Case Reports in Orthopedics最新文献_第5页

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

Atypical Fragility Fractures due to Bony or Soft Tissue Phosphaturic Mesenchymal Tumors: A Report of Two Cases. 骨或软组织磷化间充质肿瘤所致非典型脆性骨折2例报告。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/5614065

Stephanie M Clegg, Emily S Eiel, Sara Fine, Rachel I Gafni, Mathew J Most

{"title":"Atypical Fragility Fractures due to Bony or Soft Tissue Phosphaturic Mesenchymal Tumors: A Report of Two Cases.","authors":"Stephanie M Clegg, Emily S Eiel, Sara Fine, Rachel I Gafni, Mathew J Most","doi":"10.1155/2023/5614065","DOIUrl":"https://doi.org/10.1155/2023/5614065","url":null,"abstract":"Introduction: Tumor-induced osteomalacia (TIO) is a rare paraneoplastic disorder where patients present with hypophosphatemia, chronic diffuse bone pain, and occasionally fractures. Benign phosphaturic mesenchymal tumors (PMT) are responsible for the TIO and are largely soft tissue tumors.Cases: Two male patients with TIO secondary to PMT were reported-one in the bony scapula and the other in the plantar foot soft tissue. The first case describes a 63-year-old Caucasian male, who sustained an intertrochanteric proximal femur stress fracture and approximately two years of diffuse bone pain and hypophosphatemia. Wide excision of a left scapula boney lesion resulted in immediate resolution of his electrolyte abnormalities and bone pain. Case 2 describes a 58-year-old male with four years of multifocal bone pain and atraumatic fractures. A 68Ga-DOTATATE-positron emission tomography/computed tomography (PET/CT) scan identified a soft tissue tumor in his plantar foot, which was ultimately excised. He also experienced near immediate resolution of his pain and no additional fractures.Conclusion: TIO is a rare condition presenting with chronic multifocal bone pain, stress fractures, and hypophosphatemia. These two cases highlight that the causative tumor may originate in soft tissue or bone. Furthermore, a high index of suspicion, along with fibroblast growth factor-23 testing and DOTATATE-PET/CT localization, can help with diagnosis and minimize treatment delays.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2023 ","pages":"5614065"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9392518","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 Anterior Hip Dislocation in the Elderly: Description and Review of a Rare Trauma. 老年人外伤性髋关节前脱位:一种罕见创伤的描述和回顾。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/3100256

Quentin Schopfer, Roland Strasser, Eric Ngassom Leumessi, Aurélien Traverso

{"title":"Traumatic Anterior Hip Dislocation in the Elderly: Description and Review of a Rare Trauma.","authors":"Quentin Schopfer, Roland Strasser, Eric Ngassom Leumessi, Aurélien Traverso","doi":"10.1155/2023/3100256","DOIUrl":"https://doi.org/10.1155/2023/3100256","url":null,"abstract":"Background: Traumatic hip dislocation (THD) is an orthopaedic emergency that requires rapid reduction. THD is generally encountered in high-energy trauma. THD with low-energy trauma is extremely rare, even more so in the elderly. Methods/Results. We report the case of a 72-year-old woman who presented to the emergency department with anterior superior left hip dislocation after a low-energy trauma.Results: The patient was initially treated with closed reduction. Because of recurring dislocation, closed reduction was performed a second time. Magnetic resonance imaging showed no soft tissue interposition. At 12 week follow-up, the patient complained of intractable hip pain and was treated with total hip arthroplasty. The post-operative course was uneventful with a return to pre-injury functional mobility. We also conducted a review of the literature with regard to anterior hip dislocation in the population aged 70 years or more.Conclusion: THD can be associated with significant morbidity. Time to reduction is considered essential in improving functional outcomes. In the case of poor functional outcomes, total hip arthroplasty should be considered.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2023 ","pages":"3100256"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9531816","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

Posteromedial Submeniscal Arthrotomy and Fixation with a Posteromedial Rim Plate in a Comminuted Medial Tibial Plateau Fracture. 后内侧半月板下关节切开术及后内侧缘钢板固定治疗胫骨内侧平台粉碎性骨折。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/3635067

Nicolás Franulic, Tomás Pineda, José Laso, Diego Valiente, Nicolás Gaggero

引用次数: 0

MACI "Sandwich" Technique for a Large Osteochondritis Dissecans Lesion: A Case Report. MACI“三明治”技术治疗大面积夹层性骨软骨炎1例报告。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/7612206

Bhumit Desai, Graylin Jacobs, Deryk Jones

引用次数: 0