Case Reports in Orthopedics最新文献_第6页

Gel-Based Autologous Chondrocyte Implantation in a Patient with Noncontained Osteochondral Knee Defect at 9-Year Follow-Up 凝胶基自体软骨细胞植入治疗无骨软骨性膝关节缺损9年随访

Case Reports in Orthopedics Pub Date : 2022-05-16 DOI: 10.1155/2022/6946860

Ujjval Deliwala, Sumit Jain Sethia

{"title":"Gel-Based Autologous Chondrocyte Implantation in a Patient with Noncontained Osteochondral Knee Defect at 9-Year Follow-Up","authors":"Ujjval Deliwala, Sumit Jain Sethia","doi":"10.1155/2022/6946860","DOIUrl":"https://doi.org/10.1155/2022/6946860","url":null,"abstract":"Osteochondritis dissecans (OCD) is a disorder of the subchondral bone affecting the adjacent articular cartilage that may lead to cartilage and bone fragment detachment. It commonly occurs in the knee joint, elbow, wrist, and ankle. Although several surgical concepts have been described to treat OCD (fragment fixation, microfracture, autologous chondrocyte implantation (ACI), and mosaicplasty), no gold standard treatment has been accepted for managing OCD. Multiple factors like age, stability of defect, and defect size should be considered while selecting a specific treatment for OCD. Here, we discuss the case of an 18-year-old patient with horizontal and noncontained OCD. The MRI and CT scan evaluations of condylar notch view showed a defect (23 mm × 19 mm × 8 mm) with ICRS grade IV lateral femoral condyle OCD that was successfully managed by gel-based ACI. After 9 years of ACI, the patient was asymptomatic with full range of motions at the knees. Improvement in visual analog scale score, International Knee Documentation Committee score, and Magnetic Resonance Observation of Cartilage Repair Tissue score was also seen at 9 years post-ACI. No further surgical interventions were needed post-ACI.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77581579","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: 1

Wound Complication and Neuropraxia of the Posterior Cutaneous Nerve of the Arm after Primary Repair of a Latissimus Dorsi and Teres Major Tear 背阔肌大圆肌撕裂修复术后手臂后皮神经损伤并发症及神经失用

Case Reports in Orthopedics Pub Date : 2022-05-13 DOI: 10.1155/2022/7373178

Matthew G. Alben, N. Gambhir, M. Boin, K. Campbell, M. Virk

引用次数: 0

Atraumatic Deltoid Rupture with a Chronic Massive Rotator Cuff Tear: A Case Report and Surgical Technique 非外伤性三角肌破裂合并慢性大块肩袖撕裂:1例报告及手术技术

Case Reports in Orthopedics Pub Date : 2022-04-30 DOI: 10.1155/2022/1833988

Matthew G. Alben, N. Gambhir, M. Boin, M. Virk, Young W. Kwon

引用次数: 1

Contemporaneous Insufficiency Fractures of Bilateral Femoral Necks in an Older Patient Taking Bisphosphonate: A Case Report and Literature Review 服用双膦酸盐的老年患者同时发生双侧股骨颈不全骨折:1例报告并文献复习

Case Reports in Orthopedics Pub Date : 2022-04-29 DOI: 10.1155/2022/9294289

Hiroaki Tagomori, N. Kaku, Shota Sato, Tsuguaki Hosoyama, H. Tsumura

引用次数: 0

Distal Humerus Fracture Malunion in Adults: A Case Report and a Review of the Literature 成人肱骨远端骨折畸形愈合1例报告及文献复习

Case Reports in Orthopedics Pub Date : 2022-04-29 DOI: 10.1155/2022/6041577

Ioannis M Stavrakakis, Zisis Ntontis, Olga Kastritsi, C. Chaniotakis, K. Alpantaki, G. Kastanis

{"title":"Distal Humerus Fracture Malunion in Adults: A Case Report and a Review of the Literature","authors":"Ioannis M Stavrakakis, Zisis Ntontis, Olga Kastritsi, C. Chaniotakis, K. Alpantaki, G. Kastanis","doi":"10.1155/2022/6041577","DOIUrl":"https://doi.org/10.1155/2022/6041577","url":null,"abstract":"Introduction Neglected distal humerus fractures are rare injuries, which the orthopaedic surgeon will not deal many times in his career. We present a case of a young patient with such an injury, who was treated with a corrective osteotomy and fixation, resulting in a very good outcome. This case report highlights the importance of surgical intervention for distal humerus fracture malunion. A narrative review of the literature regarding this topic is presented as well. Case Report. A 42-year-old female patient presented to our department nine weeks after a displaced distal humerus fracture, which was treated conservatively in another institution. Ulnar nerve neuropathy, pain, and severe stiffness of the elbow were her main symptoms. Open correction of the deformity, anatomical reduction of the articular surface, and realignment of the metaphyseal level of the fracture were performed. Six months postoperation, a painless flexion-extension arc of 110° and a normal rotation of the forearm was achieved. Conclusion Distal humerus fracture malunion is a challenge. The operation needed for this purpose is much more demanding, and postsurgical complications are more likely to occur as opposed to the treatment of acute fractures. If a proper surgery is performed though, a good clinical outcome can be expected.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81814937","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

Dogs: A Man's Best Friend or a Deadly Beast—A Discussion on Capnocytophaga canimorsus 狗:人类最好的朋友还是致命的野兽——关于嗜糖动物的讨论

Case Reports in Orthopedics Pub Date : 2022-04-22 DOI: 10.1155/2022/7228214

Swathi Muttana, Christopher Solowiej Singh, Sabina Dhami, S. Ntelis, Dana Dhami, M. Michael

引用次数: 2

Favorable Outcome Twenty-Two Months after Delbet Type Ib Capital Femoral Transepiphyseal Fracture and Posterior Column Acetabular Fracture in a Fifteen-Year-Old Male 15岁男性Delbet Ib型股骨头经骺端骨折和髋臼后柱骨折22个月后的良好结果

Case Reports in Orthopedics Pub Date : 2022-04-21 DOI: 10.1155/2022/1843367

S. A. Sethuraman, A. Morse, J. Guzman, R. Cristofaro, D. Asprinio

{"title":"Favorable Outcome Twenty-Two Months after Delbet Type Ib Capital Femoral Transepiphyseal Fracture and Posterior Column Acetabular Fracture in a Fifteen-Year-Old Male","authors":"S. A. Sethuraman, A. Morse, J. Guzman, R. Cristofaro, D. Asprinio","doi":"10.1155/2022/1843367","DOIUrl":"https://doi.org/10.1155/2022/1843367","url":null,"abstract":"Case A fifteen-year-old male patient sustained a posteriorly dislocated right capital femoral Delbet type Ib epiphyseal fracture-separation and a right acetabular posterior column fracture after a low-energy trip and fall. The capital femoral epiphysis was closed reduced and fixed with cannulated screws on an urgent basis. He underwent acetabular osteosynthesis via a Kocher-Langenbeck approach two days thereafter. Twenty-two months after injury, he was weight-bearing on the right lower extremity without radiologic evidence of avascular necrosis or clinical evidence of pain or functional deficit. Conclusion Fracture-separation of the capital femoral epiphysis comprises only 8% of skeletally immature femoral neck fractures in the Delbet and Colonna classification. Prognosis is worse with ipsilateral hip dislocation due to the risk of avascular necrosis from disruption of the medial femoral circumflex artery. Urgent referral to a trauma center and treatment by appropriate specialists enables good long-term results after this uncommon traumatic injury pattern.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88401924","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: 1

Isolated Femoral LCL Avulsion Fracture in the Adult Knee: Two Patient Cases and Literature Review 成人膝关节孤立性股骨LCL撕脱骨折2例及文献复习

Case Reports in Orthopedics Pub Date : 2022-04-20 DOI: 10.1155/2022/6507577

Gilles Dietrich, B. Maeder, J. Nyland, Y. Maeder, A. Akiki, R. Martin

{"title":"Isolated Femoral LCL Avulsion Fracture in the Adult Knee: Two Patient Cases and Literature Review","authors":"Gilles Dietrich, B. Maeder, J. Nyland, Y. Maeder, A. Akiki, R. Martin","doi":"10.1155/2022/6507577","DOIUrl":"https://doi.org/10.1155/2022/6507577","url":null,"abstract":"Avulsion injuries of the LCL most commonly occur at the fibular insertion. Femoral LCL avulsion injuries have only been previously described in pediatric patients or as multiligament knee injury components among adults. This case series with comprehensive literature review describes for the first time 2 cases of isolated LCL femoral avulsion fractures in adults including conservative treatment outcomes. Both patients sustained a strong varus stress mechanism to their right knee, following sport injury or road traffic accident. For both patients, a complete radiographic evaluation including X-rays, MRI, and CT scan confirmed no other associated knee lesions. The femoral LCL avulsion fractures that were observed were minimally displaced and noncomminuted. Furthermore, imagery suggested preserved integrity at the superior lateral genicular artery, adjacent articular capsule, and IT band. Based on clinical and imaging evaluations, the decision was made to follow conservative treatment. By 10 weeks postinjury, both patients were asymptomatic with early radiological fracture healing evidence. Comparative varus stress radiographs at 20° knee flexion revealed no side-to-side differences and clinical exam showed no posterolateral rotatory instability. The second patient case presented with mild femoral LCL attachment calcification on follow-up CT-scan. Following a detailed analysis of anatomic injury characteristics, we suggest that patients with isolated femoral LCL avulsion fractures have low secondary displacement risk provided SLGA, articular capsule, and IT band integrity are present. In contrast to high-grade ligamentous and distal avulsion LCL injuries, we recommend conservative treatment for patients who sustain these lesions.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82132650","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: 1

Simultaneous Bilateral Proximal Humerus Fractures Treated with Single-Stage Bilateral Reverse Shoulder Arthroplasty 单期双侧肩关节置换术治疗双侧肱骨近端骨折

Case Reports in Orthopedics Pub Date : 2022-04-20 DOI: 10.1155/2022/2162331

Taiki Tokuhiro, A. Urita, Y. Kameda, M. Motomiya, Naoya Watanabe, N. Iwasaki

{"title":"Simultaneous Bilateral Proximal Humerus Fractures Treated with Single-Stage Bilateral Reverse Shoulder Arthroplasty","authors":"Taiki Tokuhiro, A. Urita, Y. Kameda, M. Motomiya, Naoya Watanabe, N. Iwasaki","doi":"10.1155/2022/2162331","DOIUrl":"https://doi.org/10.1155/2022/2162331","url":null,"abstract":"Introduction Simultaneous bilateral fractures of the proximal humerus are infrequent, and simultaneous bilateral three- or four-part fractures are even rarer. Reverse shoulder arthroplasty (RSA) is being used increasingly for the treatment of three- and four-part fractures of the proximal humerus. However, treatment of simultaneous bilateral fractures of the proximal humerus is difficult because of concern about postoperative immobilization and rehabilitation. Case Presentation. A 75-year-old woman presented with bilateral shoulder pain subsequent to a fall on the street. Physical examination and radiographs showed simultaneous bilateral fractures of the proximal humerus. The right side fracture was classified as a four-part fracture and the left side fracture as a three-part fracture, according to Neer's classification. The right shoulder had a risk of avascular necrosis of the humeral head. For the left shoulder, the fracture type had caused ischemia of the humeral head. Single-stage bilateral RSA was performed 9 days after the injury. An abduction pillow was applied for 5 weeks postoperatively. Passive motion exercises were permitted starting at 4 weeks postoperatively, and active range of motion exercises were permitted at 6 weeks postoperatively. At the patient's most recent follow-up 30 months after surgery, the patient reported no restriction of the activities of daily living. Radiographs revealed no lucent line on the humerus and glenoid components, although bone resorption and superior retraction of the tuberosities on both sides were observed. Conclusions Single-stage bilateral RSA improved shoulder function, but healing of the greater tuberosity can affect the improvement in external rotation after the operation. Although a long-term follow-up is needed, single-stage bilateral RSA appears to be a viable treatment option.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87481759","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: 2

Management of Tracheal Perforation following Anterior Cervical Spine Surgery: Report of Two Cases and Review of the Literature 颈椎前路手术后气管穿孔的处理:2例报告及文献复习

Case Reports in Orthopedics Pub Date : 2022-04-05 DOI: 10.1155/2022/1914642

Xinhu Guo, H. Ji

{"title":"Management of Tracheal Perforation following Anterior Cervical Spine Surgery: Report of Two Cases and Review of the Literature","authors":"Xinhu Guo, H. Ji","doi":"10.1155/2022/1914642","DOIUrl":"https://doi.org/10.1155/2022/1914642","url":null,"abstract":"Background Tracheal perforation is a complication very rare but challenging that follows anterior cervical spine surgery. This article describes the management of tracheal perforation due to instrument failure after anterior cervical spine surgery performed in two patients because of fracture dislocation of the subaxial cervical spine. Case Presentation. Two patients who suffered from a subaxial cervical fracture and dislocation were subjected to anterior cervical spine surgery for fracture reduction and cervical fusion. However, instrumentation failure occurred in both patients, resulting in implant displacement and penetration into the posterior tracheal wall. Revision surgery consisted of fracture reduction, multilevel posterior fixation, and removal of the displaced anterior cervical implants. Tracheal perforation was bypassed by placing a tracheostomy tube in a caudal position for the diversion of the airflow and tracheal hygiene. The thorough debridement and drainage performed in both patients allowed a complete healing of the anterior wound in both of them, with no sign of infection or subcutaneous emphysema, as confirmed by postoperative CT scan and flexible bronchoscopy. Both patients acquired a solid fusion of the cervical spine at last follow-up (16 months and 24 months). Conclusions The perforation of the trachea after anterior cervical spine surgery due to the displacement of the implants could be managed using posterior cervical instrumentation and fusion, the removal of the anterior implant, debridement and drainage, and the use of a distal bypassing tracheostomy tube.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76016359","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