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Journal of Clinical Orthopaedics and Trauma

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https://www.readbyqxmd.com/read/29928108/nora-s-lesion-of-2nd-metacarpal-treated-by-wide-excision-autologous-fibular-grafting-and-metacarpophalangeal-joint-replacement-a-rare-case-report
#1
Kavin Khatri, Vivek Tiwari, Shah Alam Khan, Devajit Nath, Asit Ranjan Mridha, Amrut Raje
Bizarre paroxysmal osteochondromatous proliferation (BPOP) is a rare benign neoplastic lesion predominantly affecting small bones of the hand and known for its recurrence after local excision. We describe a rare case of BPOP involving second metacarpal of the dominant hand which was treated using a novel technique. Wide excision and reconstruction with non-vascularised fibular autograft was performed along with metacarpophalangeal joint replacement. At a follow up of two years, there was no evidence of recurrence and patient had good functional outcome...
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928107/intrathoracic-fracture-dislocation-of-the-shoulder
#2
Alberto Izquierdo Fernández, Angel González Fernández
Intrathoracic dislocation of the shoulder is a rare condition that usually occurs after high-energy trauma. Etiology, mechanism of injury and associated lesions are diverse. We present the case of a patient who suffered a great height fall, treated with removal of the humeral head and implantation of a shoulder hemiarthroplasty. One year after the surgery, the patient was pain free and the Constant score was 70 points.
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928106/bilateral-clubfeet-two-feet-or-one-patient
#3
Anil Agarwal, Nargesh Agrawal, Neeraj Gupta
No abstract text is available yet for this article.
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928105/an-unusual-presentation-of-patella-and-fifth-metatarsal-base-fractures-in-a-patient-with-osteopetrosis
#4
Anuj Chawla, Ernest B K Kwek
No abstract text is available yet for this article.
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928104/a-case-report-on-rare-occurrence-of-periosteal-ganglion-cyst-in-femoral-intercondylar-region
#5
Padmanabh H Vora, Neel M Bhavsar, Rameez Musa, Ajay Trivedi, Prarthan Amin
Ganglions are the cysts derived from myxomatous degeneration of periarticular tissue, commonly found around wrist and foot. Ganglion cysts are uncommon in Knee region and if present their occurrence is mostly incidental and benign. Based on their location, this could be extraarticular or intraarticular. Lesions with similar pathology in subchondral region around joints are lesser common entity called Intraosseous ganglions. Rarer still is the lesion produced by myxomatous degeneration of periosteum of long bone, called periosteal ganglion...
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928103/descending-genicular-artery-injury-following-transient-lateral-patellar-dislocation
#6
Andrea Silvestri, Dario Regis, Giacomo Trivellin, Marco Piccoli, Mauro Spina, Bruno Magnan, Andrea Sandri
Transient lateral patellar dislocation (TLPD) is a common lesion in young adults. Vascular injury as a complication of TLPD has not been previously described. We report a case of descending genicular artery (DGA) injury after TLPD. Immediate angiography demonstrated rupture of DGA. Embolization was performed with sudden interruption of bleeding. DGA injury should be considered as a complication after TLPD and prompt diagnosis and intervention are required. We propose selective embolization as a safe and effective procedure to stop bleeding...
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928102/bicondylar-conjoint-hoffa-s-fracture-with-patella-entrapped-in-the-fracture-a-rare-case-report
#7
Bushu Harna, Divyanshu Dutt Dwivedi, Hemant Kumar Pippal, Dhananjaya Sabat
Bicondylar Hoffa fracture involving both the femoral condyles is a rare injury. Conjoint variety with intact bone bridge between condyles in intercondylar notch area is even rare. We report a conjoint variety of bicondylar open grade III A Hoffa's fracture with patella entrapped in the fracture with quadriceps rupture in an adult which was surgically treated with initial debridement and later open reduction with fixation and quadriceps repair. The final outcome at 1 year post injury is satisfactory. To the best of our knowledge, no such case has been reported till date in English literature...
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928101/pubic-symphysis-diastasis-sustained-from-a-waterslide-injury
#8
Michael Williamson, Felice Vanacore, Caroline Hing
Pubic symphysis diastasis injuries typically occur following a high velocity force such as road traffic accidents, horse riding, crush injuries and falls from a height. There are reports of a range of injuries caused by waterslides including spinal fractures, head injuries and vaginal injuries. Here we report the case of a 50-year-old female who suffered a pelvic diastasis injury during the use of a waterslide.
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928100/bone-cement-pmma-arterio-venogram-following-total-hip-arthroplasty-case-series
#9
Hemanth Kumar Venkatesh, Mohammad Shoaib
No abstract text is available yet for this article.
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928099/nilotinib-induced-avascular-necrosis-of-femoral-head-in-an-adult-chronic-myeloid-leukemia-patient
#10
Shinto Francis Thekkudan, Soniya Nityanand
We report a rare case of avascular necrosis of femoral head (AVNFH) in an adult chronic myeloid leukemia - chronic phase (CML-CP) patient during due course of therapy with second line Tyrosine Kinase Inhibitor (TKI), Nilotinib. A high index of clinical suspicion should be kept in any symptomatic CML patient on TKI's.
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928098/aggressive-osteoblastoma-of-the-acetabulum-a-diagnostic-dilemma
#11
Abhimanyu Sharma, Priyanka Gogoi, Rajesh Arora, Rehan Ul Haq, Ish Kumar Dhammi, Shuchi Bhatt
Osteoblastoma is a rare tumor and represents about 0.8% of all bone tumors. The aggressive variant is even rarer and difficult to diagnose. We present a case of a 17 year old male with a tumor of the acetabulum with characteristic epithelioid osteoblasts and other features of an aggressive osteoblastoma. It is important to recognize this entity as it can be clinically confused with an osteosarcoma. Our case not only showed epithelioid morphology but also had vacuolated cytoplasm, which simulated a mucin secreting adenocarcinoma...
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928097/bridging-the-gap-a-technique-to-avoid-limb-length-discrepancy-in-arthroplasty-for-femoral-neck-fracture-a-case-report
#12
Aakash Mugalur
Equalizing limb length is of paramount importance for optimal outcome in patients undergoing hip arthroplasty(HA). Numerous techniques have been described for avoiding limb length discrepancy (LLD) in patients undergoing HA. However their applicability in patients undergoing HA for neck of femur(NOF) fractures remains questionable due to dissociation between the femur and the head. I hereby describe a novel yet simple technique for better utilization of already established techniques to avoid LLD in NOF fractures undergoing HA...
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928096/intertrochanteric-fracture-associated-with-undiagnosed-ipsilateral-incomplete-atypical-femoral-shaft-fracture-without-bisphosphonate-use-unique-case-report-and-literature-review
#13
Ioannis Papaioannou, Andreas Baikousis, Panagiotis Korovessis
No abstract text is available yet for this article.
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928095/rare-case-of-atypical-femoral-fracture-with-blocked-medullary-canal-associated-with-bisphosphonate-therapy
#14
A Shetty, P Shenoy, A Bari, R Swaminathan
Bisphosphonates are widely used for treatment of osteoporosis and its use is increasing in geriatric population. Atypical femoral fractures are associated with bisphosphonate therapy. We report an unusual case of femoral shaft fracture following bisphosphonate therapy where the femoral canal of the proximal and distal fracture fragments was blocked and its management.
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928094/solitary-anterior-osteochondroma-of-cervical-spine-an-unusual-cause-of-dysphagia-and-review-of-literature
#15
Bhavuk Garg, Sahil Batra, Vivek Dixit
No abstract text is available yet for this article.
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29928093/paraspinal-schwannoma-of-dorsal-ramus-nerve-a-case-report
#16
Kunal Ajay Shah, Ajay Chimanlal Shah
Spinal Schwannomas are benign nerve sheath tumors and the most common intradural extramedullary tumors of the spine, mainly occurring in the cervical and lumbar region. The location distinct from the spinal canal is very rare. We report a rare case of a 45year old male with Schwannoma in the dorsal paraspinal musculature. Complete surgical excision of the lesion was performed with clear margins and neuropathological analysis revealed a Schwannoma. There has been no recurrence after 6 months.
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29896026/results-of-ring-ilizarov-fixator-in-high-energy-schatzker-type-vi-fractures-of-proximal-tibia
#17
Ujjwal Kanti Debnath, Dipak Kumar Jha, Prasanta Kumar Pujari
Background: High-energy fractures of proximal tibia (Schatzker VI) are associated with severe articular depression, separation of both condyles, diaphyseal comminution & dissociation with loss of integrity of the soft-tissue envelope. Complications of plating are well known since last 50years in these difficult fractures. An alternative method was proposed by Ilizarov (ring fixator) and was adopted for the treatment of these complex injuries. Aim of study: To analyse the results of patients who had ring fixator for the management of high-energy fractures (Schatzker VI) of the proximal tibia...
April 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29896025/comparison-and-agreement-of-outcome-scores-through-nine-months-after-acetabular-fracture-fixation
#18
José Luis Ramirez-Garcialuna, Fernando Dominguez-Paulin, Jesús Ramirez-Martinez, Luis Fernando Sanmiguel-Delgadillo
Introduction: The Modified Merle d'Aubigne-Postel Score and the Harris Hip Score are commonly used to assess the functional outcomes after acetabular fractures. A previous report showed that correlation between scores is good, that there is poor concordance among functional classes, and that the distribution of the scores is highly asymmetrical. Several issues were not addressed in this report, mainly that the data set was treated as transversal data without comparison of scores through time; therefore the objective of this article is to assess the degree of correlation and concordance between the Modified Merle d'Aubigne-Postel Score and the Harris Hip Score during the first 9 months after acetabular fracture treatment...
April 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29896024/prophylactic-inferior-vena-cava-filters-in-patients-with-fractures-of-the-pelvis-or-long-bones
#19
Paul D Stein, Fadi Matta, Mary J Hughes
Background: Which patients with fractures, if any, have a lower mortality with prophylactic inferior vena cava filters has yet to be established. The purpose of this investigation is to determine if patients with low-risk fractures might benefit from a prophylactic inferior vena cava filter. Methods: Administrative data was analyzed from the National (Nationwide) Inpatient Sample using ICD-9-CM codes. Included patients were aged 18 years or older with a primary diagnosis of non-complex fracture of the pelvis, or fracture of the femuralone, or fracture of the tibia and/or fibula...
April 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29896023/comparison-of-outcome-after-acl-reconstruction-in-terms-of-subjective-assessment-of-symptoms-and-function-and-clinical-assessment-of-ligament-stability
#20
Abhinav Bhardwaj, Narender Singh Solanki, Hemant Jain, Kishore Raichandani, Surbhi Raichandani, Vistasp Daruwalla
Background: The knee joint is frequently involved in sports and other injuries with Anterior cruciate ligament being a very common ligament to be injured. The Lachman test, pivot-shift test, and instrumented knee laxity examination are frequently used and reported for evaluation of ACL reconstruction. The aim of this study is to examine and evaluate the relationships between the clinical assessment of ligament stability and subjective assessment of symptoms and function after ACL reconstruction...
April 2018: Journal of Clinical Orthopaedics and Trauma
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