Case Reports in Orthopedics最新文献_第8页

Prosthetic Joint Infection due to Histoplasma capsulatum in a Patient from Trinidad: Workup, Pathology, and Treatment. 一例特立尼达患者因荚膜组织浆体引起的假体关节感染:检查、病理和治疗。

Case Reports in Orthopedics Pub Date : 2022-08-05 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8998996

James Satalich, Julie Reznicek, Alexandra Bryson, Prayag Pershad, Nicholas Hooper, Jibanananda Satpathy

引用次数: 0

A Surgical Case of Bow Hunter's Syndrome Diagnosed by Cervical Rotational MRA. 颈椎旋转MRA诊断弓亨特氏综合征1例。

Case Reports in Orthopedics Pub Date : 2022-08-04 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6091597

Hidenori Matsuoka, So Ohashi, Michihisa Narikiyo, Ryo Nogami, Keita Hashimoto, Hirokazu Nagasaki, Yoshifumi Tsuboi

{"title":"A Surgical Case of Bow Hunter's Syndrome Diagnosed by Cervical Rotational MRA.","authors":"Hidenori Matsuoka, So Ohashi, Michihisa Narikiyo, Ryo Nogami, Keita Hashimoto, Hirokazu Nagasaki, Yoshifumi Tsuboi","doi":"10.1155/2022/6091597","DOIUrl":"https://doi.org/10.1155/2022/6091597","url":null,"abstract":"Bow hunter's syndrome is an ischemic manifestation of vertebrobasilar artery (VA) insufficiency due to stenosis or occlusion of the contralateral VA at the bony elements of the atlas and axis during neck rotation. In early reports, VA stenosis at the craniovertebral junction was the main cause, but later, symptoms due to VA occlusion at the middle and lower cervical vertebrae were also included in this pathology. Although the confirmed diagnosis is usually determined by dynamic digital subtraction angiography (DSA), we have experienced a method of minimally invasive MR angiogram (MRA) that provides the same diagnostic value as DSA and would like to present it here. The patient was a 61-year-old man who had been visiting the outpatient clinic for cervical spondylosis due to neck pain for 9 months. When he rotated his neck to the left side, dizziness and syncope appeared. Initial MRA in the neutral position did not show any steno-occlusive changes in the vertebrobasilar artery. In our hospital, repeated MRA with the neck rotated 45 degrees to the left demonstrated ipsilateral left VA severe stenosis. Subsequent DSA showed the same findings, with occlusion of the left VA. CT of the cervical spine revealed a ventral C3/4 osteophyte within the foramen. Based on these findings, instability at the C3-4 during head rotation was considered the cause of the vertebrobasilar insufficiency. The patient underwent anterior discectomy and fusion (ACDF) at the C3/4 level using a cylindrical titanium cage. Immediately after the surgery, the patient's symptoms improved dramatically and did not appear even when the neck were fully rotated to the left. More than 5 years have passed since the surgery, and the patient is still in good health.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":" ","pages":"6091597"},"PeriodicalIF":0.0,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9371809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40613654","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

Arthroscopic Fixation of Symptomatic Meso-Type Os Acromiale: Technical Note. 有症状的中位型肩峰的关节镜固定:技术说明。

Case Reports in Orthopedics Pub Date : 2022-07-25 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1321934

Quen Oak Tang, Sherif Elnikety

引用次数: 0

Brachialis Muscle Rupture in a Pediatric Patient Followed Up by Ultrasound Examinations: A Rare Case Report. 小儿肱肌破裂经超声检查:一例罕见病例报告。

Case Reports in Orthopedics Pub Date : 2022-06-23 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3391350

Akihiro Yamaji, Masafumi Uesugi, Hiroshi Kamada, Harumitsu Ichimura, Masashi Yamazaki

{"title":"Brachialis Muscle Rupture in a Pediatric Patient Followed Up by Ultrasound Examinations: A Rare Case Report.","authors":"Akihiro Yamaji, Masafumi Uesugi, Hiroshi Kamada, Harumitsu Ichimura, Masashi Yamazaki","doi":"10.1155/2022/3391350","DOIUrl":"https://doi.org/10.1155/2022/3391350","url":null,"abstract":"Isolated brachial muscle injuries are relatively rare injuries and reportedly occur during forced elbow extension. Though commonly conservative treatment approach is adopted, the treatment criteria remain unclear. Here, we report the case of a patient who experienced functional recovery after conservative treatment for an isolated brachial muscle injury. The patient was an 8-year-old boy whose chief complaint was left elbow pain. The injury occurred when the patient fell while playing on gymnastics bars and bruised the palmar side of his left elbow on the bar. Owing to the pain in the left elbow, the patient came to our institution. There were no clear signs of deformities or swelling in the left elbow and no obvious tenderness. X-ray and computed tomography (CT) imaging examinations revealed no signs of a fracture or dislocation, and the patient was diagnosed with left brachialis muscle rupture based on magnetic resonance imaging (MRI). Although the brachialis muscle was complete ruptured, a healing tendency was seen on body surface ultrasound examinations over time, and the patient was treated conservatively. After 3 weeks of cast immobilization, the patient underwent range of motion exercises. Two months after the injury, there were no issues with elbow joint function in daily life activities and no limitations in range of motion. Here, MRI was used to diagnose brachialis muscle rupture, and ultrasound examinations were utilized to make treatment decisions.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":" ","pages":"3391350"},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9246635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40468261","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

A Change in the Classical Order of Setting of Porous Metal Augments with Locked Cups in Hip Revision Surgery: Technical Note and Case Report 髋部翻修手术中多孔金属增强物锁定杯传统设置顺序的改变:技术说明和病例报告

Case Reports in Orthopedics Pub Date : 2022-06-06 DOI: 10.1155/2022/4062172

A. Murcia-Asensio, F. Ferrero-Manzanal, P. Sanz-Ruíz, Hermenegildo Cañada-Oya, R. Lax-Pérez, C. Goetze

{"title":"A Change in the Classical Order of Setting of Porous Metal Augments with Locked Cups in Hip Revision Surgery: Technical Note and Case Report","authors":"A. Murcia-Asensio, F. Ferrero-Manzanal, P. Sanz-Ruíz, Hermenegildo Cañada-Oya, R. Lax-Pérez, C. Goetze","doi":"10.1155/2022/4062172","DOIUrl":"https://doi.org/10.1155/2022/4062172","url":null,"abstract":"Introduction Reconstruction of acetabular bone defects by the combination of trabecular metal augments and porous cups can be complex when extensive bone loss and poor-quality bone exists. The onset of porous cups with an interlocking mechanism may simplify surgical technique due to its superior initial mechanical stability. We endorse the possibility for a change in the classical order of setting of the augments and the cup. Methods We present a technical modification and a series of cases of three patients with Paprosky IIB and IIIA acetabular defects operated with a combination of porous metal augments and a porous cup. In all the three patients, the setting of the cup was done first and secured with locked screws, and then the augments were set in place as a wedge and fixed with screws in a standard fashion. Results The postoperative X-ray showed good position of implants with restoration of the center of rotation, and the patients had good recovery. Radiological evaluation in the midterm follow-up did not show mobilization of implants. Discussion. The use of metal porous augments is widely used for severe acetabular defects, being a versatile system to adapt to the different size defects. Nevertheless, its use may be technically demanding and time consuming. It is not infrequent that the setting of the augments conditions the final position of the cup with a possible interference with initial stability and eventually bone ingrowth of the cup. The interlocking mechanism offers an additional biomechanical stability and thus may allow us to place the cup first in the desired position with a less demanding technique. Conclusion With the use of locked-screw porous metal cups, the order of setting of implants may be changed in order to obtain a better restoration of the center of rotation and increased host-bone implant contact with a simplified surgical technique.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81184566","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

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