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Case Reports in Orthopedic Research
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2296-9373 - ISSN (Online) 2296-9373
Published by Karger Homepage  [120 journals]
  • Traumatic Dorsoradial Trapezium-Metacarpal Joint Dislocation

    • Abstract: A trapezium-metacarpal joint dislocation is a rare pathology reported in #x3c;1% of all hand injuries. Due to the rarity of this type of injury, no clear standard of treatment exists. Various treatment approaches are reported in the relevant literature, mainly consisting of anterior and posterior dislocation of the trapezium-metacarpal joint. In this case, a 38-year-old patient was treated for dorsoradial trapezium-metacarpal joint dislocation through open reduction with ligamentous reconstruction. Gradual improvement of the patient’s thumb mobility was observed following several physiotherapy sessions.
      Case Rep Orthop Res 2019;2:82–88
      PubDate: Wed, 18 Sep 2019 13:10:41 +020
       
  • Muscular Abnormalities as a Cause of the Tarsal Tunnel Syndrome: An
           Infrequent Bilateral Clinical Case

    • Abstract: A clinical case of a female patient affected by bilateral tarsal tunnel syndrome is described. The peculiarity of this case is the difference in the observed anatomopathological muscular abnormalities between the two feet. On one side, an accessory muscular venter of the toes’ long flexor was identified. On the other side, posterior tibial nerve compression was determined by an accessory venter of the hallux long flexor, associated with an abnormal venter of the toes’ long flexor, with a minor extent if compared to contralateral findings.
      Case Rep Orthop Res 2019;2:75–81
      PubDate: Wed, 11 Sep 2019 17:05:56 +020
       
  • Pediatric Radioulnar Synostosis after Olecranon Fracture: A Case Report

    • Abstract: Radioulnar synostosis which develops after treatment of isolated olecranon fracture is a rare complication. The aim of this study was to determine the clinical findings and postoperative outcomes of radioulnar synostosis after isolated olecranon fracture in a child patient. A 14-year-old girl was evaluated after falling on her left elbow. She had pain, edema, and motion limitation in her left elbow. After radiologic examinations, diagnosis of olecranon fracture was made. Olecranon fracture was fixated by open reduction and internal fixation with tension band wiring method via the posterior approach. When the patient came to the control to remove the implants 9 months after the first operation, there was a limitation in the supination and pronation movements. In the radiographs, synostosis was observed in the proximal region between the radius and ulna. The patient was reoperated to remove the implants. In the same session, synostosis was excised by using the posterior approach, and a barrier between the bones was constituted with bone wax and early elbow range of motion exercises started. In the postoperative first month, the patient had full flexion and extension but with 30 degrees of supination deficit. Radioulnar synostosis is rare but can be seen after isolated olecranon fractures. Early elbow motion after radioulnar synostosis surgery helps the patient to increase joint movement.
      Case Rep Orthop Res 2019;2:69–74
      PubDate: Tue, 10 Sep 2019 11:12:40 +020
       
  • Tuberculosis of the Hand with Isolated Hamate Involvement: An Unusual
           Presentation

    • Abstract: Osteoarticular tuberculosis accounts for 1–5% of all tuberculosis cases, rarely involving the wrist or hand. Wrist and hand tuberculosis usually presents with multiple carpal bone involvement with impaired wrist and hand function. Isolated involvement of the carpal bone, particularly the hamate, is very rare. We report a 12-year-old female child with isolated hamate bone involvement without any limitation of wrist function. The patient was managed conservatively on antitubercular drugs. Such a case has not been reported in the past.
      Case Rep Orthop Res 2019;2:61–68
      PubDate: Thu, 05 Sep 2019 16:39:28 +020
       
  • A Case Report of Clear Cell Chondrosarcoma (CCC) Sparing the Epiphysis and
           Literature Review of CCC

    • Abstract: Clear cell chondrosarcoma (CCC) is a rare subtype of chondrosarcoma with a relatively low malignant potential, mainly diagnosed by its characteristic location in the epiphysis of long bones. We report the case of a 33-year-old gentleman who presented with pain, difficulty in walking and restricted range of motion of the right hip joint, with a lesion located in the proximal femoral metaphysis and completely sparing the epiphysis. Needle biopsy was consistent with CCC, which was extremely unusual considering the location of the tumour. The patient was treated by “en bloc” resection of the tumour along with femoral head and reconstruction with hemiarthroplasty. The final histopathology report confirmed the diagnosis with clear surgical margins. The aim of this case report and literature review was to highlight the unusual location of this rare tumour, as such an isolated case of CCC completely sparing the epiphysis has never been reported.
      Case Rep Orthop Res 2019;2:54–60
      PubDate: Wed, 21 Aug 2019 13:24:31 +020
       
  • Calcific Myonecrosis of the Leg: A Case Report

    • Abstract: Calcific myonecrosis is characterized by central liquefaction and peripheral calcification involving the entire muscle mass and is considered to be a late sequel of compartment syndrome. Being a rare presentation, considering differential diagnosis is important. Diagnosis is based on history of trauma and typical radiological features. Symptomatic patients require complete excision of the mass while asymptomatic patients can be treated nonoperatively.
      Case Rep Orthop Res 2019;2:47–53
      PubDate: Tue, 13 Aug 2019 16:09:19 +020
       
  • Bifocal Bone Transport over a Preexisting Nail to Treat a Septic Femoral
           Shaft Nonunion

    • Abstract: Intramedullary nailing is the method of choice for the treatment of most femoral shaft fractures. However, it is not always an easy procedure with predictable results as leg length discrepancy as well as rotational and angular malunion may occur. Lengthening over an intramedullary nail (IMN) has become very common as it allows early removal of the external fixator. This report presents a case of an open femoral shaft fracture initially treated with an IMN and subsequently complicated by a septic nonunion. Union was obtained by bifocal bone transport with a circular external fixator over the preexisting nail without exchange or removal of the previously inserted IMN. In conclusion, the presence of an IMN supports osteotomy and regenerates bone during bone healing, prevents fracture and/or deformation of the regenerated bone, and reduces the time needed for the external fixator.
      Case Rep Orthop Res 2019;2:40–46
      PubDate: Tue, 06 Aug 2019 11:23:53 +020
       
  • Periacetabular Osteotomy Performed with Imageless Computer-Assisted
           Navigation: Case Report

    • Abstract: Periacetabular osteotomy (PAO) is an effective surgical treatment for developmental hip dysplasia. The goal of PAO is to reorient the acetabulum to increase acetabular coverage of the femoral head, as well as to reduce contact pressures within the hip joint. The primary challenge of PAO is to accurately achieve the desired acetabular fragment orientation, while maximizing containment and congruency. As key parts of the procedure are performed out of direct field of view of the surgeon, combined with this challenge of precise spatial orientation, there is a potential role for technologies such as surgical navigation. Adjunctive technology may provide information on the orientation of repositioned acetabulum and may offer a useful assist in performing PAO. Here, we present a case of developmental dysplasia of the hip treated via PAO with the addition of an imageless computer navigation device. Surgery was successful, and, at 3 months after procedure, the patient was progressing well. To our best knowledge, this is the first case using imageless computer-assisted navigation in PAO surgery.
      Case Rep Orthop Res 2019;2:33–39
      PubDate: Mon, 15 Jul 2019 16:45:33 +020
       
  • A Proximal Humerus Fracture Dislocation in a Patient with Stiff Person
           Syndrome

    • Abstract: We present a case of a 47-year-old female who presented with an atraumatic posterior proximal humerus fracture dislocation secondary to episodic spasms, later diagnosed to be caused by stiff person syndrome (SPS). She underwent a shoulder hemiarthroplasty as well as a subsequent revision for recurrent dislocation and instability. SPS is a challenging diagnosis and we recommend optimization of medical management prior to surgical intervention.
      Case Rep Orthop Res 2019;2:28–32
      PubDate: Tue, 09 Jul 2019 16:15:52 +020
       
  • Mimickers in Spine: Migrated Cages Causing Radiculopathy

    • Abstract: The procedure of interbody fusion has become an established treatment for many spine disorders. This arthrodesis can be achieved by hardware (fusion cage) through many approaches. Initially, posterior lumbar interbody fusion was popularized but had some serious neurological complications related to insertion as well as the migration of the cage. Gradually, transforaminal lumbar interbody fusion (TLIF) was introduced, which proved safer as it involves minimal cord handling, and also migration, if any, remains asymptomatic. We had two patients who were operated for interbody fusion using TLIF technique with subsequent posterior migration of the banana-shaped fusion cage 4–6 month after the index surgery. Both patients presented with radiculopathy mimicking a prolapsed intervertebral disc. These were evaluated and operated with the removal of the migrated cages and revision with bigger-size cages with adequate bone grafting. At the 1-year follow-up, both had remission of symptoms, and radiographs showed no subsequent migration. TLIF procedure is an established procedure to achieve arthrodesis in varying spine disorders with promising result. However, there are only a few reports describing cage migration after the procedure and these have been asymptomatic. Revision surgery is contemplated in the setting of neurological compression or instability. A bigger fusion cage in a compressive mode with adequate bone grafting is used to achieve arthrodesis. The principles of interbody fusion must be followed, and utmost precautions must be taken to prevent this unfortunate complication.
      Case Rep Orthop Res 2019;2:21–27
      PubDate: Fri, 24 May 2019 10:19:11 +020
       
 
 
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