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Journal of Orthopaedic Case Reports

Witchuree Wejjakul, Swist Chatmaitri, Thongek Wattanarojanaporn, Anuwat Pongkunakorn, Chupong Ittiwut, Vorasuk Shotelersuk
[This corrects the article on p. 54 in vol. 7.].
January 2018: Journal of Orthopaedic Case Reports
Schneider Kn, Schliemann B, Manz Sm, Buddhdev Pk, Ahlbäumer G
[This corrects the article on p. 42 in vol. 7, PMID: 29242794.].
January 2018: Journal of Orthopaedic Case Reports
Jan Vanderschot, Paul Vanlommell
[This corrects the article on p. 20 in vol. 7.].
January 2018: Journal of Orthopaedic Case Reports
Alan W Reynolds, Suneel B Bhat, Justin D Stull, James C Krieg
Introduction: Dislocations of the proximal tibiofibular joint are an uncommon injury but have been reported in a variety of different athletes. Treatment and rehabilitation ofthese cases have ranged significantly across the reported cases. Case Report: The present case describes a 23-year-old male professional hockey player who suffered an isolated anterior dislocation of the proximal tibiofibular joint. Spontaneous reduction occurred several days following the injury; however, instability and subluxation continued and screw fixation was required...
January 2018: Journal of Orthopaedic Case Reports
Raju Vaishya, Vipul Vijay, Amit K Agarwal, Abhishek Vaish
Introduction: Stress fractures occur due to abnormal increased or repetitive stress on a normal bone. These have been described in sports persons or military personnel involved in strenuous physical activities. Stress fractures occurring as a result of undue stress due to deviated mechanical axis usually involve the proximal tibia and fibula and have rarely been described in the literature. Case Report: We report a case of the left medial malleolus stress fracture secondary to advanced knee osteoarthritis (OA) with severe varus deformities...
January 2018: Journal of Orthopaedic Case Reports
Tomoyuki Oda, Masaki Matsushita, Yohei Ono, Hiroshi Kitoh, Tadahiro Sakai
Introduction: Small patella syndrome (SPS) is a rare skeletal dysplasia relating to the T-box protein 4 (TBX4) gene, which regulates the development of lower extremities. Patients typically present with recurrent patellar dislocation (RPD) in childhood or adolescence, leading to a diagnosis of SPS and subsequent treatment to improve activity levels. However, those with mild symptoms may not be diagnosed when young and present later after skeletal maturation, which might compromise treatment options...
January 2018: Journal of Orthopaedic Case Reports
Rajiv Shah, Shyam Patel, Shivam Shah
Introduction: A case of seronegative variety of subtalar joint arthritis was treated with subtalar joint fusion surgery. In spite of perfect execution of surgery, fusion did not occur. It was only at a revision surgery that case could be diagnosed as a case of tuberculosis of subtalar joint. Case Report: Elderly female was operated for seronegative subtalar joint arthritis with fusion plus primary bone grafting. Fusion did not progress in spite of every added efforts such as extended immobilization, calcium supplements, and antibiotic therapy...
January 2018: Journal of Orthopaedic Case Reports
Nirmal D Patii, Hiren B Patel, Naushad Hussain, Kalpesh Saidane
Introduction: Standard references such as knee and lower leg position cannot be used in patients with knee arthrodesis with destroyed distal femur anatomy. The resulting component malposition can culminate in dislocation, decreased range of motion, impingement, and wear. To our knowledge, no cases on surgical techniques have been reported in such patients. We describe a simple technique that guides a surgeon in assessing the femoral stem version in such cases. Case Report: A 80-year-old female sustained right sided neck of femur fracture...
January 2018: Journal of Orthopaedic Case Reports
Santosh Nagnath Banshelkikar, Binoti A Sheth, Rakesh P Dhake, Arvind B Goregaonkar
Introduction: Impalement injuries are one of the rare presentations in the emergency department and present complex surgical challenges in management. Prompt transfer to tertiary centre, pre-operative planning, and multi specialty involvement is crucial in the management of such cases. Case Report: We report a case of 18-year-old male who sustained impalement injury to thigh with an iron rod after falling from height. After quick assessment ofv ital parameters and ruling out major organ injury, wound extent was examined...
January 2018: Journal of Orthopaedic Case Reports
Krunal H Patel, A V Guarava Reddy, Krishnakiran Eachempati, S Muralidhar, Ajit Jungele
Introduction: Osteoarthritis knee associated with periarticular fractures (femur, tibia, or patella) in geriatric patients is a treatment challenge for orthopedic surgeon. In geriatric patient, early mobilization is key for a better outcome and to prevent immobilization related complications. Hence, this case report is important for all orthopedic surgeons. Case Report: We had a 65-year-old male patient who came for the treatment ofhis patella fracture and deformity ofboth knees...
January 2018: Journal of Orthopaedic Case Reports
Gholam Hossain Shahcheraghil, Mahzad Javid, Seyyed Kazem Chabok
Introduction: Unilateral secondary flat-foot in children is unusual, and in the absence of a major trauma history should raise suspicion of a neuromuscular etiology. Flatfoot from tibialis posterior tendon (TPT) rupture in children is very rare. Case Report: A 10-year-old girl presented with unilateral flatfoot and unusual shoe wear of few years duration. A TPT rupture was diagnosed. After observing a 3-4 mm superficial scar behind medial malleolus, and after a lot of questioning, her mother remembered an abrasion she had sustained 6 years ago playing in a park...
January 2018: Journal of Orthopaedic Case Reports
Karan Doshi, M Ajith Kumar, Deepesh Daultani, M Shantharam Shetty
Introduction: Osteopoikilosis and enchondroma existing together have not been reported in literature, and this is the first report of the management of the same. Case Report: A 26-year-old male presented with dull aching pain with swelling around the knuckle of the left index finger of 1 month duration. On examination, there was a swelling of approximately 1x1 cm on the dorsal aspect. Typical radiographic changes of osteopoikilosis and enchondroma were present. Conclusion: Enchondroma coexistence with osteopoikilosis is rare...
January 2018: Journal of Orthopaedic Case Reports
Masanari Takami, Keiji Nagatal, Hiroshi Yamada
Introduction: We present a rare case with radiculopathy resulting from intraforaminal stenosis of the lumbar spine due to an ossification lesion. Microendoscopic surgery was chosen because of two strong advantages. One was the ease to reach the nerve foramen and ossification lesion and the other was the non-invasiveness at the posterior supporting structures of the spine. Moreover, an ultrasonic bone curette developed for microendoscopic spine surgery was applied. This is the first detailed case report of microendoscopic surgery using an ultrasonic bone curette for a patient with radiculopathy due to intraforaminal free ossification...
January 2018: Journal of Orthopaedic Case Reports
John Vincent, Ibrahim Alshaygy, Jeffrey M Muir, Paul Kuzyk
Introduction: While intraoperative navigation systems have been shown to improve outcomes in primary total hip arthroplasty (THA), their use in the context of revision has been largely overlooked. This case report presents the first documented use of an imageless navigation tool in the context of revision THA, and an unexpected benefit to the surgical procedure as a result. Case Report: An 84-year-old female patient presented following five episodes of dislocation of the left hip and with pain in the left buttock, groin, and posterior aspect of her hip...
January 2018: Journal of Orthopaedic Case Reports
Jonathan M Vigdorchik, Ameer Elbuluk, Jessica R Benson, Jeffrey M Muir
Introduction: Inaccurate positioning of acetabular and femoral components during Birmingham Hip Resurfacing (BHR) can lead to increased wear, edge-loading, and failure of the prosthesis, a consequence of substantial concern for young and active patients seeking long- term, post-operative survival of the joint. In turn, sizing of the acetabular component during BHR is limited by the size of the native femoral neck, and reaming of the acetabulum should be minimized to optimize the bony architecture for potential subsequent arthroplasties...
January 2018: Journal of Orthopaedic Case Reports
Michael S Reich, Richard H Walker
Introduction: Femoral neck modularity in total hip arthroplasty (THA) affords the surgeon the ability to optimize femoral neck length, offset, and version, thereby theoretically improving restoration of patient anatomy and biomechanics. The effect of activity on serum metal ion levels in patients with a THA with a mixed-metal modular neck design has not yet been described. Case Report: A 63-year-old male underwent THA utilizing a femoral stem with a mixed-metal modular femoral neck...
January 2018: Journal of Orthopaedic Case Reports
Douglas Colmenares-Bonilla, Alejandra Gonzalez-Segoviano
Introduction: Fibrodysplasia ossificans progressiva (FOP) is the severest disease of ossification in the human. It forms an exoskeleton gradually. This process is started for a nodule that ossifies as days goes by. The initial pathway cannot be stopped unless early immunosuppress management is started very early after the aggression has been received. These aggressions may vary from contusions, viral illnesses, surgery, and other minor trauma.Because of this process, the FOP patient gradually worsens and decreases its autonomy as described from ability to walk, dress, or even to eat and breathe...
January 2018: Journal of Orthopaedic Case Reports
Rajiv Kapila, Bhanu Awasthi, Manik Sehgal, Avinash Sharma, Preeti Kapila
Introduction: Combination of Anterior Glenohumeral Dislocation with Ipsilateral Shaft humerus fracture is an rare co-occurrence and guidelines of its management are lacking. It is a rare opportunity for orthopaedic surgeon to observe simultaneous shoulder dislocation with ipsilateral humeral shaft fracture. There has been a total of around twenty cases reported since 1940. Case presentation: A case of elderly female with medical co-morbidities who sustained this injury while working in wheat farms...
January 2018: Journal of Orthopaedic Case Reports
Aditya Menon, Vikas M Agashe, Mithun S Jakkan
Introduction: Iliopsoas abscess (IPA) has varied clinical symptomatology and various clinical disorders may mimic it. Tuberculosis of spine is the most common source of secondary IPA in the developing countries. However, IPA may be rarely caused by colon cancer which is the most common gastrointestinal malignancy. A mixed culture gives an indication of gastrointestinal or genitourinary etiology. We present here, a rare case of an 86-year-old patient with IPA secondary to adenocarcinoma of colon...
January 2018: Journal of Orthopaedic Case Reports
Kemal Gökkus, Ergin Sagtas, Engin Kesgin, Ahmet Turan Aydin
Introduction: Intra-articular distal radius fractures have long been massively discussed in the literature, but regarding to fractures that possess rotated volar medial fragment in the joint a few amount papers has been written. In this article, we would like to emphasize the significance of the rotated palmar medial (lunate facet) fragment. Case Report: A 39-year-old man fell from a height of about 3 m and landed on his right outstretched hand; within 40 min, he arrived at our clinic presenting with a severe pain and swelling in his right wrist...
January 2018: Journal of Orthopaedic Case Reports
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