Pub Date : 2025-07-09DOI: 10.1016/j.tcr.2025.101223
Mirza Sivro , Đemil Omerović
Traumatic hip dislocations in children are rare injuries. They are mostly sustained after low-energy trauma in younger children, and after high-energy trauma in older children and adolescents. In 90 % of cases dislocation is posterior. Since this condition is an orthopedic emergency, it requires urgent reduction in order to avoid complications such as recurrent or habitual dislocation or avascular necrosis (AVN) of the femoral head.
A 3-year old girl presented sustained posterior dislocation of the right hip after twisting injury. Clinically, the right leg was shortened, and in the position of adduction, with limited passive motion of the right hip joint. Plain pelvis X-ray revealed right hip joint dislocation. Emergency closed reduction was made after sedation by Allis maneuver, and one and a half hip spica cast was applied. After three weeks, the cast was removed and patients referred to physical therapy with allowed weight-bearing on the injured leg. At 8-month follow-up, clinical and radiographic findings were normal.
Careful evaluation, complete history, thorough clinical exam and imaging are required in rare cases of pediatric traumatic hip joint dislocation, with prompt closed reduction, in order to achieve favorable clinical outcomes.
{"title":"Hip dislocation in a 3-year old girl after minor trauma: A rare case report","authors":"Mirza Sivro , Đemil Omerović","doi":"10.1016/j.tcr.2025.101223","DOIUrl":"10.1016/j.tcr.2025.101223","url":null,"abstract":"<div><div>Traumatic hip dislocations in children are rare injuries. They are mostly sustained after low-energy trauma in younger children, and after high-energy trauma in older children and adolescents. In 90 % of cases dislocation is posterior. Since this condition is an orthopedic emergency, it requires urgent reduction in order to avoid complications such as recurrent or habitual dislocation or avascular necrosis (AVN) of the femoral head.</div><div>A 3-year old girl presented sustained posterior dislocation of the right hip after twisting injury. Clinically, the right leg was shortened, and in the position of adduction, with limited passive motion of the right hip joint. Plain pelvis X-ray revealed right hip joint dislocation. Emergency closed reduction was made after sedation by Allis maneuver, and one and a half hip spica cast was applied. After three weeks, the cast was removed and patients referred to physical therapy with allowed weight-bearing on the injured leg. At 8-month follow-up, clinical and radiographic findings were normal.</div><div>Careful evaluation, complete history, thorough clinical exam and imaging are required in rare cases of pediatric traumatic hip joint dislocation, with prompt closed reduction, in order to achieve favorable clinical outcomes.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101223"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596622","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}
Pub Date : 2025-07-09DOI: 10.1016/j.tcr.2025.101216
Song Xuantong, Shi Jing, Guo Jincheng, Zhang Boyi, Liu Yongqiang
Objective
The surgical treatment experience of one case of sternal manubrium wedge-shaped avulsion fracture combined with multiple costal cartilage fractures resulting in anterior flail chest is summarized.
Methods
A 53-year-old male patient with sternal manubrium avulsion fracture and costal cartilage fractures caused by a bull goring injury was treated with a multi-material combined fixation strategy (wire cerclage reduction + titanium plate and screw fixation + memory alloy embracing device). The wire threading technique and flexible costal cartilage fixation technique were optimized during the surgery.
Results
The surgery successfully achieved stable fixation of the sternum and costal cartilage, with postoperative CT showing good alignment and disappearance of paradoxical breathing. The patient did not undergo any loosening of the internal fixation, recovering smoothly.
Conclusion
The combined application of wire cerclage, plate fixation, and memory alloy internal fixation can effectively treat sternal manubrium avulsion fractures combined with flail chest.
{"title":"One case report: Surgical treatment of a flail chest caused by a wedge-shaped avulsion fracture of manubrium sterni","authors":"Song Xuantong, Shi Jing, Guo Jincheng, Zhang Boyi, Liu Yongqiang","doi":"10.1016/j.tcr.2025.101216","DOIUrl":"10.1016/j.tcr.2025.101216","url":null,"abstract":"<div><h3>Objective</h3><div>The surgical treatment experience of one case of sternal manubrium wedge-shaped avulsion fracture combined with multiple costal cartilage fractures resulting in anterior flail chest is summarized.</div></div><div><h3>Methods</h3><div>A 53-year-old male patient with sternal manubrium avulsion fracture and costal cartilage fractures caused by a bull goring injury was treated with a multi-material combined fixation strategy (wire cerclage reduction + titanium plate and screw fixation + memory alloy embracing device). The wire threading technique and flexible costal cartilage fixation technique were optimized during the surgery.</div></div><div><h3>Results</h3><div>The surgery successfully achieved stable fixation of the sternum and costal cartilage, with postoperative CT showing good alignment and disappearance of paradoxical breathing. The patient did not undergo any loosening of the internal fixation, recovering smoothly.</div></div><div><h3>Conclusion</h3><div>The combined application of wire cerclage, plate fixation, and memory alloy internal fixation can effectively treat sternal manubrium avulsion fractures combined with flail chest.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101216"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614226","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}
Osteonecrosis, also known as avascular necrosis (AVN), of the femoral head is a debilitating condition characterized by the death of bone tissue due to a lack of blood supply. Surgical interventions, particularly osteotomies, are critical in the management of osteonecrosis, especially in its pre-collapse or early stages. We propose a modified version of this osteotomy, which offers a potential for salvaging the femoral head in early cases of AVN of the hip, up to stage 2A, 2B, or early stage 3 (Ficat and Arlet).
{"title":"Reimagining Sugioka Osteotomy: A Paradigm Shift in the Treatment of Avascular Necrosis of the Femoral Head","authors":"Hrishikesh Saodekar , Yogesh Salphale , Gopal Shinde , Sushrut Babhulkar","doi":"10.1016/j.tcr.2025.101229","DOIUrl":"10.1016/j.tcr.2025.101229","url":null,"abstract":"<div><h3>Background</h3><div>Osteonecrosis, also known as avascular necrosis (AVN), of the femoral head is a debilitating condition characterized by the death of bone tissue due to a lack of blood supply. Surgical interventions, particularly osteotomies, are critical in the management of osteonecrosis, especially in its pre-collapse or early stages. We propose a modified version of this osteotomy, which offers a potential for salvaging the femoral head in early cases of AVN of the hip, up to stage 2A, 2B, or early stage 3 (Ficat and Arlet).</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101229"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144631671","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 combination of a trapezium fracture and a Bennett's fracture-luxation is rare in hand trauma, posing both diagnostic and therapeutic challenges. Anatomical reduction and stabilization of the thumb MP joint, as well as optimal management, are the keys to a good outcome. We present the case of a 20-year-old motorcyclist with this lesion, treated with closed reduction, using the Islen K-wire fixation. Clinical and radiological results were satisfactory at six months' follow-up.
在手部外伤中，梯形骨折和Bennett骨折脱位的合并是罕见的，这给诊断和治疗带来了挑战。解剖复位和稳定拇指MP关节，以及最佳的管理，是一个良好的结果的关键。我们报告一名20岁的摩托车手患有这种病变，采用Islen k -丝固定进行闭合复位治疗。随访6个月，临床及影像学结果均满意。
{"title":"Bennett's dislocation fracture combined with a trapezium fracture: Advantages of Islen K-wire fixation: A case report and literature review","authors":"Amine Hamzaoui , Khalil Ouda , Mouncef Amahti , Walid Bouziane , Jalal Jebari , oussman Laye Diene , Mohammed Sadougui , Abdelkrim Daoudi","doi":"10.1016/j.tcr.2025.101219","DOIUrl":"10.1016/j.tcr.2025.101219","url":null,"abstract":"<div><div>The combination of a trapezium fracture and a Bennett's fracture-luxation is rare in hand trauma, posing both diagnostic and therapeutic challenges. Anatomical reduction and stabilization of the thumb MP joint, as well as optimal management, are the keys to a good outcome. We present the case of a 20-year-old motorcyclist with this lesion, treated with closed reduction, using the Islen K-wire fixation. Clinical and radiological results were satisfactory at six months' follow-up.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"59 ","pages":"Article 101219"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890411","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}
Pub Date : 2025-06-05DOI: 10.1016/j.tcr.2025.101214
Vincenzo Di Modica , Giuseppe J. Sciarrone
Background
Given the low prevalence of multi-level disc herniations, robust clinical evidence for their management remains limited, particularly concerning non-invasive treatments, where data is nearly non-existent. However, an intensive therapeutic regimen centered on non-surgical spinal decompression (NSSD)1, augmented with supportive physiotherapy modalities, demonstrates promise in the non-invasive management of significant lumbar disc herniations, even when affecting multiple spinal levels concurrently.
Case report
A 46-year-old female patient presented with double-level disc herniations at the L4-L5 and L5-S1 segments. Following the failure of two conventional physiotherapy regimens, surgical intervention was advised as the sole treatment option. The patient, however, declined invasive surgery and opted for an intensive six-month program predominantly based on NSSD therapy. Magnetic resonance imaging scans taken after the initial onset of symptoms, prior to and two months after initiating the program, and one month following its completion, revealed significant improvements across all monitored parameters, including canal anteroposterior (AP)1 length and area, disc AP length and area, and herniation index. These structural changes indicated an almost complete restoration of the canal surface and substantial reduction of herniation at both affected levels.
Conclusions
Even in patients with significant herniations at two different levels, substantial improvement can be achieved through a non-invasive approach. These findings underscore the effectiveness of an intensive treatment program utilizing NSSD therapy and offer a viable alternative for patients who are unable or unwilling to undergo surgical intervention.
{"title":"An intensive non-invasive protocol combining non-surgical spinal decompression and supportive physiotherapeutic modalities in the treatment of double-level disc herniation at L4-L5 and L5-S1: A case report","authors":"Vincenzo Di Modica , Giuseppe J. Sciarrone","doi":"10.1016/j.tcr.2025.101214","DOIUrl":"10.1016/j.tcr.2025.101214","url":null,"abstract":"<div><h3>Background</h3><div>Given the low prevalence of multi-level disc herniations, robust clinical evidence for their management remains limited, particularly concerning non-invasive treatments, where data is nearly non-existent. However, an intensive therapeutic regimen centered on non-surgical spinal decompression (NSSD)<span><span><sup>1</sup></span></span>, augmented with supportive physiotherapy modalities, demonstrates promise in the non-invasive management of significant lumbar disc herniations, even when affecting multiple spinal levels concurrently.</div></div><div><h3>Case report</h3><div>A 46-year-old female patient presented with double-level disc herniations at the L4-L5 and L5-S1 segments. Following the failure of two conventional physiotherapy regimens, surgical intervention was advised as the sole treatment option. The patient, however, declined invasive surgery and opted for an intensive six-month program predominantly based on NSSD therapy. Magnetic resonance imaging scans taken after the initial onset of symptoms, prior to and two months after initiating the program, and one month following its completion, revealed significant improvements across all monitored parameters, including canal anteroposterior (AP)<sup>1</sup> length and area, disc AP length and area, and herniation index. These structural changes indicated an almost complete restoration of the canal surface and substantial reduction of herniation at both affected levels.</div></div><div><h3>Conclusions</h3><div>Even in patients with significant herniations at two different levels, substantial improvement can be achieved through a non-invasive approach. These findings underscore the effectiveness of an intensive treatment program utilizing NSSD therapy and offer a viable alternative for patients who are unable or unwilling to undergo surgical intervention.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101214"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254960","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}
Pub Date : 2025-06-04DOI: 10.1016/j.tcr.2025.101211
Benoît Borner, Vanessa Morello, Axel Gamulin
This paper reports the case and management of a 36-year-old female patient, 8 weeks pregnant, who sustained a Schatzker V tibial plateau fracture with a surgical indication. The institutional management protocol consisting of computed tomography imaging to complete standard radiographic workout as well as surgery under general anesthesia was not followed to avoid potential deleterious effects on the fetus. Magnetic resonance imaging and loco-regional anesthesia were preferred. In order to avoid post-operative acute compartment syndrome to develop unnoticed while the effect of the loco-regional anesthesia was still present, a continuous intra-compartmental pressure monitoring device was inserted into the anterior compartment once the surgical fixation was completed and left in place until full recovery of lower limb sensation.
{"title":"Continuous post-operative intra-compartmental pressure monitoring after tibial plateau fracture osteosynthesis under regional anesthesia during pregnancy: a case report","authors":"Benoît Borner, Vanessa Morello, Axel Gamulin","doi":"10.1016/j.tcr.2025.101211","DOIUrl":"10.1016/j.tcr.2025.101211","url":null,"abstract":"<div><div>This paper reports the case and management of a 36-year-old female patient, 8 weeks pregnant, who sustained a Schatzker V tibial plateau fracture with a surgical indication. The institutional management protocol consisting of computed tomography imaging to complete standard radiographic workout as well as surgery under general anesthesia was not followed to avoid potential deleterious effects on the fetus. Magnetic resonance imaging and loco-regional anesthesia were preferred. In order to avoid post-operative acute compartment syndrome to develop unnoticed while the effect of the loco-regional anesthesia was still present, a continuous intra-compartmental pressure monitoring device was inserted into the anterior compartment once the surgical fixation was completed and left in place until full recovery of lower limb sensation.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101211"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242233","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}
We report two cases of combined lumbar vertebral and sacral fractures treated with minimally invasive reconstructive surgery comprising transiliac-transsacral (TITS) screws and spinopelvic fixation (SPF). Case 1 involved a 32-year-old Japanese male patient who fell and sustained multilevel vertebral and sacral fractures with anterior displacement and kyphosis and right pubic fracture. The patient was placed in the supine position and underwent closed reduction in the hyperextended supine position. A TITS screw was inserted at S1 and a cannulated screw was inserted in the right pubic ramus under navigation. The patient's body was then changed to the prone position. Two iliac screws were inserted on each side and percutaneous pedicle screws (PPS) were inserted from Th11 to L4 under navigation. We performed percutaneous rod placement and connected the screws. Postoperative computed tomography (CT) showed no deviation of the screws from the bone and acceptable sacral deformity reduction. Case 2 involved an 83-year-old Japanese female patient who fell and sustained L5 vertebral and fragile sacral fractures. The patient was placed in the prone position, and TITS screw insertion was performed at S1 and S2 under navigation. Iliac screws were inserted on each side and PPS were inserted at the L3 and L4 vertebrae under navigation. Postoperative CT revealed no deviation of the screws from the bone. TITS screw placement and SPF allow minimally invasive reduction and reconstruction of unstable pelvic ring injuries with lower lumbar vertebral and sacral fractures.
{"title":"Reconstruction with transiliac-transsacral screws and spinopelvic fixation for combined lumbar and sacral fractures: Two case reports","authors":"Ryo Ugawa , Tadashi Komatsubara , Yoshihiro Fujiwara , Yasuaki Yamakawa , Toshiyuki Matsumoto","doi":"10.1016/j.tcr.2025.101212","DOIUrl":"10.1016/j.tcr.2025.101212","url":null,"abstract":"<div><div>We report two cases of combined lumbar vertebral and sacral fractures treated with minimally invasive reconstructive surgery comprising transiliac-transsacral (TITS) screws and spinopelvic fixation (SPF). Case 1 involved a 32-year-old Japanese male patient who fell and sustained multilevel vertebral and sacral fractures with anterior displacement and kyphosis and right pubic fracture. The patient was placed in the supine position and underwent closed reduction in the hyperextended supine position. A TITS screw was inserted at S1 and a cannulated screw was inserted in the right pubic ramus under navigation. The patient's body was then changed to the prone position. Two iliac screws were inserted on each side and percutaneous pedicle screws (PPS) were inserted from Th11 to L4 under navigation. We performed percutaneous rod placement and connected the screws. Postoperative computed tomography (CT) showed no deviation of the screws from the bone and acceptable sacral deformity reduction. Case 2 involved an 83-year-old Japanese female patient who fell and sustained L5 vertebral and fragile sacral fractures. The patient was placed in the prone position, and TITS screw insertion was performed at S1 and S2 under navigation. Iliac screws were inserted on each side and PPS were inserted at the L3 and L4 vertebrae under navigation. Postoperative CT revealed no deviation of the screws from the bone. TITS screw placement and SPF allow minimally invasive reduction and reconstruction of unstable pelvic ring injuries with lower lumbar vertebral and sacral fractures.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101212"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242234","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}
Traumatic degloving injuries of the foot and ankle are severe, relatively rare lesions often resulting from high-energy mechanisms such as ejections in road traffic accidents. These injuries present significant challenges in both immediate management and long-term functional and aesthetic reconstruction. The involvement of severe soft tissue damage, neurovascular compromise, and potential joint involvement increases the risk of complications that can negatively impact clinical outcomes and patient quality of life. This case report details the management of a 32-year-old male who sustained extensive degloving injuries to the left foot and ankle following a motor vehicle ejection. Initial assessment revealed soft tissue damage, mediotarsal dislocation, and bone loss. Despite considering amputation due to the severity of the injury, a limb-salvage approach was chosen. Emergency surgical intervention included wound debridement, bone stabilization with Kirschner wires, and a rotational flap for soft tissue coverage. Postoperative complications included necrosis, which required negative pressure wound therapy and skin grafting. Two years after the accident, the injury site had fully healed, with the patient achieving satisfactory functional and aesthetic outcomes. The patient was able to walk independently for two kilometers with minimal discomfort and had an AOFAS Midfoot Score of 72/100. This case underscores the importance of early multidisciplinary management, careful therapeutic decision-making, and comprehensive long-term follow-up to optimize recovery in complex traumatic foot and ankle injuries.
{"title":"Management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle: A case report","authors":"Omar Mourafiq , Abdellatif Benbouha , Hicham Salahi , Omar Mergad","doi":"10.1016/j.tcr.2025.101213","DOIUrl":"10.1016/j.tcr.2025.101213","url":null,"abstract":"<div><div>Traumatic degloving injuries of the foot and ankle are severe, relatively rare lesions often resulting from high-energy mechanisms such as ejections in road traffic accidents. These injuries present significant challenges in both immediate management and long-term functional and aesthetic reconstruction. The involvement of severe soft tissue damage, neurovascular compromise, and potential joint involvement increases the risk of complications that can negatively impact clinical outcomes and patient quality of life. This case report details the management of a 32-year-old male who sustained extensive degloving injuries to the left foot and ankle following a motor vehicle ejection. Initial assessment revealed soft tissue damage, mediotarsal dislocation, and bone loss. Despite considering amputation due to the severity of the injury, a limb-salvage approach was chosen. Emergency surgical intervention included wound debridement, bone stabilization with Kirschner wires, and a rotational flap for soft tissue coverage. Postoperative complications included necrosis, which required negative pressure wound therapy and skin grafting. Two years after the accident, the injury site had fully healed, with the patient achieving satisfactory functional and aesthetic outcomes. The patient was able to walk independently for two kilometers with minimal discomfort and had an AOFAS Midfoot Score of 72/100. This case underscores the importance of early multidisciplinary management, careful therapeutic decision-making, and comprehensive long-term follow-up to optimize recovery in complex traumatic foot and ankle injuries.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101213"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230597","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}
Pub Date : 2025-06-04DOI: 10.1016/j.tcr.2025.101210
Daniel Gaitan Vargas, Cristian Camilo Fajardo Cantillo, Oriana Pérez Gibson
Proximal tibiofibular dislocations are extremely rare, accounting for less than 1 % of knee injuries. They can present in isolation as a result of athletic participation or in combination with bony or ligamentous injuries, frequently associated with tibial shaft or proximal tibial fractures caused by high-energy trauma, such as motor vehicle accidents. A cohort study with a sample of 129 knees reports a 9 % incidence of proximal tibiofibular instability in patients with multiligament-knee injurie. Multiligament-knee injuries are also uncommon, primarily resulting from high-energy trauma, posing a challenge for the surgeon, and requires a meticulous clinical evaluation and surgical planning to achieve satisfactory outcomes. This is a retrospective descriptive study based on the collection of clinical data from a patient who was a victim of a motor vehicle accident with proximal tibiofibular dislocation involving the posterior cruciate ligament and posterolateral corner, who underwent a single-stage surgical intervention to ensure early functional rehabilitation. The significance of this case lies in the fact that it represents the second reported case of a proximal tibiofibular dislocation with multiligament-knee injury without other associated injuries, in addition to being a recent case reported ten years after the last similar publication.
{"title":"Proximal tibiofibular dislocation with multiligament-knee injury: a case report","authors":"Daniel Gaitan Vargas, Cristian Camilo Fajardo Cantillo, Oriana Pérez Gibson","doi":"10.1016/j.tcr.2025.101210","DOIUrl":"10.1016/j.tcr.2025.101210","url":null,"abstract":"<div><div>Proximal tibiofibular dislocations are extremely rare, accounting for less than 1 % of knee injuries. They can present in isolation as a result of athletic participation or in combination with bony or ligamentous injuries, frequently associated with tibial shaft or proximal tibial fractures caused by high-energy trauma, such as motor vehicle accidents. A cohort study with a sample of 129 knees reports a 9 % incidence of proximal tibiofibular instability in patients with multiligament-knee injurie. Multiligament-knee injuries are also uncommon, primarily resulting from high-energy trauma, posing a challenge for the surgeon, and requires a meticulous clinical evaluation and surgical planning to achieve satisfactory outcomes. This is a retrospective descriptive study based on the collection of clinical data from a patient who was a victim of a motor vehicle accident with proximal tibiofibular dislocation involving the posterior cruciate ligament and posterolateral corner, who underwent a single-stage surgical intervention to ensure early functional rehabilitation. The significance of this case lies in the fact that it represents the second reported case of a proximal tibiofibular dislocation with multiligament-knee injury without other associated injuries, in addition to being a recent case reported ten years after the last similar publication.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101210"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518553","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}
Rosai Dorfman disease is a rare disease with massive lymphadenopathy. It presents significant challenges to the anaesthesiologists involving multiple organs especially the airway. Here we present a patient who is a known case of Rosai Dorfman disease with severe hypothyroidism and Alzheimer's disease with previous history of laryngotracheal reconstruction, now presenting with femur inter trochanteric fracture for proximal femur nailing. A tailored approach with detailed preoperative evaluation and planning, emphasis on airway, with backup plan added to the successful management of this case.
{"title":"Anaesthesia for proximal femoral nailing in a patient with “Rosai Dorfman disease” with prior laryngotracheal reconstruction - Not all rosy as it seems","authors":"Ashna Shetty, Megha Thaleppady, Priyanka Mahanta, Shilpa A Naik, Akanksha Chouhan","doi":"10.1016/j.tcr.2025.101197","DOIUrl":"10.1016/j.tcr.2025.101197","url":null,"abstract":"<div><div>Rosai Dorfman disease is a rare disease with massive lymphadenopathy. It presents significant challenges to the anaesthesiologists involving multiple organs especially the airway. Here we present a patient who is a known case of Rosai Dorfman disease with severe hypothyroidism and Alzheimer's disease with previous history of laryngotracheal reconstruction, now presenting with femur inter trochanteric fracture for proximal femur nailing. A tailored approach with detailed preoperative evaluation and planning, emphasis on airway, with backup plan added to the successful management of this case.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101197"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203929","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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