Ali Murat Başak, T. Ege, E. Yildirim, Ömer Levent Karadamar, D. Çankaya
The pedicle is the structure that connects the anterior column with the middle and posterior column. Because the pedicle screw passes through the vertebral pedicle and extends to the anterior column, it is a solid stabilization technique that covers all three columns and a method that has a wide range of use from spinal deformity to degenerative spine and tumors.[1] Since the screw also passes through the inner column, the surrounding structures are at risk. The most important of these structures is the spinal cord. The thoracic region, particularly the azygos vein, intercostal artery, inferior vena cava, and aorta, and the iliac arteries in the lumbar region are at risk. Vascular injuries are a rare but substantial complication of spinal surgery.[2]
{"title":"Unexpected localization of a thoracic pedicle screw nearby the aorta after scoliosis surgery","authors":"Ali Murat Başak, T. Ege, E. Yildirim, Ömer Levent Karadamar, D. Çankaya","doi":"10.52312/jdrscr.2022.94","DOIUrl":"https://doi.org/10.52312/jdrscr.2022.94","url":null,"abstract":"The pedicle is the structure that connects the anterior column with the middle and posterior column. Because the pedicle screw passes through the vertebral pedicle and extends to the anterior column, it is a solid stabilization technique that covers all three columns and a method that has a wide range of use from spinal deformity to degenerative spine and tumors.[1] Since the screw also passes through the inner column, the surrounding structures are at risk. The most important of these structures is the spinal cord. The thoracic region, particularly the azygos vein, intercostal artery, inferior vena cava, and aorta, and the iliac arteries in the lumbar region are at risk. Vascular injuries are a rare but substantial complication of spinal surgery.[2]","PeriodicalId":196868,"journal":{"name":"Joint Diseases and Related Surgery Case Reports","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124820885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The traumatic extrusion of bone segments is rare and occurs in high-energy traumas.[1] Segmental bone defects smaller than 5 cm are usually reconstructed with a corticocancellous bone graft from the iliac crest[1] and an autologous fibular graft.[2] Autoclaved allograft may be used for reconstruction when the extruded segment is longer than 5 cm.[3] However, complications such as nonunion, malunion, and osteomyelitis may develop in these cases.
{"title":"Reconstruction of a traumatic femoral bone defect using the extruded diaphyseal segment after autoclave sterilization","authors":"E. Şahin, Fatih Durgut, Ali İhsan Tuğrul","doi":"10.52312/jdrscr.2022.57","DOIUrl":"https://doi.org/10.52312/jdrscr.2022.57","url":null,"abstract":"The traumatic extrusion of bone segments is rare and occurs in high-energy traumas.[1] Segmental bone defects smaller than 5 cm are usually reconstructed with a corticocancellous bone graft from the iliac crest[1] and an autologous fibular graft.[2] Autoclaved allograft may be used for reconstruction when the extruded segment is longer than 5 cm.[3] However, complications such as nonunion, malunion, and osteomyelitis may develop in these cases.","PeriodicalId":196868,"journal":{"name":"Joint Diseases and Related Surgery Case Reports","volume":"338 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123319974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anatomical reduction of both the fracture and the syndesmosis is essential to achieve a satisfactory functional outcome in ankle fractures.[1] Stabilization of the syndesmosis is a contentious topic that can be accomplished through a variety of methods and evaluated radiologically.[2] Syndesmotic malreduction occurs when anatomical reduction of syndesmosis is not achieved for a variety of reasons, including an inability to insert the screws in the proper position, failure to reduce the fracture in the anatomical position, and penetration of the deltoid ligament into the medial joint space.[3]
{"title":"Syndesmotic malreduction may be caused by a lag screw used in distal fibula fracture fixation","authors":"M. Aydın, S. Surucu, M. Ekinci, Mustafa YILMAZ","doi":"10.52312/jdrscr.2022.90","DOIUrl":"https://doi.org/10.52312/jdrscr.2022.90","url":null,"abstract":"Anatomical reduction of both the fracture and the syndesmosis is essential to achieve a satisfactory functional outcome in ankle fractures.[1] Stabilization of the syndesmosis is a contentious topic that can be accomplished through a variety of methods and evaluated radiologically.[2] Syndesmotic malreduction occurs when anatomical reduction of syndesmosis is not achieved for a variety of reasons, including an inability to insert the screws in the proper position, failure to reduce the fracture in the anatomical position, and penetration of the deltoid ligament into the medial joint space.[3]","PeriodicalId":196868,"journal":{"name":"Joint Diseases and Related Surgery Case Reports","volume":"169 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133040464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cemal Kural, Bülent Tanrıverdi, E. Erçin, E. Baca, A. Kural
The disease onset is often in childhood, adolescence, and rarely at birth.[1] It can be diagnosed at any age, and it is seen equally in both sexes.[2] About half of the cases present signs and symptoms by the age of 20.[1] While the disease's progression is fast during growth, it slows down when growth stops. Linear hyperostosis of the cortex is the enlargement of the medullary canal and periosteum, which resembles a typical ’melting wax’ appearance of the affected bone. Hyperostosis is often accompanied by hyperplasia and abnormalities in adjacent connective tissues.[2] This disease may result in growth disturbance in the extremity, joint ankylosis, restricted movement, Melorheostosis is a rare disease with skeletal system involvement. The etiology of the disease, which usually manifests itself with bending and pain in the long bones, is still unknown. We present a 20-year-old male patient admitted to our outpatient clinic with complaints of deformity and pain in the second finger of the hand that had become more evident in the last several years. Intense sclerosing and cortical thickening were observed radiologically in the second phalanges and metacarpal. Deformities in radiological evaluation, ‘flowing candle wax’ image in the medulla, and further laboratory examinations enabled us to diagnose the patient with a rare disease, melorheostosis. The patient, who was treated conservatively, has been attending his follow-up examinations regularly for the last three years and is still being followed up conservatively. In this case, we presented a case of this rare disease, which is the rarest hand involvement, in detail.
{"title":"Melorheostosis on the second finger of the hand","authors":"Cemal Kural, Bülent Tanrıverdi, E. Erçin, E. Baca, A. Kural","doi":"10.52312/jdrscr.2022.65","DOIUrl":"https://doi.org/10.52312/jdrscr.2022.65","url":null,"abstract":"The disease onset is often in childhood, adolescence, and rarely at birth.[1] It can be diagnosed at any age, and it is seen equally in both sexes.[2] About half of the cases present signs and symptoms by the age of 20.[1] While the disease's progression is fast during growth, it slows down when growth stops. Linear hyperostosis of the cortex is the enlargement of the medullary canal and periosteum, which resembles a typical ’melting wax’ appearance of the affected bone. Hyperostosis is often accompanied by hyperplasia and abnormalities in adjacent connective tissues.[2] This disease may result in growth disturbance in the extremity, joint ankylosis, restricted movement, Melorheostosis is a rare disease with skeletal system involvement. The etiology of the disease, which usually manifests itself with bending and pain in the long bones, is still unknown. We present a 20-year-old male patient admitted to our outpatient clinic with complaints of deformity and pain in the second finger of the hand that had become more evident in the last several years. Intense sclerosing and cortical thickening were observed radiologically in the second phalanges and metacarpal. Deformities in radiological evaluation, ‘flowing candle wax’ image in the medulla, and further laboratory examinations enabled us to diagnose the patient with a rare disease, melorheostosis. The patient, who was treated conservatively, has been attending his follow-up examinations regularly for the last three years and is still being followed up conservatively. In this case, we presented a case of this rare disease, which is the rarest hand involvement, in detail.","PeriodicalId":196868,"journal":{"name":"Joint Diseases and Related Surgery Case Reports","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128916917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neşet Tang, S. Hakan Başaran, Alkan Bayrak, Levent Arslan
Prosthetic joint infection (PJI) is one of the devastating complications following hip replacement surgeries, hence the high mortality and morbidity rates.[1] Current management of the PJI is commonly a two-staged revision procedure that includes removing current implants, soft tissue debridement, and antibiotic spacer placement. Although the two-staged technique is widely accepted as a reliable approach among hip surgeons, bone stock loss, prolonged immobilization, fractures, blood loss during the intervention, and intensive care unit (ICU) needs are prevalent.[2]
{"title":"Treatment of Acinetobacter baumannii infection after total hip arthroplasty with debridement, irrigation, antibiotics and implant retention","authors":"Neşet Tang, S. Hakan Başaran, Alkan Bayrak, Levent Arslan","doi":"10.52312/jdrscr.2022.68","DOIUrl":"https://doi.org/10.52312/jdrscr.2022.68","url":null,"abstract":"Prosthetic joint infection (PJI) is one of the devastating complications following hip replacement surgeries, hence the high mortality and morbidity rates.[1] Current management of the PJI is commonly a two-staged revision procedure that includes removing current implants, soft tissue debridement, and antibiotic spacer placement. Although the two-staged technique is widely accepted as a reliable approach among hip surgeons, bone stock loss, prolonged immobilization, fractures, blood loss during the intervention, and intensive care unit (ICU) needs are prevalent.[2]","PeriodicalId":196868,"journal":{"name":"Joint Diseases and Related Surgery Case Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130757251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Metacarpophalangeal joint dislocation was first described in the literature by Farabeuf[5] in 1876, and until 1957, developments in the mechanism, treatment, and follow-up of closed and open MCP joint dislocation have remained stable. Kaplan[6] identified four constricting factors surrounding the metacarpal head, which cause its buttonholing into the palm, that gained popularity this year, and defined it under two subtitles as simple and complex. When the literature was reviewed, the order of frequency was determined as the fifth, second, third, and fourth MCP joints, provided they are closed dislocations.[7,8] Multiple dislocations of the metacarpophalangeal (MCP) joint are uncommon, and those that are open are always complex and need a surgical intervention for reduction. Metacarpophalangeal joint dislocations are often closed. Cases of open dislocations at the volar side of the hand that presents with skin tearing are exceedingly rare and are of a complex type. These should be urgently reduced following surgical debridement, and surgical reconstruction should be performed if necessary. In this report, we describe a 55-year-old male right-hand dominant mason that presented with open volar dislocations of the second, third, fourth, and fifth MCP joints after a fall on his outstretched hand. In conclusion, high-energy blunt trauma to the MCP joint can seriously affect hand functions when appropriate treatment is delayed, and therefore, it is an accepted principle that definitive reconstruction should be done as quickly as possible to obtain optimal functional results.
{"title":"Four open metacarpophalangeal joint dislocations","authors":"Kaan Gürbüz","doi":"10.52312/jdrscr.2022.44","DOIUrl":"https://doi.org/10.52312/jdrscr.2022.44","url":null,"abstract":"Metacarpophalangeal joint dislocation was first described in the literature by Farabeuf[5] in 1876, and until 1957, developments in the mechanism, treatment, and follow-up of closed and open MCP joint dislocation have remained stable. Kaplan[6] identified four constricting factors surrounding the metacarpal head, which cause its buttonholing into the palm, that gained popularity this year, and defined it under two subtitles as simple and complex. When the literature was reviewed, the order of frequency was determined as the fifth, second, third, and fourth MCP joints, provided they are closed dislocations.[7,8] Multiple dislocations of the metacarpophalangeal (MCP) joint are uncommon, and those that are open are always complex and need a surgical intervention for reduction. Metacarpophalangeal joint dislocations are often closed. Cases of open dislocations at the volar side of the hand that presents with skin tearing are exceedingly rare and are of a complex type. These should be urgently reduced following surgical debridement, and surgical reconstruction should be performed if necessary. In this report, we describe a 55-year-old male right-hand dominant mason that presented with open volar dislocations of the second, third, fourth, and fifth MCP joints after a fall on his outstretched hand. In conclusion, high-energy blunt trauma to the MCP joint can seriously affect hand functions when appropriate treatment is delayed, and therefore, it is an accepted principle that definitive reconstruction should be done as quickly as possible to obtain optimal functional results.","PeriodicalId":196868,"journal":{"name":"Joint Diseases and Related Surgery Case Reports","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122221122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
First described by Sir Robert Jones in 1902, fifth metatarsal fractures are the most common injury of the foot after soft tissue traumas.[1] Metatarsal fractures are also the most common fracture involving the foot with a rate of 67/100,000, and fifth metatarsal fractures count for 70% of metatarsal fractures.[2] These fractures are often caused by an indirect trauma mechanism and have high healing potential.[3]
{"title":"Talar fracture accompanying a Jones fracture","authors":"A. Yıldırım, E. Aktaş, Baybars Ataoğlu, M. Özer","doi":"10.52312/jdrscr.2022.81","DOIUrl":"https://doi.org/10.52312/jdrscr.2022.81","url":null,"abstract":"First described by Sir Robert Jones in 1902, fifth metatarsal fractures are the most common injury of the foot after soft tissue traumas.[1] Metatarsal fractures are also the most common fracture involving the foot with a rate of 67/100,000, and fifth metatarsal fractures count for 70% of metatarsal fractures.[2] These fractures are often caused by an indirect trauma mechanism and have high healing potential.[3]","PeriodicalId":196868,"journal":{"name":"Joint Diseases and Related Surgery Case Reports","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131987740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heterotopic ossification (HO) is a condition in which bones form in the muscle and soft tissues where normally bones should not exist. The etiology of this disease, which was described about 100 years ago, has not been fully revealed despite the time elapsed.[1,2] Heterotopic ossification is generally studied in three groups: neurogenic HO, traumatic HO, and myositis ossificans progressiva.[1] Neurogenic HO mostly accompanies head and spine injuries and some neurological diseases. Traumatic HO occurs after surgical interventions and trauma. Myositis ossificans progressiva is a disease with an autosomal dominant inheritance that involves muscles, ligaments, and tendons, and it can be mortal.[2]
{"title":"Heterotopic ossification may occur due to forcible physical therapy","authors":"E. Atalar, T. Tolunay","doi":"10.52312/jdrscr.2022.23","DOIUrl":"https://doi.org/10.52312/jdrscr.2022.23","url":null,"abstract":"Heterotopic ossification (HO) is a condition in which bones form in the muscle and soft tissues where normally bones should not exist. The etiology of this disease, which was described about 100 years ago, has not been fully revealed despite the time elapsed.[1,2] Heterotopic ossification is generally studied in three groups: neurogenic HO, traumatic HO, and myositis ossificans progressiva.[1] Neurogenic HO mostly accompanies head and spine injuries and some neurological diseases. Traumatic HO occurs after surgical interventions and trauma. Myositis ossificans progressiva is a disease with an autosomal dominant inheritance that involves muscles, ligaments, and tendons, and it can be mortal.[2]","PeriodicalId":196868,"journal":{"name":"Joint Diseases and Related Surgery Case Reports","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133572845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Özgür, Muhammet Bozoğlan, D. Çankaya, A. Turgut
Pediatric supracondylar humerus fractures are the most common elbow fracture in the pediatric population.[1] Supracondylar fractures can be mainly divided into extension and flexion types according to the displacement direction of the distal fragment. Extension-type fractures constitute approximately 97% of supracondylar humerus fractures.[2] In supracondylar humerus fractures, the Gartland classification is most commonly used for the evaluation of the fracture and planning of treatment.[3-5] There are nonoperative and operative treatment options for Gartland type II fractures. The condition of vascular and nerve structures should be evaluated with neurovascular examination since complications of these structures can be seen after these fractures.[5] This study aimed to demonstrate effectiveness of conservative treatment in type II supracondylar humerus fracture in a pediatric patient. Pediatric supracondylar humerus fractures are important for orthopedic surgeons because of the high incidence, the accompanying neurovascular injuries, the lack of consensus on the choice of treatment in Gartland type 2 fractures where conservative and surgical treatment options are available, and catastrophic complications. We present the case of a two-year-old male, initially diagnosed as Gartland type 2 and received conservative treatment, which then went on to displacement, necessitating surgical treatment. In conclusion, although a good reduction is achieved with closed reduction and conservative treatment, it should be kept in mind that fracture reduction may be impaired in fractures above the olecranon fossa , and weekly X-ray follow-up should be performed. It should be noted that surgical treatment of these fractures after one or two weeks after the occurrence will be more difficult than treating at injury time.
{"title":"Initial reduction of pediatric type II supracondylar humerus fractures does not guarantee a good outcome","authors":"A. Özgür, Muhammet Bozoğlan, D. Çankaya, A. Turgut","doi":"10.52312/jdrscr.2022.45","DOIUrl":"https://doi.org/10.52312/jdrscr.2022.45","url":null,"abstract":"Pediatric supracondylar humerus fractures are the most common elbow fracture in the pediatric population.[1] Supracondylar fractures can be mainly divided into extension and flexion types according to the displacement direction of the distal fragment. Extension-type fractures constitute approximately 97% of supracondylar humerus fractures.[2] In supracondylar humerus fractures, the Gartland classification is most commonly used for the evaluation of the fracture and planning of treatment.[3-5] There are nonoperative and operative treatment options for Gartland type II fractures. The condition of vascular and nerve structures should be evaluated with neurovascular examination since complications of these structures can be seen after these fractures.[5] This study aimed to demonstrate effectiveness of conservative treatment in type II supracondylar humerus fracture in a pediatric patient. Pediatric supracondylar humerus fractures are important for orthopedic surgeons because of the high incidence, the accompanying neurovascular injuries, the lack of consensus on the choice of treatment in Gartland type 2 fractures where conservative and surgical treatment options are available, and catastrophic complications. We present the case of a two-year-old male, initially diagnosed as Gartland type 2 and received conservative treatment, which then went on to displacement, necessitating surgical treatment. In conclusion, although a good reduction is achieved with closed reduction and conservative treatment, it should be kept in mind that fracture reduction may be impaired in fractures above the olecranon fossa , and weekly X-ray follow-up should be performed. It should be noted that surgical treatment of these fractures after one or two weeks after the occurrence will be more difficult than treating at injury time.","PeriodicalId":196868,"journal":{"name":"Joint Diseases and Related Surgery Case Reports","volume":"80 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130657416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Spontaneous bilateral Achilles tendon rupture is a rare injury. There is an established association between Achilles tendon rupture and corticosteroid or fluoroquinolone use. However, a bilateral rupture in a pregnant patient stands as a rare condition. We present the case of a 28-year-old pregnant female patient with spontaneous bilateral Achilles tendon rupture. The patient had a history of bilateral Achilles tendinopathy. Conservative treatment was initially chosen due to pregnancy. The conservative treatment yielded a good result on the left side. The right side had no clinical improvement and was treated surgically 10 weeks after the injury. The Bosworth technique was used to reconstruct the right Achilles tendon. Clinical outcomes were excellent after two years of follow-up. In conclusion, caution is advised in pregnant patients with a history of Achilles tendinopathy, as conservative treatment does not always result in a good outcome.
{"title":"Bilateral spontaneous Achilles tendon rupture in a pregnant patient","authors":"Omar Aljasim, Arman Vahabi, S. K. Aktuğlu","doi":"10.52312/jdrscr.2022.75","DOIUrl":"https://doi.org/10.52312/jdrscr.2022.75","url":null,"abstract":"Spontaneous bilateral Achilles tendon rupture is a rare injury. There is an established association between Achilles tendon rupture and corticosteroid or fluoroquinolone use. However, a bilateral rupture in a pregnant patient stands as a rare condition. We present the case of a 28-year-old pregnant female patient with spontaneous bilateral Achilles tendon rupture. The patient had a history of bilateral Achilles tendinopathy. Conservative treatment was initially chosen due to pregnancy. The conservative treatment yielded a good result on the left side. The right side had no clinical improvement and was treated surgically 10 weeks after the injury. The Bosworth technique was used to reconstruct the right Achilles tendon. Clinical outcomes were excellent after two years of follow-up. In conclusion, caution is advised in pregnant patients with a history of Achilles tendinopathy, as conservative treatment does not always result in a good outcome.","PeriodicalId":196868,"journal":{"name":"Joint Diseases and Related Surgery Case Reports","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127838779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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