Thirty-Three-Year Follow-up Following Silicone Scaphoid Arthroplasty: A Case Report.

Q4 Medicine JBJS case connector Pub Date : 2024-06-24 eCollection Date: 2024-04-01 DOI:10.2106/JBJS.CC.24.00027
James C Rex, Zachary Crawford, John Stout, Peter J Stern
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Abstract

Case: A 64-year-old man presented with a 3-year history of right wrist pain and swelling 33 years after a silicone scaphoid arthroplasty for chronic scaphoid nonunion. Radiographs demonstrated a deformed scaphoid implant, carpal and distal radius cysts, and mild carpal collapse. He elected to undergo a wrist arthrodesis with a dorsal fusion plate after failing conservative management.

Conclusion: Although carpal bone silicone implant arthroplasties of the wrist have long been abandoned, our patient was pain free and fully functional for 3 decades. He was pleased to undergo serial examinations with radiographs for 30 years without any therapeutic intervention.

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硅胶肩胛骨关节置换术后三十三年随访:病例报告。
病例一名 64 岁的男子因慢性肩胛骨骨不连接受硅胶肩胛骨关节置换术 33 年后,出现右腕疼痛和肿胀,已有 3 年病史。X光片显示肩胛骨假体变形、腕骨和桡骨远端囊肿以及轻度腕骨塌陷。在保守治疗失败后,他选择用背侧融合钢板进行腕关节置换术:结论:虽然腕骨硅胶假体关节置换术早已被放弃,但我们的患者在长达30年的时间里无痛且功能完全正常。他很高兴能在没有任何治疗干预的情况下接受连续 30 年的X光检查。
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来源期刊
JBJS case connector
JBJS case connector Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
319
期刊介绍: JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.
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