International Journal of Case Reports in Orthopaedics

Journal Information
ISSN / EISSN : 2707-8345 / 2707-8353
Current Publisher: AkiNik Publications (10.22271)
Total articles ≅ 35
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Prashant Kamble, Swapnil Keny, Shubhranshu Mohanty, Tushar Rathod
International Journal of Case Reports in Orthopaedics, Volume 3, pp 04-08; doi:10.22271/27078345.2021.v3.i1a.39

Abstract:
Tardy ulnar nerve palsy is a frequent late complication of post-traumatic cubitus valgus deformity arising due to nonunion lateral condyle humerus fracture. We present a case of a 30 year old homemaker who came with features of tardy ulnar nerve palsy (McGowan grade III) with difficulty in activities of daily living and reduced grip strength. Clinical examination revealed atrophy of hand muscles, claw hand deformity and other features suggestive of ulnar neuropathy. X-rays and CT scan confirmed the diagnosis as fracture lateral condyle humerus nonunion. Surgical intervention in the form of anterior intramuscular transfer of ulnar nerve with neurolysis without addressal of nonunion site was performed. The patient showed complete recovery of sensory and motor symptoms at six months post-op. Anterior transposition of ulnar nerve is a safe and reliable procedure which provides good functional outcomes in cases of tardy ulnar nerve palsy with low morbidity.
Winston Wittesaele, Lukas Vanbecelaere, Marc Mombert
International Journal of Case Reports in Orthopaedics, Volume 3, pp 01-03; doi:10.22271/27078345.2021.v3.i1a.38

Abstract:
Bizarre parosteal osteochondromatous proliferation is a benign osseous tumor mostly affecting the small bones of the hand and feet. Literature solely contains case series. Differential diagnosis has to be made with some other benign lesions but in particular with malignant tumors. Diagnosis is assumed upon a combination of suggestive clinical, radiological and morphological features, although histopathology is decisive in most cases. Awareness of this rare lesion is necessary for correct treatment and follow-up, because misjudging this pathology may lead to extensive resection and associated morbidity. Recurrence must be taken into account after surgical resection. This report describes a single case localized in the first webspace of the left hand without recurrence up until 24 months after surgical resection.
Francisco De Assis Serra Baima Filho, Joel Pires Ribeiro
International Journal of Case Reports in Orthopaedics, Volume 2, pp 68-71; doi:10.22271/27078345.2020.v2.i2b.30

Abstract:
Osteomyelitis due to tuberculosis in foot and ankle bones is an uncommon pathology (less than 1%) and in most patients the symptoms are non-specific, requiring a high index of suspicion for the diagnosis. It is most common in children or in people between thirty and forty years old. Bone biopsy is the gold standard for diagnosis. The recommended treatment is medication with surgery indicated in the sequelae. Late diagnosis and inadequate treatment can lead to significant morbidity and deformities. This research aims to report the case of a 31-year-old patient with bone tuberculosis, reporting diagnosis, treatment and evolution, in addition to presenting a literature review.
Shrihari L Kulkarni, Sunil Mannual, Manjunath Daragad, Akshay Kumar
International Journal of Case Reports in Orthopaedics, Volume 2, pp 64-67; doi:10.22271/27078345.2020.v2.i2b.29

Abstract:
The incidence of periprosthetic fractures around the femoral stem is increasing. These are very challenging fractures and need adequate surgical expertise. There is no clear consensus regarding the management of these fractures, especially Vancouver type-B fractures. We report a case of Vancouver type-B1 fracture managed only with locked compression plate in a 70-year-old man. Fracture united at 3 months and at one year the patient had excellent functional and radiological outcome.
Rui Viegas, Pedro Amaro, José Nuno Ferreira, José Caldeira, Pedro Falcão, Carolina Baptista
International Journal of Case Reports in Orthopaedics, Volume 2, pp 28-32; doi:10.22271/27078345.2020.v2.i2a.26

Abstract:
We present a 34-year-old man with a giant cell tumor of the distal ulna. Treatment strategy included en bloc excision and distal radioulnar joint arthroplasty. En bloc excision is a good oncological option in GCT of the distal ulna, preventing local recurrence. Reconstructive procedures after distal ulna excision remain a controversial topic. Distal radioulnar joint arthroplasty can provide an excellent functional result with good range of motion, absence of pain and weight bearing capacity.
Sivakumar Raju, Prahalad Kumar Singhi, Somashekar V, Raghava Kumar Vp
International Journal of Case Reports in Orthopaedics, Volume 2, pp 15-17; doi:10.22271/27078345.2020.v2.i2a.22

Abstract:
Ring sequestrum has become a rare presentation in modern day orthopaedics. It is a low grade chronic osteomyelitis following pintract infection producing an unusual sequestrum surrounded by radiolucent area another circle of sclerotic bone. Improper aseptic technique of skeletal pin traction, thermal necrosis, prolonged duration, poor pintract care and comorbid conditions can lead to this complications and presents with skin discharge, pin loosening and osteomyelitis. Thorough surgical debridement, sequestrectomy and saucerisation with appropriate antibiotics and dead space management will successfully treat it. We report a similar case in a polytrauma patient following pintract infection.
Hoan Do Dang, Trang Nguyen Khac, Nhung Nguyen Viet
International Journal of Case Reports in Orthopaedics, Volume 2, pp 08-10; doi:10.22271/27078345.2020.v2.i2a.20

Abstract:
Hip tuberculosis at the stage IV with acetabular protrusion: A case report of diagnosis, medical and surgical treatment
Shrihari Lk, Manjunath Daragad, Sunil Mannual, Kiran Hari
International Journal of Case Reports in Orthopaedics, Volume 2, pp 11-14; doi:10.22271/27078345.2020.v2.i2a.21

Sophia Burns, Peter Domos
International Journal of Case Reports in Orthopaedics, Volume 2, pp 21-23; doi:10.22271/27078345.2020.v2.i2a.24

Abstract:
Fracture dislocation of the anatomical neck of humerus is a rare injury. The surgical management is guided by fracture morphology and displacement, potential disruption to blood supply, bone quality and the patient’s functional demands. We have described a case of anterior fracture dislocation of the proximal humerus at the anatomical neck, managed successfully with cemented fracture-specific hemiarthroplasty. Through presentation of this rare case and discussion of the relevant literature, we hope to improve understanding of these injuries and the evidence base upon which to base their management.
Amit Narang, Anand Gupta, Ayanjit Chattopadhyay, Amit Sharma
International Journal of Case Reports in Orthopaedics, Volume 2, pp 24-27; doi:10.22271/27078345.2020.v2.i2a.25

Abstract:
Radioulnar synostosis is found as a congenital deformity in children or as a post-traumatic deformity in adolescents and adults. Congenital variety is more commonly located in the proximal part of the radius and ulna and restricts the range of motion of the forearm leading to some functional disabilities in the child such as using daily objects and carrying out basic hand to mouth activities like eating. The pronation deformity occurring as a result of this entity can be effectively dealt with single stage both bone forearm de-rotation osteotomy done at different levels in radius and ulna. We report our experience using this procedure in a 4-year old child with unilateral proximal congenital radioulnar synostosis in the non-dominant side. This procedure is relatively simple and we were able to achieve a good functional outcome at one year of follow-up with no associated complications.
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