Case Reports in Orthopedics最新文献_第8页

An Unusual Inverted Talar Neck Fracture-Dislocation. 一例不寻常的距骨颈内翻骨折脱位。

Case Reports in Orthopedics Pub Date : 2022-01-01 DOI: 10.1155/2022/8014529

Brent Kokubun, Motasem Refaat

引用次数: 0

Pseudoaneurysm following Two-Stage Hip Revision with Fasciotomy. 两期髋关节翻修联合筋膜切开术后的假性动脉瘤。

Case Reports in Orthopedics Pub Date : 2022-01-01 DOI: 10.1155/2022/6254542

Jordan R Pollock, Kade S McQuivey, Collin L Braithwaite, Jennifer Swanson, Joshua S Bingham

{"title":"Pseudoaneurysm following Two-Stage Hip Revision with Fasciotomy.","authors":"Jordan R Pollock, Kade S McQuivey, Collin L Braithwaite, Jennifer Swanson, Joshua S Bingham","doi":"10.1155/2022/6254542","DOIUrl":"https://doi.org/10.1155/2022/6254542","url":null,"abstract":"In the setting of total hip arthroplasty (THA), pseudoaneurysms are extremely rare and can be difficult to diagnose, as clinical symptoms can mimic symptoms of other more common complications, such as periprosthetic joint infection, hematoma, and nerve damage. We present a case of a 69-year-old male with a history of slipped capital femoral epiphysis 56 years prior and subsequent right THA. The right hip primary arthroplasty was subsequently complicated by multiple dislocations and recurrent prosthetic joint infections. The most recent infection was treated with debridement, antibiotics, and implant retention (DAIR) in 2017. The patient later presented in 2019 with right thigh pain. Upon further analysis, he was diagnosed with Streptococcus bovis positive periprosthetic joint infection. The patient underwent a two-stage revision of the hip using an antibiotic spacer. Two weeks following the second stage, he presented with a sudden onset of uncontrolled atrial fibrillation with rapid ventricular response and a low hemoglobin. The computed tomography scan revealed a large hematoma involving both the anterior and posterior thigh compartments with lab markers that were questionable for infection. An operation to remove the hematoma revealed no purulence, and a large pulsatile pseudoaneurysm on the posterolateral aspect at the mid femur was found. A sharp bone fragment was noted next to the pseudoaneurysm. The pseudoaneurysm was repaired by a vascular surgeon, and the bone fragment was removed. Following this procedure, the patient developed a subsequent periprosthetic joint infection requiring a double DAIR procedure six weeks following the pseudoaneurysm repair and is now on chronic antibiotic suppression. Orthopedic surgeons should be aware of the potential for pseudoaneurysm in the setting of total joint arthroplasty when treating a postsurgical hematoma of sudden onset.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2022 ","pages":"6254542"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9807314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10546560","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 Iatrogenic Lumbar Foraminal Disc Herniations. 医源性腰椎间盘突出症2例。

Case Reports in Orthopedics Pub Date : 2021-12-24 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5546530

Ryota Taniguchi, Osamu Kawano, Takeshi Maeda, Yasuharu Nakajima, Yuichiro Morishita

{"title":"Two Cases of Iatrogenic Lumbar Foraminal Disc Herniations.","authors":"Ryota Taniguchi, Osamu Kawano, Takeshi Maeda, Yasuharu Nakajima, Yuichiro Morishita","doi":"10.1155/2021/5546530","DOIUrl":"https://doi.org/10.1155/2021/5546530","url":null,"abstract":"Objective: We report two cases of iatrogenic deterioration of lumbar foraminal disc herniations following lumbar disc injections. Summary of Background Data. Complications associated with discography were reported. However, only a few reports have thus far referred to the iatrogenic deterioration of lumbar foraminal disc herniations.Cases: 60-year-old and 74-year-old men were treated with MR images of L4-5 foraminal disc herniations without fragment in the spinal canal. The patients underwent discography and disc block for its diagnosis and treatment. After disc injections, both patients complained of deterioration of L4 radiculopathy.Results: On disco-CT or reexamined MR images after disc injections, herniated fragment was migrated from neural foramen to cranial central spinal canal with was not shown in previous MR images. The herniated fragments were extirpated by means of osteoplastic laminoplasty or transforaminal lumbar interbody fusion with facetectomy. The herniated fragments were migrated from neural foramen to cranial central spinal canal.Conclusions: The injection of liquid medicine into the nucleus led the intradiscal pressure increased, and the disc fragment might prolapsed through the raptured region of annulus fibrosus and migrated to cranial central spinal canal by anatomical reason. The disc injection may have a risk for deterioration of foraminal disc herniation. Our report is instructive for the management of discography for the diagnosis of foraminal disc herniations.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2021 ","pages":"5546530"},"PeriodicalIF":0.0,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8720017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39640469","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

Osteochondritis Dissecans Lesion of the Trochlear Groove: A Case of Nonsurgical Management for a Rare Lesion. 滑车沟夹层性骨软骨炎病变:一例罕见病变的非手术治疗。

Case Reports in Orthopedics Pub Date : 2021-12-13 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9776362

Paul Krebs, Nicholas Walla, David Flanigan

引用次数: 0

Repair of Acute Patellar Tendon Rupture Using an Internal Brace Technique. 内支架技术修复急性髌骨肌腱断裂。

Case Reports in Orthopedics Pub Date : 2021-11-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/1086625

Aki Fukuda, Shigeto Nakazora, Akinobu Nishimura, Ko Kato

引用次数: 1

Triceps Rupture and Repair in a Healthy, Young Woman following Rock Climbing. 健康年轻女性攀岩后肱三头肌断裂与修复

Case Reports in Orthopedics Pub Date : 2021-11-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3340479

Charles Qin, Sean Clancy, Jason Strelzow

引用次数: 3

Minced Cartilage in Combination with Autologous Bone Grafting for One-Step Osteochondral Defect Reconstruction in an Athlete's Knee. 碎软骨联合自体骨移植一步修复运动员膝关节骨软骨缺损一例。

Case Reports in Orthopedics Pub Date : 2021-11-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9501039

Diane Leyder, Christian Konrads, Patrick Ziegler, Stefan Döbele

{"title":"Minced Cartilage in Combination with Autologous Bone Grafting for One-Step Osteochondral Defect Reconstruction in an Athlete's Knee.","authors":"Diane Leyder, Christian Konrads, Patrick Ziegler, Stefan Döbele","doi":"10.1155/2021/9501039","DOIUrl":"https://doi.org/10.1155/2021/9501039","url":null,"abstract":"A 17-year-old student athlete suffering from stress-related knee pain asked for help. MRI revealed an unstable osteochondral lesion. Because of time pressure due to the patient's academic exams and his schedule as a basketball player, an autologous chondrocyte transplantation (ACT) as the standard surgical treatment plan was not accepted by the patient. This was mainly because of its two-step character three weeks in between surgeries. Therefore, a surgical one-step therapy option as alternative treatment to ACT was needed. The patient received simultaneous autologous cancellous bone grafting and minced cartilage procedure in a sandwich technique. After successful rehabilitation, the patient continued his studies of sports science and his active career as a basketball player successfully. Several different procedures are used for the treatment of cartilage defects. The following factors play a significant role: defect size, location, patient age, and sports ambitions. In the case described here, ACT would have been the conventional, but not the ideal option in the perspective of this individual patient because of the two-step surgery and the longer rehabilitation time. Therefore, the minced cartilage method presented a valid alternative, even though long-term data are still missing and prospective studies comparing this procedure with others are needed in the future.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2021 ","pages":"9501039"},"PeriodicalIF":0.0,"publicationDate":"2021-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8616675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39674434","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

Symptomatic Medial Bone Excrescence in the Distal Phalanx of the Hallux after the First Metatarsophalangeal Joint Arthrodesis: A Case Report and Radiographic Reviews. 第一跖趾关节融合术后拇远端指骨出现症状性内侧骨赘:1例报告及影像学复习。

Case Reports in Orthopedics Pub Date : 2021-11-17 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6035784

Yuji Maenohara, Ryutaro Takeda, Song Ho Chang, Yasunori Omata, Sakae Tanaka, Takumi Matsumoto

{"title":"Symptomatic Medial Bone Excrescence in the Distal Phalanx of the Hallux after the First Metatarsophalangeal Joint Arthrodesis: A Case Report and Radiographic Reviews.","authors":"Yuji Maenohara, Ryutaro Takeda, Song Ho Chang, Yasunori Omata, Sakae Tanaka, Takumi Matsumoto","doi":"10.1155/2021/6035784","DOIUrl":"https://doi.org/10.1155/2021/6035784","url":null,"abstract":"Medial bone excrescence at the base of the distal phalanx of the hallux is a common manifestation which is rarely painful. In this case report, we described the first case of the excrescence becoming symptomatic one year after a metatarsophalangeal (MTP) joint arthrodesis of the great toe in a 74-year-old female. The medial bony excrescence which was obscure preoperatively became obvious postoperatively in the anteroposterior foot radiographs. The patient was successfully treated by an excision of the excrescence. In order to clarify the pathology of the excrescence, we reviewed the radiographs with respect to the excrescence before and after hallux surgeries including 97 metatarsal osteotomies and 33 MTP joint arthrodesis. The width of the excrescence measured in the anteroposterior foot radiographs displayed substantial increment one month after the hallux surgeries (osteotomy group: 0.9 ± 0.7 vs. 1.5 ± 0.7 mm, p < 0.01; arthrodesis group: 1.3 ± 0.8 vs. 1.8 ± 1.0 mm, p < 0.01). However, there was no significant difference in the width of the excrescence between one month after surgery and at the most recent follow-up of around 20 months in average after the surgery (osteotomy group: 1.5 ± 0.7 vs. 1.4 ± 0.7 mm, p = 0.62; arthrodesis group: 1.8 ± 1.0 vs. 1.8 ± 0.7 mm, p = 0.37). The present case and our radiographic review suggested that the postoperative medial bony excrescence was not the result of change of position of the preexisting excrescence. The correction of pronation deformity through hallux surgeries could emphasize the medial bony excrescence and cause symptomatic irritation upon shoe contact.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2021 ","pages":"6035784"},"PeriodicalIF":0.0,"publicationDate":"2021-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8612784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39674433","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

Management of a Complex Supracondylar Periprosthetic Femur Fracture with Intramedullary Strut Allograft and Bilateral Locking Plates. 髓内异体支撑植骨和双侧锁定钢板治疗复杂的髁上股骨假体周围骨折。

Case Reports in Orthopedics Pub Date : 2021-11-17 eCollection Date: 2021-01-01 DOI: 10.1155/2021/4882382

Rita Moukarzel, Dany Aouad, Mohammad Daher, Wendy Ghanem, Hady Ezzeddine, George El Rassi

引用次数: 0

Lesser Tuberosity Avulsion Fracture in an 11-Year-Old Baseball Player due to Batting. 11岁棒球运动员因击球造成小结节撕脱骨折。

Case Reports in Orthopedics Pub Date : 2021-11-16 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2396200

Ryan Cheng, Jay Moran, Samantha Smith, Don Li, Christopher A Schneble, Shin Mei Chan, Elizabeth C Gardner

引用次数: 0