Case Reports in Orthopedics最新文献_第4页

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

Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism. 原发性甲状旁腺功能亢进症儿童股骨颈骨折。

Case Reports in Orthopedics Pub Date : 2023-10-09 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5550451

Mark W Schmitt, Maxwell J Modrak, Soumar J Bouza, Brian G Smith, Murillo A Adrados

引用次数: 0

Patellar Tendon Rupture 12 Years after ACL Reconstruction with BPTB Autograft. 应用BPTB自体移植物重建ACL 12年后髌腱断裂。

Case Reports in Orthopedics Pub Date : 2023-09-27 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5591956

Christopher C Paiz, Dustin L Richter

引用次数: 0

Long-Term Outcomes of Osteochondral Allograft with Osteogenic Protein-1 Augmentation: A Twelve-Year Follow-Up. 成骨蛋白-1增强的骨软骨同种异体移植物的长期疗效：12年随访。

Case Reports in Orthopedics Pub Date : 2023-09-25 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3842443

Eric Assid, Andrew Renshaw, Mawadah Samad, Richard Tupler, Deryk Jones

{"title":"Long-Term Outcomes of Osteochondral Allograft with Osteogenic Protein-1 Augmentation: A Twelve-Year Follow-Up.","authors":"Eric Assid, Andrew Renshaw, Mawadah Samad, Richard Tupler, Deryk Jones","doi":"10.1155/2023/3842443","DOIUrl":"https://doi.org/10.1155/2023/3842443","url":null,"abstract":"Background: Osteochondral lesions (OCLs) can significantly impact functional status and activities of daily living. Weightbearing joints are disproportionately affected due to considerable biomechanical forces in these areas. Various biologic reconstructive procedures such as microfracture, osteochondral autograft transfer (OATS) or allograft transplantation (OCA), and matrix-induced autologous chondrocyte implantation (MACI) are utilized by surgeons to treat OCLs. The integration of osteochondral allografts can restore knee function and maintain the integrity of adjacent joint surfaces. Bone incorporation has been linked to successful outcomes following OCA. Pulse lavage and carbon dioxide have been used to remove marrow elements from the superficial, middle, and deep layers of the allograft; this has been combined with the use of various biologics such as bone marrow aspirate or whole blood to augment donor bone incorporation into the host bone. We present an innovative augmentation approach in OCA transplantation demonstrating excellent incorporation of an osteogenic protein-1 (OP-1) implant (Stryker, Kalamazoo, MI) to treat a large fresh osteoarticular allograft. Case Presentation. We present a 51-year-old male who received OCA augmented with an OP-1 implant (Stryker, Kalamazoo, MI) in 2011. Due to subsequent ACL reconstruction for two years and medial meniscal repair four years following OCA transplantation, we were able to arthroscopically evaluate graft status at short- and intermediate-term follow-ups. Positive findings were further verified with radiographic imaging and patient-reported outcome measures (PROMs).Conclusion: OP-1 implants aided in the bone incorporation of a large osteochondral allograft, restoring a high functional level in a demanding sport.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2023 ","pages":"3842443"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158089","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

Multiple Intraosseous Cysts of the Carpal Bones Presenting as Unilateral Carpal Tunnel Syndrome. 多发性腕骨骨内囊肿表现为单侧腕管综合征。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/4110616

Raymonde Dahdouh, Dany Aouad, Elyssa Kiwan, Georges Sakhat, Mohammad Daher, Rabih Kortbawi, Joseph Wehbe

引用次数: 0

Difficult Preoperative Diagnosis of Suspected Metal Hypersensitivity in a Case with Early Failure of Bipolar Hemiarthroplasty. 双相半关节置换术早期失败一例疑似金属过敏的术前诊断困难。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/8656265

Airi Shimmyo, Yu Takeda, Shigeo Fukunishi

引用次数: 0

Preliminary Results of Bone Lengthening over Telescopic Titanium Intramedullary Rod. 伸缩式钛髓内棒骨延长的初步结果。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/4796006

Eduard Mingazov, Nikita Gvozdev, Arnold Popkov, Pierre Journeau, Dmitry Popkov

{"title":"Preliminary Results of Bone Lengthening over Telescopic Titanium Intramedullary Rod.","authors":"Eduard Mingazov, Nikita Gvozdev, Arnold Popkov, Pierre Journeau, Dmitry Popkov","doi":"10.1155/2023/4796006","DOIUrl":"https://doi.org/10.1155/2023/4796006","url":null,"abstract":"Background: Limb lengthening and deformity correction in patients with abnormal bone associating fragility often require an approach combining methods of external and internal fixation. This study demonstrates results of simultaneous application of external fixator, and telescopic rod for femoral lengthening and deformity correction in three children with osteogenesis imperfecta or severe form of Ollier's disease.Materials and methods: Three patients (two boys with Ollier's disease and a girl with osteogenesis imperfecta, type I) were operated on for femoral lengthening with combined technique associating Ilizarov frame and titanium telescopic intramedullary rodding.Results: Planned amount of lengthening and deformity correction were achieved for all patients. We found neither rod bending nor pull out of threaded tips. There was no difficulty of expanding of telescopic intramedullary rods made of titanium alloy during distraction phase of lengthening procedure.Conclusion: This short series proved feasibility of performing one-stage surgery with external frame and telescopic rodding in limb lengthening. The technique of telescopic rods in lengthening procedure is promising method requiring meticulous insertion of rod in centralized positioning in epiphysis. Acute alignment of the segment been elongating should be achieved at surgery. No any progressive angular deformity correction in postoperative period is authorized in order to avoid bending of telescopic rod. This combined approach does not affect bone healing.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2023 ","pages":"4796006"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10689671","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: 1