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Case Reports in Orthopedics

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https://www.readbyqxmd.com/read/28078154/a-rare-case-of-pheohyphomycotic-lumbar-spondylodiscitis-mistreated-as-koch-s-spine
#1
Shakti A Goel, Hitesh N Modi, Yatin J Desai, Harshal P Thaker
Pheohyphomycosis is an uncommon infection and its association in spondylodiscitis has not yet been reported. The purpose of this case report is to describe a rare case of Pheohyphomycotic spondylodiscitis and methods to diagnose and manage the patient with less invasive techniques. A 29-year-old male patient presented to the outpatient department with complaints of gradually increasing low back pain with bilateral lower limbs radicular pain since one and a half years. He had associated fever, weight loss, voice changes, and dry, scaly, erythematous skin with elevated ESR...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28078153/a-delayed-postoperative-c5-palsy-due-to-spinal-cord-lesion-a-typical-clinical-presentation-but-unusual-imaging-findings
#2
Nobuaki Tadokoro, Yusuke Kasai, Katsuhito Kiyasu, Motohiro Kawasaki, Ryuichi Takemasa, Masahiko Ikeuchi
Postoperative C5 palsy (C5 palsy) is a troublesome complication after cervical spine surgery and its etiology is still unclear. We experienced a case of C5 palsy after anterior decompression with fusion for cervical ossification of posterior longitudinal ligament with the typical clinical presentation of left deltoid and bicep weakness and left-arm pain without deterioration of myelopathy symptoms, albeit with the unusual imaging findings not shown preoperatively of a swelling in the spinal cord, and intramedullary high intensity change on T2-weighed MRI...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28078152/an-unusual-traumatic-presentation-luxatio-erecta-humeri-and-concomitant-hip-dislocation
#3
Mehmet Demirel, Berkan Anarat, Mehmet Ersin, Ali Erşen, Cengiz Şen
Introduction. Inferior dislocation of the glenohumeral joint, known as luxatio erecta humeri, and posterior hip dislocation are both rare presentations in the emergency department. The most common aetiology is falling for luxatio erecta humeri. The aim of this manuscript was to present a unique case in terms of luxatio erecta humeri, which has a different aetiology, treatment method, and concomitant injury. Presentation of Case. We report a construction worker who was rescued from a collapsed building who presented with both luxatio erecta humeri and complex posterior hip dislocation...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28070435/combined-isolated-laugier-s-fracture-and-distal-radial-fracture-management-and-literature-review-on-the-mechanism-of-injury
#4
Walid Osman, Meriem Braiki, Zeineb Alaya, Nader Naouar, Mohamed Ben Ayeche
Introduction. Isolated fracture of the trochlea is an uncommon condition requiring a particular mechanism of injury. Its association with a distal radial fracture is rare. We aimed through this case report to identify the injury mechanism and to assess surgical outcomes. Case Presentation. We report a 26-year-old female who was admitted to our department for elbow trauma following an accidental fall on her outstretched right hand with her elbow extended and supinated. On examination, the right elbow was swollen with tenderness over the anteromedial aspect of the distal humerus...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28070434/cartilage-delamination-flap-mimicking-a-torn-medial-meniscus
#5
Gan Zhi-Wei Jonathan, Hamid Rahmatullah Bin Abd Razak, Mitra Amit Kanta
We report a case of a chondral delamination lesion due to medial parapatellar plica friction syndrome involving the medial femoral condyle. This mimicked a torn medial meniscus in clinical and radiological presentation. Arthroscopy revealed a chondral delamination flap, which was debrided. Diagnosis of chondral lesions in the knee can be challenging. Clinical examination and MRI have good accuracy for diagnosis and should be used in tandem. Early diagnosis and treatment of chondral lesions are important to prevent progression to early osteoarthritis...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28070433/a-surgical-opinion-in-a-36-week-pregnant-with-tibia-fracture-intramedullary-nailing
#6
Celal Bozkurt, Baran Sarikaya
The operative treatment of tibial fractures in late pregnancy is a controversial issue that is rarely discussed in the literature. Here we present a case of a tibial diaphyseal fracture in a woman that was 36 weeks pregnant, which was treated with intramedullary nails under noninvasive foetal monitoring with cardiotocography. The patient underwent a successful surgery, and no harm or adverse events to either the mother or the foetus were reported during or after the procedure. Following surgery, the mother had a comfortable pregnancy and a normal spontaneous vaginal delivery with a healthy newborn...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28050296/a-case-of-penicillin-resistant-veillonella-prosthetic-joint-infection-of-the-knee
#7
Claudia R Libertin, Joy H Peterson, Mark P Brodersen, Tamara Huff
Veillonella sp. and V. dispar are emerging pathogens. This is the third case of a monomicrobial Veillonella sp. prosthetic joint infection (PJI) among knees and hips; this is the second prosthetic knee infection described. The infection was treated with a 2-stage procedural approach combined with 6 weeks of ceftriaxone with excellent clinical response. There was no relapse in 2 years of follow-up care. This case exemplifies the importance of incubating anaerobic cultures for at least 7 days to grow some anaerobic pathogens...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28003923/interdigital-neuroma-in-the-second-intermetatarsal-space-associated-with-metatarsophalangeal-joint-instability
#8
Takumi Matsumoto, Song Ho Chang, Naohiro Izawa, Yohei Ohshiro, Sakae Tanaka
The entrapment theory is the most commonly accepted theory concerning the development of interdigital neuroma; it incriminates the deep transverse metatarsal ligament as the major causative factor of the condition. This report presents a patient with interdigital neuroma in the second intermetatarsal space, which was strongly suspected to be caused by the metatarsophalangeal joint instability due to plantar plate injury. Surgical intervention revealed that the neuroma was located more distally and dorsally than the deep transverse metatarsal ligament and was pinched between the adjacent metatarsal heads, suggesting the involvement of the metatarsophalangeal joint instability and chronic trauma as etiologies in this case...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27999700/unusual-presentation-of-popliteal-cyst-on-magnetic-resonance-imaging
#9
Tsuyoshi Ohishi, Masaaki Takahashi, Daisuke Suzuki, Yukihiro Matsuyama
Popliteal cyst commonly presents as an ellipsoid mass with uniform low signal intensity on T1-weighted magnetic resonance images and high signal intensity on T2-weighted images. Here, we describe a popliteal cyst with unusual appearance on magnetic resonance imaging, including heterogeneous intermediate signal intensity on T2-weighted images. Arthroscopic cyst decompression revealed that the cyst was filled with necrotic synovial villi, indicative of rheumatoid arthritis. Arthroscopic enlargement of unidirectional valvular slits with synovectomy was useful for the final diagnosis and treatment...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27994901/avulsion-fracture-of-the-coracoid-process-at-the-coracoclavicular-ligament-insertion-a-report-of-three-cases
#10
Takeshi Morioka, Kiyohisa Ogawa, Masaaki Takahashi
Avulsion fracture at the site of attachment of the coracoid process of the coracoclavicular ligament (CCL) is extremely rare. We presented three adult cases of this unusual avulsion fracture associated with other injuries. Case  1 was a 25-year-old right-handed male with a left distal clavicular fracture with an avulsion fracture of the coracoid attachment of the CCL; this case was treated surgically and achieved an excellent outcome. Case  2 was a 39-year-old right-handed male with dislocation of the left acromioclavicular joint with two avulsion fractures: one at the posteromedial surface of the coracoid process at the attachment of the conoid ligament and one at the inferior surface of the clavicle at the attachment site of the trapezoid ligament; this case was treated conservatively, and unfavorable symptoms such as dull pain at rest and sharp pain during some daily activities remained...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27990308/delayed-reconstruction-by-total-calcaneal-allograft-following-calcanectomy-is-it-an-option
#11
Benjamin Degeorge, Louis Dagneaux, David Forget, Florent Gaillard, François Canovas
Many options are available in literature for the management of delayed reconstruction following calcanectomy. In cases of low-grade tumor lesions, conservative surgery can be considered. We describe a case of delayed reconstruction by calcaneal allograft after calcanectomy for low-grade chondrosarcoma. At 12-month follow-up, the patient had no pain; MSTS score and AOFAS score were satisfactory. Subtalar nonunion was observed with no secondary displacement or graft necrosis. The aim of conservative treatment for this patient was to restore normal gait with plantigrade locomotion and function of the Achilles tendon...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27974984/technical-innovation-case-report-ultrasound-guided-prolotherapy-injection-for-insertional-achilles-calcific-tendinosis
#12
Benjamin K Buchanan, Jesse P DeLuca, Kyle P Lammlein
We describe the use of ultrasound guidance for hyperosmolar dextrose (prolotherapy) injection of the distal calcaneal tendon specifically just anterior to identified enthesophytes in patients with insertional Achilles calcific tendinosis refractory to conservative treatment. This specific technique has not to our knowledge been described or used in literature previously.
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27895949/primary-ewing-s-sarcoma-of-the-spine-in-a-two-year-old-boy
#13
Ali J Electricwala, Jaffer T Electricwala
Ewing's Sarcoma (ES) is a highly malignant bone tumour. It may involve any part of the skeleton but the most frequent parts are the ilium and diaphysis of femur and tibia (Alfeeli et al., 2005; Zhu et al., 2012). Primary ES of the spine is extremely rare (Yan et al., 2011). It accounts for only 3.5 to 14.9 percent of all primary bone sarcomas. The age of presentation ranges from 12 to 24 years (median 21 years) (Ferguson, 1999; Sharafuddin et al., 1992; Klimo Jr. et al., 2009). We report an unusual case of primary ES of the spine in a two-year-old boy, who presented to us with paraparesis and features of cauda equina syndrome...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27847665/an-unusual-and-complicated-course-of-a-giant-cell-tumor-of-the-capitate-bone
#14
Ingo Schmidt
A 51-year-old female patient presented with a carpal giant cell tumor (GCT) of the right capitate bone. The lesion was initially misdiagnosed as having an osteomyelitis. First, the diagnosis of a benign GCT was confirmed by histological examination. Second, an intralesional curettage and packing of the cavity with cancellous iliac crest bone grafts combined with a fusion of the third carpometacarpal (CMC III) joint were carried out. Third, due to a secondary midcarpal osteoarthritis and a secondary scaphoid nonunion, the CMC III joint fusion plate was removed and the midcarpal joint completely excised...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27843662/neck-of-femur-fracture-in-a-patient-with-a-chronic-osteomyelitis-of-the-ipsilateral-foot
#15
Anne-Carolin Döring, Anne J H Vochteloo, Kees van Doorn, Rianne M H A Huis In 't Veld, Anil Peters
This case report describes a successful two-stage treatment in a 75-year-old male with a displaced neck of femur fracture, also suffering from an active chronic osteomyelitis of the ipsilateral calcaneus. In our case, a below-knee amputation was performed first, followed by total hip arthroplasty two weeks later. At 15-month follow-up, full recovery of the prefracture level of activities of daily living without significant impairment was obtained. Only a few cases of total hip arthroplasty in amputees have been published, but the indication for surgery was mainly traumatic or advanced osteoarthritis...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27843661/metastatic-prostate-cancer-of-hand
#16
Akihito Nagano, Takatoshi Ohno, Koji Oshima, Daichi Ishimaru, Yutaka Nishimoto, Yoshiyuki Ohno, Akihiro Hirakawa, Tatsuhiko Miyazaki, Haruhiko Akiyama
Soft tissue metastases of prostate cancer to other sites are extremely rare, and, to our best knowledge, there have been no reports of metastasis to soft tissue of the hand. A 63-year-old man was diagnosed with prostatic cancer. During treatment, bone and soft tissue metastases to the right hand, appearing in the first web space, were observed. The tumor was resected, along with both the first and second metacarpal bones. The thumb was reconstructed by pollicization of the remaining index finger, enabling the patient to use the pollicized thumb for activities of daily living...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27840757/bilateral-simultaneous-quadriceps-tendon-rupture-in-a-24-year-old-obese-patient-a-case-report-and-review-of-the-literature
#17
Fahad H Abduljabbar, Abdulaziz Aljurayyan, Bayan Ghalimah, Lawrence Lincoln
Introduction. Simultaneous bilateral quadriceps tendon ruptures (SBQTR) are uncommon knee injuries and most frequently occur in male patients, over 50 years of age. It can be associated with one or more predisposing risk factors like obesity, steroids use, and hyperparathyroidism. The main focus of this paper is to review SBQTR in obese patients. Case Report. We are reporting the youngest patient in the literature to date, a 24-year-old obese male patient, who presented to the emergency department complaining of bilateral knee pain and inability to walk after a fall during a basketball game...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27833771/magnesium-based-absorbable-metal-screws-for-intra-articular-fracture-fixation
#18
Roland Biber, Johannes Pauser, Markus Geßlein, Hermann Josef Bail
MAGNEZIX® (Syntellix AG, Hanover, Germany) is a biodegradable magnesium-based alloy (MgYREZr) which is currently used to manufacture bioabsorbable compression screws. To date, there are very few studies reporting on a limited number of elective foot surgeries using this innovative implant. This case report describes the application of this screw for osteochondral fracture fixation at the humeral capitulum next to a loose radial head prosthesis, which was revised at the same time. The clinical course was uneventful...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27833770/double-layered-lateral-meniscus-in-an-8-year-old-child-report-of-a-rare-case
#19
Susumu Araki, Mitsuhiko Kubo, Kosuke Kumagai, Shinji Imai
Reports of congenital abnormalities of the lateral meniscus include discoid meniscus, accessory meniscus, double-layered meniscus, and ring-shaped meniscus. Particularly, only a few cases of double-layered meniscus have been reported. We report a case of double-layered lateral meniscus, in which an additional semicircular meniscus was observed under the normal lateral meniscus. The accessory hemimeniscus was resected by means of arthroscopic surgery. This case demonstrates an interesting and extremely rare anatomical abnormality of the lateral meniscus...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27833769/first-case-report-of-a-late-onset-knee-periprosthetic-joint-infection-caused-by-lactococcus-garvieae
#20
V-I Neagoe, S Zytoun, H-J Neuhaus
Lactococcus garvieae is known as a Gram-positive, catalase-negative, and facultatively anaerobic fish pathogen. The association between Lactococcus spp. and human infectious diseases is described as being mainly associated with lumbar osteomyelitis, hepatic abscess, and infective endocarditis. In the literature of orthopedic post-prosthetic infections, L. garvieae was associated with a case of hip prosthetic infection in a fishmonger woman. We present the case of a 79-year-old male patient with multiple comorbidities, who is admitted to our center with a 5-day history of pain, swelling, and motility disorder of the right knee by the presence of a bicondylar knee replacement surgery, which was performed due to gonarthrosis 17 years ago...
2016: Case Reports in Orthopedics
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