Case Reports in Orthopedics最新文献_第6页

Lumbar Canal Stenosis Caused by Marked Bone Overgrowth after Decompression Surgery 减压术后明显骨过度生长引起腰椎管狭窄

Case Reports in Orthopedics Pub Date : 2022-06-03 DOI: 10.1155/2022/9462399

Hiroya Shimauchi-Ohtaki, M. Minami, Toshiyuki Takahashi, Ryo Kanematsu, Fumiaki Honda, J. Hanakita

引用次数: 1

A Case Report of a Subdural Hematoma following Spinal Epidural prior to a Total Knee Arthroplasty 全膝关节置换术前发生硬膜下血肿1例

Case Reports in Orthopedics Pub Date : 2022-06-02 DOI: 10.1155/2022/7548593

Brian J. Carlson, David G. Deckey, H. Clarke, J. Bingham

{"title":"A Case Report of a Subdural Hematoma following Spinal Epidural prior to a Total Knee Arthroplasty","authors":"Brian J. Carlson, David G. Deckey, H. Clarke, J. Bingham","doi":"10.1155/2022/7548593","DOIUrl":"https://doi.org/10.1155/2022/7548593","url":null,"abstract":"Introduction This case report adds to current literature on management of a subdural hematoma following total knee arthroplasty and is particularly important as joint replacement moves into outpatient surgery centers where the orthopedic surgery team becomes the sole patient contact point. Case Presentation. A 66-year-old male presented to the emergency department five days after elective robotic-assisted left total knee arthroplasty performed with spinal epidural with the symptoms of a persistent nonpostural headache. CT of the head revealed a small bifrontal acute subdural hematoma. He was admitted for overnight monitoring as a precaution. No vascular abnormalities or underlying pathology was found on further advanced imaging. He was discharged the following morning after follow-up CT showed no focal changes. Magnetic resonance imaging (MRI) one month later confirmed resolution of the subdural hematoma. Conclusion Orthopedic surgeons should be aware of the signs and symptoms, as well as the risk factors for subdural hematomas following lumbar puncture, as it is a rare, but potentially life-threatening complication of spinal epidural.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88861692","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

Lumbar Radiculopathy Caused by Epidural Gas Collection 硬膜外气体积聚所致腰椎神经根病

Case Reports in Orthopedics Pub Date : 2022-05-30 DOI: 10.1155/2022/8338131

Dong Hu, Kai Xu, Songhua Xiao

引用次数: 1

Osteochondritis Lesions of the Ischiopubic Area in Young Adolescents 青少年坐骨耻骨区的骨软骨炎病变

Case Reports in Orthopedics Pub Date : 2022-05-30 DOI: 10.1155/2022/3573419

N. Laliotis, C. Chrysanthou, P. Konstandinidis, L. Giannakopoulou, A. Moumtzouoglou

{"title":"Osteochondritis Lesions of the Ischiopubic Area in Young Adolescents","authors":"N. Laliotis, C. Chrysanthou, P. Konstandinidis, L. Giannakopoulou, A. Moumtzouoglou","doi":"10.1155/2022/3573419","DOIUrl":"https://doi.org/10.1155/2022/3573419","url":null,"abstract":"Osteochondritis of the ischiopubic area is a rare disease of children that presents with hip pain and limping. Careful examination and appropriate investigations are essential to establish a definite diagnosis. We report a case series of four children, ages 10–14-year-old, with osteochondritis of the ischiopubic area. Plain X-ray examination showed an area of diffuse irregular calcification of the ischium in two of the children, while in the other two there was an asymmetrical enlargement of the ischiopubic synchondrosis. MRI investigation was the most helpful examination. Bone edema was found in all four children. A calcified mass separated from the host ischium was found in the first two children. The cortex was normal, without irregular destruction. Bone edema of both the ischium and pubic alongside the synchondrosis was found in the following two children, with intact cortices and asymmetrical enlargement. Osteochondritis lesions of the ischium and the ischiopubic area have radiological findings similar to several severe diseases. Bone edema on MRI investigation in children must be properly evaluated. Appropriate radiological examination enabled us to confirm the diagnosis of the osteochondritis and to avoid unnecessary procedures. We want to draw attention to the rare diagnosis of osteochondritis of the ischiopubic area, and the clinical significance, as a cause of hip pain and limping in children.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84184382","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

Acetabular Reconstruction Using Multiple Porous Tantalum Augments: Three-Quarter Football Augment 使用多个多孔钽增强物重建髋臼:四分之三足球增强物

Case Reports in Orthopedics Pub Date : 2022-05-21 DOI: 10.1155/2022/7954052

C. Ansorge, M. Ohlmeier, T. Ballhause, T. Gehrke, M. Citak, M. Lee

引用次数: 1

Ipsilateral Simultaneous Low-Energy Multiple Upper Limb Fractures in an Elderly Patient: Case Report and Review of the Literature 老年患者同侧同时低能多发上肢骨折一例:病例报告及文献复习

Case Reports in Orthopedics Pub Date : 2022-05-18 DOI: 10.1155/2022/3571724

Dany k. Aouad, Rabih Kortbawi, M. Daher, A. Nehme, Ramzi C Moucharafieh, Mohammad I. Badra

引用次数: 0

Talar Body Fracture Treated by Hindfoot Endoscopic Reduction and Internal Fixation 后足内镜复位内固定治疗距骨体骨折

Case Reports in Orthopedics Pub Date : 2022-05-16 DOI: 10.1155/2022/6183508

A. Shimmyo, S. Morimoto, T. Tachibana, Tomoya Iseki

{"title":"Talar Body Fracture Treated by Hindfoot Endoscopic Reduction and Internal Fixation","authors":"A. Shimmyo, S. Morimoto, T. Tachibana, Tomoya Iseki","doi":"10.1155/2022/6183508","DOIUrl":"https://doi.org/10.1155/2022/6183508","url":null,"abstract":"Background A talar body fracture is relatively rare. Surgical treatment for the fracture is generally indicated for the displaced fracture types and traditionally performed via open approaches. However, open approaches may not be able to achieve adequate exposure of the talus body owing to the difficulty in achieving reduction and fixation of the fracture. In this case report, we describe a case of talar body fracture treated by hindfoot endoscopic reduction and internal fixation. Case report. A 39-year-old man who was a carpenter complained of right hindfoot pain after he fell from a stepladder during work. Although plain radiographs of the right ankle showed no abnormal findings, noncontrast computed tomography demonstrated a fracture line from the lateral side of the posterior lateral process to the medial side of the talus body. In addition, the fracture line extended to the posterior ankle and subtalar joints, and the bone fragment was slightly displaced. We diagnosed him with the talar body fracture and performed operative treatments using hindfoot endoscopic reduction and internal fixation. At 14 weeks after the operation, he was able to return to work at the preinjury activity level without dysfunction of the ankle nor complications. Conclusion We reported a case of talar body fracture treated by hindfoot endoscopic reduction and internal fixation. In this case, the hindfoot endoscopic technique provided visualization of the fracture site with less invasiveness and increased safety, which enabled proper reduction and internal fixation of the fracture site. Therefore, the patient was able to return to work at the preinjury activity level at 14 weeks after surgery without dysfunction of the ankle nor complications. This surgical technique may be a useful option for the talar body fracture.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89140325","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

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