Case Reports in Orthopedics最新文献_第9页

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

“The Baltic Sea Germ”: A Case Report of Necrotizing Fasciitis following Vibrio vulnificus Infection “波罗的海细菌”:创伤弧菌感染后坏死性筋膜炎1例报告

Case Reports in Orthopedics Pub Date : 2022-03-23 DOI: 10.1155/2022/5908666

Heinz-Lothar Meyer, Christina Polan, M. Burggraf, L. Podleska, Paula Beck, H. Steinau, M. Dudda, F. Farzaliyev

{"title":"“The Baltic Sea Germ”: A Case Report of Necrotizing Fasciitis following Vibrio vulnificus Infection","authors":"Heinz-Lothar Meyer, Christina Polan, M. Burggraf, L. Podleska, Paula Beck, H. Steinau, M. Dudda, F. Farzaliyev","doi":"10.1155/2022/5908666","DOIUrl":"https://doi.org/10.1155/2022/5908666","url":null,"abstract":"Reported is an 80-year-old patient with septic shock from necrotizing fasciitis secondary to a Vibrio vulnificus (Vv) infection. The patient reports having been swimming in the Baltic Sea after a minor trauma to the left leg. Emergency superficial necrosectomy followed by intensive medical therapy was performed. Antibiotic therapy was initiated with a third-generation cephalosporin and a tetracycline. Vv was detected in the intraoperative microbiological smears. Instead of a leg amputation and a flap, due to the patient's age, a split skin covering to consolidate the wound was performed. Vv is a gram-negative rod bacterium of the genus Vibrio. Vv occurs in warm, low-salinity seawater (brackish water). In Germany, Vv occurs primarily in river mouths of the low-salinity Baltic Sea. Infections by Vv can occur through open wounds or by eating raw infected seafood, especially oysters. Infection via wounds often take a fulminant lethal course. Patients with chronic diseases, weakened immune system, and open wounds are particularly at risk. Infections with Vv are rare, but occur worldwide. Global warming is expected to spread Vv as water temperature increases and the dilution effect of sea level rise further decreases ocean salinity, and natural disasters promote the spread of Vv.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"173 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91042947","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

Dural Injury Treatment with a Full-Endoscopic Transforaminal Approach: A Case Report and Description of Surgical Technique 全内窥镜经椎间孔入路治疗硬脑膜损伤:一例报告及手术技术描述

Case Reports in Orthopedics Pub Date : 2022-03-15 DOI: 10.1155/2022/6570589

J. P. Bergamaschi, Fernando Flores de Araújo, Thiago Queiroz Soares, Kelsen de Oliveira Teixeira, L. H. Sandon, Ricardo Graciano Squiapati, G. Depieri, A. Lugão, Rangel Roberto de Assis, Esthael Cristina Querido Avelar Bergamaschi

{"title":"Dural Injury Treatment with a Full-Endoscopic Transforaminal Approach: A Case Report and Description of Surgical Technique","authors":"J. P. Bergamaschi, Fernando Flores de Araújo, Thiago Queiroz Soares, Kelsen de Oliveira Teixeira, L. H. Sandon, Ricardo Graciano Squiapati, G. Depieri, A. Lugão, Rangel Roberto de Assis, Esthael Cristina Querido Avelar Bergamaschi","doi":"10.1155/2022/6570589","DOIUrl":"https://doi.org/10.1155/2022/6570589","url":null,"abstract":"Introduction The objective of this study was to describe a surgical technique that uses transforaminal full-endoscopic access, which is different from the existing protocol, and to demonstrate another method of dural tear repair during endoscopic spine surgery. Background Endoscopic spine surgery was initially described for lumbar disc pathologies. Technical advances and new materials have made it possible to treat cervical and thoracic spinal degenerative disorders. These advances have also made it possible to treat surgical complications, notably dural tears with CSF fistulas. The literature indicates that the incidence of these injuries ranges from 1% to 17%. Materials and Methods Descriptive technical note of innovative and improved endoscopic surgical procedure exemplified with illustrative clinical case and comparative literature review. Results There is only one report describing a full-endoscopic suture technique for dural sac repair. The gold standard for treatment of the most significant nonpunctate lesions continues to be a conversion to open surgery for lesion closure. Conversion can be problematic because most surgeries are performed under sedation and local anesthesia. Conclusions In this case report and the new endoscopic suture technique described here, we show that primary correction of dural tears through endoscopy is possible. In addition to representing a paradigm break in solving one of the main complications of these procedures, it can expand the possibilities of spine endoscopy.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91068422","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

Brachymetatarsia: Surgical Management, Case Report, and Literature Review. 短跖骨畸形:外科治疗、病例报告及文献回顾。

Case Reports in Orthopedics Pub Date : 2022-03-10 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8253096

David Zhu, Maxime Lefèvre, Andréa Fernandez, Laurent Galois

{"title":"Brachymetatarsia: Surgical Management, Case Report, and Literature Review.","authors":"David Zhu, Maxime Lefèvre, Andréa Fernandez, Laurent Galois","doi":"10.1155/2022/8253096","DOIUrl":"https://doi.org/10.1155/2022/8253096","url":null,"abstract":"Background: Brachymetatarsia is defined by an abnormal shortening of the metatarsal bone. This rare condition is mostly primary and congenital. Consequences of this malformation are both esthetic and functional, due to pain and mechanical problems in the forefoot. Surgical management is an important part of patient care. There are two main options: gradual lengthening by progressive callotosis distraction using an external fixator and one stage lengthening using bone graft and osteotomy of the bone. This review presents two cases using the one stage lengthening surgical management method. We also discuss some reports in the literature with the aim to compare the advantages and disadvantages of the two surgical methods. Literature concerning the surgical management of brachymetatarsia was identified using the PubMed and Google Scholar databases. Patient Presentation. We describe two female patients aged 20 and 26 years who underwent one stage lengthening surgery of the fourth toe with isolated brachymetatarsia using an iliac bone graft and internal fixator plate. The two patients had a lengthening of around 10 mm after postoperative evaluation. No skin complications were noted, but one of the patients reported flexor stiffness after surgery. Concerning the functional and cosmetic aspects, the two patients are satisfied with the management.Conclusions: In the literature, one stage lengthening seems to be the most favorable option for the care of brachymetatarsia. Studies show a short healing time and fewer complications like infection, stiffness, malalignment, and malunion. Some reviews note the utility of the gradual lengthening of severe brachymetatarsia when a longer lengthening is necessary. There is no definite consensus concerning the management of brachymetatarsia.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":" ","pages":"8253096"},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8930250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40308422","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

A Child with a Painful Foot: How to Get a Definitive Diagnosis 一个脚痛的孩子:如何得到明确的诊断

Case Reports in Orthopedics Pub Date : 2022-03-08 DOI: 10.1155/2022/5105078

R. J. L. L. van de Kimmenade, D. Meijer, D. Hoornenborg, H. M. van der Vis

引用次数: 0