norimasa Iwasaki

{"title":"The Novel Ulnar Nerve Coverage Method Which Has the Potential to Prevent the Postoperative Ulnar Neuropathy after Plate Fixation of Distal Humerus Fractures: Three Case Reports.","authors":"Hiroki Shibayama, Shintaro Yamaga, Yutaro Sugawara, Tsuyoshi Asano, Norimasa Iwasaki","doi":"10.1155/2023/5008141","DOIUrl":"10.1155/2023/5008141","url":null,"abstract":"Introduction: Postoperative ulnar neuropathy is still an unresolved complication in patients undergoing plate fixation of distal humerus fractures. We hypothesized that decreased blood flow to the ulnar nerve due to intraoperative procedures is an important factor in the development of postoperative ulnar neuropathy. We herein report three cases of distal humerus fractures in which the soft tissues surrounding the ulnar nerve were preserved as much as possible and finally not transferred anteriorly. Case Presentation. A 76-year-old woman, 82-year-old woman, and 34-year-old woman underwent plate fixation for distal humerus fractures. None of the patients developed postoperative ulnar neuropathy, and there were no complaints of numbness after postoperative day 1. Nerve conduction studies were performed after 3 months postoperatively and revealed that the motor nerve conduction velocities and compound motor nerve action potentials of the ulnar nerve in two of the three patients were higher than those of the noninjured side. In one of the three patients, these values were slightly lower than those of the noninjured side. All three patients achieved bony union after several months postoperatively.Conclusions: We obtained good outcomes with the ulnar nerve coverage method for preventing postoperative ulnar neuropathy in patients with distal humerus fractures. Preservation of blood flow to the ulnar nerve was considered important, and anatomical repositioning of the ulnar nerve after plate fixation has the potential to prevent adhesion between the ulnar nerve and the plate.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2023 ","pages":"5008141"},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488617","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

Pathologic Peri-Implant Proximal Femur Fracture: Takeaways from Our Experience 病理性股骨近端植入体周围骨折:我们的经验总结

Case Reports in Orthopedics Pub Date : 2023-11-14 DOI: 10.1155/2023/3193937

Mustafa Hashimi, Jason A. Shah, Henry M. Gass 4th, Alexander R. Webb, John M. Kopriva, Shervin V. Oskouei

{"title":"Pathologic Peri-Implant Proximal Femur Fracture: Takeaways from Our Experience","authors":"Mustafa Hashimi, Jason A. Shah, Henry M. Gass 4th, Alexander R. Webb, John M. Kopriva, Shervin V. Oskouei","doi":"10.1155/2023/3193937","DOIUrl":"https://doi.org/10.1155/2023/3193937","url":null,"abstract":"Pathologic fractures of the distal femur secondary to bone metastases are not as common as those in the proximal femur, and they are rarely reported on in the literature. Even in the absence of current metastatic lesions in the femoral neck, traditional orthopaedic teaching has stressed the importance of protecting the entire femur, while recent studies have shown that it may not be necessary to stabilize the entire femur in the event of future metastases. Thus, there is no consensus regarding optimal surgical treatment, making the choice of fixation often based on the experience of the surgeon. In this paper, we reported on a patient who presented with a pathologic fracture of the distal femur who was stabilized with a retrograde intramedullary nail and then subsequently suffered a pathologic fracture of the proximal femur. To our knowledge, there have been no cases reported on a peri-implant pathologic fracture proximal to a retrograde intramedullary nail in the setting of metastatic bone disease. We would like to share our experience on how to surgically manage this and discuss the literature around management of distal femoral bone metastases.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134993158","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

Clinical Utility of Ultrasound Imaging for Measuring Anterior Thigh Thickness after Anterior Cruciate Ligament Injury in an Individual Patient to Assess Postsurgery Outcome. 超声成像测量单个患者前交叉韧带损伤后大腿前厚度以评估术后结果的临床应用。

Case Reports in Orthopedics Pub Date : 2023-10-23 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6672951

Filippo Mechelli, Richard Bayford, Hemda Garelick, Maria Stokes, Sandra Agyapong-Badu

{"title":"Clinical Utility of Ultrasound Imaging for Measuring Anterior Thigh Thickness after Anterior Cruciate Ligament Injury in an Individual Patient to Assess Postsurgery Outcome.","authors":"Filippo Mechelli, Richard Bayford, Hemda Garelick, Maria Stokes, Sandra Agyapong-Badu","doi":"10.1155/2023/6672951","DOIUrl":"https://doi.org/10.1155/2023/6672951","url":null,"abstract":"The present study investigated the clinical utility of ultrasound imaging (USI) for assessing changes in an individual's quadriceps muscle and subcutaneous fat (SF) thickness of the anterior thigh and their relative proportions. A patient was studied prior to and after anterior cruciate ligament reconstruction (ACLR) surgery and during rehabilitation. This case study involved an 18-year-old female recreational athlete with a complete tear of the anterior cruciate ligament (ACL). Tissue thickness (SF and quadriceps muscle) was measured from transverse USI of the anterior thigh before surgery, at weekly intervals during 12 weeks of postsurgery, and then every 2 weeks for the following 12 weeks (total of 21 measurement sets). Statistically significant differences presurgery to postrehabilitation were found for muscle thickness (p = 0.04) and SF tissue thickness (p = 0.04) measurements. There was no difference in muscle to fat ratio (p = 0.08). Changes in measurements greater than the reported minimal detectable change (MDC) demonstrate the sensitivity of the USI technique as an objective tool to assess clinically useful changes in an individual's anterior thigh muscle thickness post-ACLR surgery and during rehabilitation.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2023 ","pages":"6672951"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71432264","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