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Case Reports in Orthopedics

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https://www.readbyqxmd.com/read/28255488/traumatic-rupture-of-an-intermediate-tendon-in-a-patient-with-patellar-duplication
#1
Stéphane Pelet, Mathieu Hébert, Amerigo Balatri, Pierre-Alexandre LeBlanc
Patellar duplication is a rare asymptomatic condition. The diagnosis is often made following a traumatic event associated with an injury to the knee extensor mechanism. The treatment is often surgical and consists in removal of the smaller part of the patella with tendon reinsertion. The presence and rupture of an intermediate tendon between the two parts of the patella have not been reported in the modern literature. We present a traumatic rupture of an intermediate tendon in a patient with horizontal patellar duplication...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28255487/difficulty-in-fixation-of-the-volar-lunate-facet-fragment-in-distal-radius-fracture
#2
Hiroyuki Obata, Tomonori Baba, Kentaro Futamura, Osamu Obayashi, Atsuhiko Mogami, Hideki Tsuji, Yoshiaki Kurata, Kazuo Kaneko
Recent reports suggest the presence of a rare fracture type for which reduction and fixation cannot be achieved with volar locking plate (VLP). In particular, it is difficult to achieve reduction and fixation with volar lunate facet (VLF) fragments present on the volar ulnar aspect of the lunate facet, because of the anatomical structure and biomechanics in this region. Herein, we report two challenging cases of difficulty in fixation of the VLF fragment in distal radius fracture. For this fracture type, it is most important to identify the volar ulnar bone fragment before surgery; it may also be necessary to optimize distal placement of the VLP via a dual-window approach and to apply additional fixations, such as a small plate, anchor, and/or external fixation...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28255486/osteolysis-of-the-greater-trochanter-caused-by-a-foreign-body-granuloma-associated-with-the-ethibond%C3%A2-suture-after-total-hip-arthroplasty
#3
Keiji Kamo, Hiroaki Kijima, Koichiro Okuyama, Nobutoshi Seki, Shin Yamada, Naohisa Miyakoshi, Yoichi Shimada
The present case shows a case of progression of osteolysis of the greater trochanter caused by a foreign body granuloma associated with the number 5 Ethibond suture in cementless THA with the direct lateral approach that was completely healed by removal of the Ethibond suture. A 55-year-old Japanese woman with secondary osteoarthritis caused by acetabular dysplasia underwent left cementless THA with the direct lateral approach. After setting of the total hip prosthesis, the gluteus medius muscle and vastus lateralis muscle were reattached to the greater trochanter through two bone tunnels using number 5 Ethibond EXCEL sutures...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28255485/fixation-of-a-proximal-humeral-fracture-using-a-novel-intramedullary-cage-construct-following-a-failed-conservative-treatment
#4
John Macy
A majority of proximal humeral fractures are preferably treated conservatively. However, surgical management may be beneficial in proximal humeral fractures with significant displacement or angulation. Unfortunately, the complication rates associated with current surgical procedures for fracture fixation, ORIF and IM devices, can be unacceptably high. A new technology, termed the PH Cage, addresses the technical limitations associated with current technologies available for fixation of proximal humeral fractures...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28255484/surgical-management-of-multijoint-septic-arthritis-due-to-rat-bite-fever-in-a-pediatric-patient-a-case-study
#5
Adam M Wegner, Nicole Look, Brian M Haus
In the United States, rat-bite fever is a rare systemic illness principally caused by Streptobacillus moniliformis, an organism found in the nasopharyngeal flora of rodents. Infection through direct exposure to rat excreta such as saliva, urine, or feces can lead to fever, rash, and an asymmetric migratory polyarthritis. As rodents are becoming more popular as pets, more pediatric cases are being documented. We report a pediatric case of delayed onset septic arthritis in the left wrist and right knee due to S...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28255483/stenosing-tenosynovitis-of-the-flexor-hallucis-longus-tendon-associated-with-the-plantar-capsular-accessory-ossicle-at-the-interphalangeal-joint-of-the-great-toe
#6
Song Ho Chang, Takumi Matsumoto, Masashi Naito, Sakae Tanaka
This report presents a case of stenosing tenosynovitis of the flexor hallucis longus tendon associated with the plantar capsular accessory ossicle at the interphalangeal joint of the great toe, which was confirmed by intraoperative observation and was successfully treated with surgical resection of the ossicle. As the plantar capsular accessory ossicle was not visible radiographically due to the lack of ossification, ultrasonography was helpful for diagnosing this disorder.
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28251005/pectoralis-major-tear-with-retracted-tendon-how-to-fill-the-gap-reconstruction-with-hamstring-autograft-and-fixation-with-an-interference-screw
#7
L Baverel, K Messedi, G Piétu, V Crenn, F Gouin
Rupture of the pectoralis major tendon is considered an uncommon injury and a significant number of ruptures are missed or diagnosed late, leading to a chronic tear. We report an open reconstruction technique and its outcomes in a case of chronic and retracted PM tear. At the last follow-up (12 months), the patient was pain-free, with a visual analogic scale at 0 all the time. He was very satisfied concerning the cosmetic and clinical results. The constant score was 93%, the SST value 95%, and the Quick DASH score 4...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28246566/treating-early-knee-osteoarthritis-with-the-atlas%C3%A2-unicompartmental-knee-system-in-a-26-year-old-ex-professional-basketball-player-a-case-study
#8
Konrad Slynarski, Lukasz Lipinski
Knee osteoarthritis (OA) is a leading cause of disability among adults. Within the affected population, there exists a group of patients who have exhausted conservative treatment options and yet are not ideal candidates for current surgical treatments due to young age, early disease severity, or neutral mechanical knee alignment. For these patients, a new potential treatment option may be considered. We present an interesting case report of a young, ex-professional athlete treated with a minimally invasive load-altering implant (Atlas System) whose young age (26 years), disease status (tibiofemoral kissing lesions), and neutral mechanical limb alignment eliminated all traditional surgical treatment options such as high tibial osteotomy or arthroplasty...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28203471/lumbar-scoliosis-combined-lumbar-spinal-stenosis-and-herniation-diagnosed-patient-was-treated-with-u-route-transforaminal-percutaneous-endoscopic-lumbar-discectomy
#9
Binbin Wu, Shaobo Zhang, Qingquan Lian, Haibo Yan, Xianfa Lin, Gonghao Zhan
The objective was to report a case of a 63-year-old man with a history of low back pain (LBP) and left leg pain for 2 years, and the symptom became more serious in the past 5 months. The patient was diagnosed with lumbar scoliosis combined with lumbar spinal stenosis (LSS) and lumbar disc herniation (LDH) at the level of L4-5 that was confirmed using Computerized Topography and Magnetic Resonance Imaging. The surgical team preformed a novel technique, "U" route transforaminal percutaneous endoscopic lumbar discectomy (PELD), which led to substantial, long-term success in reduction of pain intensity and disability...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28197354/neuromuscular-coordination-deficit-persists-12-months-after-acl-reconstruction-but-can-be-modulated-by-6-weeks-of-kettlebell-training-a-case-study-in-women-s-elite-soccer
#10
Mette K Zebis, Christoffer H Andersen, Jesper Bencke, Christina Ørntoft, Connie Linnebjerg, Per Hölmich, Kristian Thorborg, Per Aagaard, Lars L Andersen
The aim of the present single-case study was to investigate the effect of 6 weeks' kettlebell training on the neuromuscular risk profile for ACL injury in a high-risk athlete returning to sport after ACL reconstruction. A female elite soccer player (age 21 years) with no previous history of ACL injury went through neuromuscular screening as measured by EMG preactivity of vastus lateralis and semitendinosus during a standardized sidecutting maneuver. Subsequently, the player experienced a noncontact ACL injury...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28197353/scaphoid-fracture-in-a-patient-with-a-scaphotrapezial-synostosis-a-case-report-and-literature-review
#11
Soliman Noureldin, Mohammed Ali, Farshid Fallahi, Thomas Dehler
Introduction. Scaphotrapezial synostosis has been rarely reported in the literature and only one case underwent surgical treatment for scaphoid fracture. Presentation of Case. A 15-year-old male presented with a painful left wrist following a fall. The initial radiographs showed a displaced scaphoid proximal pole fracture and a Scaphotrapezial synostosis. The fracture was then fixed percutaneously with satisfactory outcome. Discussion. Scaphotrapezial synostoses are very rare and most found in patients with multiple congenital anomalies or as part of a hereditary syndrome...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28194290/latissimus-dorsi-tendon-transfer-with-graftjacket%C3%A2-augmentation-to-increase-tendon-length-for-an-irreparable-rotator-cuff-tear
#12
John G Skedros, Tanner R Henrie
Massive irreparable rotator cuff tears can be reconstructed with latissimus dorsi tendon transfers (LDTT). Although uncommon, the natural length of the latissimus dorsi tendon (LDT) could be insufficient for transfer even after adequate soft tissue releases. Descriptions of cases where grafts were needed to lengthen the LDT are therefore rare. We located only two reports of the use of an acellular dermal matrix to increase effective tendon length in tendon transfers about the shoulder: (1) GraftJacket patch for a pectoralis major tendon reconstruction and (2) ArthroFlex® patch for LDTT...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28194289/an-interesting-case-of-intramuscular-myxoma-with-scapular-bone-lysis
#13
Jérôme Tirefort, Frank C Kolo, Alexandre Lädermann
Introduction. Intramuscular myxoma is a rare benign primitive tumor of the mesenchyme founded at the skeletal muscle level; it presents itself like an unpainful, slow-growing mass. Myxomas with bone lysis are even more rare; only 7 cases have been reported in the English literature, but never at the shoulder level. Case Presentation. We describe an 83-year-old patient with a growing mass in the deltoid muscle with unique scapular lysis, without any symptom. Magnetic resonance imaging (MRI) and a biopsy were performed and the diagnosis of intramuscular myxoma has been retained...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28168072/synovial-osteochondromatosis-at-the-carpometacarpal-joint-of-the-thumb
#14
Satoru Yonekura, Hiroyoshi Hagiwara, Takahiro Nishimura, Hiroshi Amagai, Mayu Yamamura, Osamu Miyamoto, Sueo Nakama
Synovial osteochondromatosis (SOC) is a benign tumor characterized by synovial connective tissue metaplasia. SOC commonly affects major joints including the knee followed by the hip, elbow, and wrist. SOC cases in the hand are not reported as often as SOC of major joints. Particularly SOC of the carpometacarpal joint of the thumb is rare. We report on a 57-year-old female with primary SOC of the carpometacarpal joint of her left thumb. Surgical excision was performed and the patient had no symptoms with full range of motion of her left thumb...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28163947/scedosporium-prolificans-septic-arthritis-and-osteomyelitis-of-the-hip-joints-in-an-immunocompetent-patient-a-case-report-and-literature-review
#15
Luca Daniele, Michael Le, Adam Franklin Parr, Lochlin Mark Brown
Scedosporium prolificans, also known as Scedosporium inflatum, is a fungus widespread in soil, sewage, and manure. This species is highly virulent and is an emerging opportunistic pathogen found in penetrating injuries in immunocompromised patients. Here we report on an immunocompetent patient with bilateral hip S. prolificans-associated osteomyelitis and septic arthritis caused by intentional penetrating trauma. The condition was refractory to initial antimicrobial suppression and surgical irrigation and debridement...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28154765/valgus-slipped-capital-femoral-epiphysis-in-patient-with-hypopituitarism
#16
Yoshihiro Kotoura, Yasuhiro Fujiwara, Tatsuro Hayashida, Koji Murakami, Satoshi Makio, Yuichi Shimizu, Yoshinobu Oka, Wook-Choel Kim, Taku Ogura, Toshikazu Kubo
Slipped capital femoral epiphysis (SCFE) is a common disease of adolescent and the epiphysis is positioned more posteromedially in relation to the femoral neck shaft with varus SCFE; however, posterolateral displacement of the capital epiphysis, valgus SCFE, occurs less frequently. We report a case of valgus SCFE in a 17-year-old boy with hypopituitarism. After falling down, he experienced difficulty in walking. The radiographs were inconclusive; however three-dimensional computed tomography images showed lateral displacement of the epiphysis on the right femoral head...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28133559/a-subdermal-osteochondroma-in-a-young-girl
#17
Heather A Cole, Hernan Correa, Jonathan G Schoenecker
Osteochondromas are common benign tumors of cartilage and bone. They are usually found as contiguous bone with a cartilage cap at the end of the growth plate of long bones. Similar to structure are extraskeletal osteochondromas. However, unlike typical osteochondromas, extraskeletal osteochondromas are noncontinuous with bone. To our knowledge, all reported extraskeletal osteochondromas have been contained within fascial compartments. Here we present the case of a 5-year-old female who had a slow growing mass of the anterior distal right thigh...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28133558/myelopathy-due-to-spinal-extramedullary-hematopoiesis-in-a-patient-with-polycythemia-vera
#18
Shuhei Ito, Nobuyuki Fujita, Naobumi Hosogane, Narihito Nagoshi, Mitsuru Yagi, Akio Iwanami, Kota Watanabe, Takashi Tsuji, Masaya Nakamura, Morio Matsumoto, Ken Ishii
Extramedullary hematopoiesis (EMH) occasionally occurs in patients exhibiting hematological disorders with decreased hematopoietic efficacy. EMH is rarely observed in the spinal epidural space and patients are usually asymptomatic. In particular, in the patients with polycythemia vera, spinal cord compression due to EMH is extremely rare. We report a case of polycythemia vera, in which operative therapy proved to be an effective treatment for myelopathy caused by spinal EMH.
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28116197/giant-baker-s-cyst-associated-with-rheumatoid-arthritis
#19
Levent Adiyeke, Emre Bılgın, Tahir Mutlu Duymus, İsmail Emre Ketencı, Meriç Ugurlar
We report a rare case of a "giant Baker's cyst-related rheumatoid arthritis (RA)" with 95 × 26 mm dimensions originating from the semimembranosus tendon. The patient presented with chronic pain and a palpable mass behind his left calf located between the posteriosuperior aspect of the popliteal fossa and the distal third of the calf. In MRI cystic lesion which was located in soft tissue at the posterior of gastrocnemius, extensive synovial pannus inside and degeneration of medial meniscus posterior horn were observed...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28127488/preservation-and-tissue-handling-technique-on-iatrogenic-dural-tear-with-herniated-nerve-root-at-cauda-equina-level
#20
Ahmad Jabir Rahyussalim, Yoshi Pratama Djaja, Ifran Saleh, Ahmad Yanuar Safri, Tri Kurniawati
Iatrogenic or incidental dural tear is a relatively common complication in lumbar decompression surgery. Although mostly there are no changes that occurred in long-term result following an incidental durotomy, the sequelae are not always benign especially when the herniated nerve root is involved. Preservation and tissue handling is paramount in order to prevent further injury. Two cases of dural tear with herniated nerve root complicating the lumbar decompression surgery are presented. Direct watertight repair was performed using the preservation and tissue handling concept...
2016: Case Reports in Orthopedics
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