Osteochondroma Arising from Anterior Inferior Iliac Spine as a Cause of Snapping Hip.
We report a unique case of osteochondroma arising from the anterior inferior iliac spine (AIIS), which caused the internal snapping hip syndrome with hip pain and restriction of activity. This rare case of snapping hip syndrome from the AIIS was treated surgically and the symptoms completely disappeared after excision of the tumor. PMID: 26929811 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Osseous Defects Seen in Patients with Anterior Shoulder Instability.
Authors: Yamamoto N, Itoi E Abstract Shoulder surgeons need to be aware of the critical size of the glenoid or humeral osseous defects seen in patients with anterior shoulder instability, since the considerable size of osseous defect is reported to cause postoperative instability. Biomechanical studies have identified the size of the osseous defect which affects stability. Since engagement always occurs between a Hill-Sachs lesion and the glenoid rim, when considering the critical size of the Hill-Sachs lesion, we have to simultaneously consider the size of the glenoid osseous defect. With the newly developed conce...
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Carpometacarpal Joint Fracture Dislocation of Second to Fifth Finger.
CONCLUSIONS: Careful hand examination and radiographic assessment is necessary to avoid missed diagnosis of carpometacarpal joint fracture dislocation. Early open reduction and internal fixation lead to excellent recovery of hand function. PMID: 26640624 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Calcar Preservation Arthroplasty for Unstable Intertrochanteric Femoral Fractures in Elderly.
CONCLUSIONS: Calcar preservation arthroplasty is a good option for elderly patients with severe osteoporosis, frail constitution and the patients who are at higher risk for second operation due to unstable intertrochanteric fractures. PMID: 26640625 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Usefulness of Arthroscopic Treatment of Painful Hip after Acetabular Fracture or Hip Dislocation.
Authors: Hwang JT, Lee WY, Kang C, Hwang DS, Kim DY, Zheng L Abstract BACKGROUND: Painful hip following hip dislocation or acetabular fracture can be an important signal for early degeneration and progression to osteoarthritis due to intraarticular pathology. However, there is limited literature discussing the use of arthroscopy for the treatment of painful hip. The purpose of this retrospective study was to analyze the effectiveness and benefit of arthroscopic treatment for patients with a painful hip after major trauma. METHODS: From July 2003 to February 2013, we reviewed 13 patients who underwent arthroscop...
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Analyzing the History of Falls in Patients with Severe Knee Osteoarthritis.
CONCLUSIONS: Patients with severe knee osteoarthritis were at greater risk of falling, as compared to healthy older adults. Pain, stiffness, limited physical ability, reduced muscle strength, all consequences of severe knee osteoarthritis, restricted patient's quality of life and increased the fall risk. Therefore, patients with severe knee osteoarthritis should not postpone having total knee replacement, since it was clear that they would face more complicated matters when combining with fractures other serious injuries and disability. PMID: 26640627 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Medial Patellofemoral Ligament Reconstruction for Recurrent Patellar Instability Using a Gracilis Autograft without Bone Tunnel.
CONCLUSIONS: We achieved good results with a patellar fixation technique in MPFL reconstruction using a gracilis autograft employing soft tissue suturing in patients with recurrent patellar dislocation. PMID: 26640628 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Significance of Intramedullary High Signal Intensity on Magnetic Resonance Imaging in Patients with Cervical Ossification of the Posterior Longitudinal Ligament.
Authors: Choi BW, Hum TW Abstract BACKGROUND: The purpose of this study was to analyze the relation between intramedullary high signal intensity (IMHS) on magnetic resonance imaging (MRI), radiographic parameters, and clinical symptoms in cervical ossification of the posterior longitudinal ligament (OPLL) patients. METHODS: Two hundred forty-one patients, who underwent simple radiography, computed tomography (CT), and MRI were included in the present study. As radiographic parameters, the OPLL occupying ratio and occupying area were measured on CT images. Dynamic factors were assessed by measuring cervical rang...
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Semi-Circumferential Decompression: Microsurgical Total en-bloc Ligamentum Flavectomy to Treat Lumbar Spinal Stenosis with Grade I Degenerative Spondylolisthesis.
CONCLUSIONS: The results suggested that semi-circumferential decompression is a clinically recommendable procedure that can improve pain. This procedure does not cause spinal instability when treating patients who have a spinal stenosis with degenerative spondylolisthesis. PMID: 26640630 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Patterns of Treatment for Metastatic Pathological Fractures of the Spine: The Efficacy of Each Treatment Modality.
CONCLUSIONS: RT was the most common primary choice of treatment for metastatic pathological fractures of the spine. However, the response rate was suboptimal. Although OP should be considered for the relief of mechanical back pain or neurologic symptoms, care should be taken in determining the surgical indication. VP or KP could be considered for short-term control of localized pain, although the number of cases was too small to confirm the conclusion. It is difficult to determine the superiority of the treatment modalities, hence, a common guideline for the diagnosis and treatment of metastatic pathological fractures of t...
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Intraoperative Three-Dimensional Imaging in Calcaneal Fracture Treatment.
CONCLUSIONS: Intraoperative 3D imaging of calcaneal fractures is considered to be useful in evaluating the congruence of joints and the placement of implants. PMID: 26640632 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Arthroscopic Assessment of Intra-Articular Lesion after Surgery for Rotational Ankle Fracture.
CONCLUSIONS: Arthroscopic examination combined with treatment of intra-articular fibrosis arising from ankle fracture surgery may help improve surgical outcomes. PMID: 26640633 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Outcomes of Combined Shelf Acetabuloplasty with Femoral Varus Osteotomy in Severe Legg-Calve-Perthes (LCP) Disease: Advanced Containment Method for Severe LCP Disease.
CONCLUSIONS: The surgical outcomes for combined shelf acetabuloplasty with femoral varus osteotomy in severe LCPD patients over 8 years old are comparable with other advanced surgical methods. In the cases of severe disease that match our inclusion criteria, our containment method could be another treatment option. PMID: 26640634 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Suture Bridge Fixation Technique for Posterior Cruciate Ligament Avulsion Fracture.
We presented a surgical technique including a suture bridge technique with relatively small incision for the reduction and fixation of posterior ligament avulsion fractures. A suture anchor was used to hold the avulsed fragment and a knotless anchor was used to continuously compress the bony fragment into the fracture site, thereby maintaining reduction during healing. PMID: 26640635 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Bilateral Total Hip Arthroplasty in a Rare Case of Multicentric Reticulohistiocytosis.
Authors: Saibaba B, Sen RK, Das A, Sharma A Abstract Multicentric reticulohistiocytosis (MRH) is a rare systemic disease, which commonly manifests as muco-cutaneous papulonodules and inflammatory erosive polyarthropathy. In this research, we report the clinical manifestations and management of a rare case of MRH with destructive arthropathy of bilateral hip joints and arthritis mutilans presenting with characteristic deformities. Disabling hip arthropathy that occurs secondary to MRH can be successfully managed with bilateral total hip arthroplasty (THA). Osteopenia and acetabular bone defects must be anticipated d...
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Unique Imaging Features of Spinal Neurenteric Cyst.
Authors: Jung HS, Park SM, Kim GU, Kim MK, Song KS Abstract A 50-year-old male presented with acutely progressed paraplegia. His magnetic resonance imaging demonstrated two well-demarcated components with opposite signals in one cystic lesion between the T1- and T2-weighted images at the T1 spine level. The patient showed immediately improved neurological symptoms after surgical intervention and the histopathological exam was compatible with a neurenteric cyst. On operation, two different viscous drainages from the cyst were confirmed. A unique similarity of image findings was found from a review of the pertinent l...
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

High Grade Infective Spondylolisthesis of Cervical Spine Secondary to Tuberculosis.
We report a rare case of high grade pathological posterolisthesis of the lower cervical spine due to tubercular spondylodiscitis in a 67-year-old woman managed surgically with a three-year follow-up period. This case highlights the varied and complex presentation of tuberculosis of the lower cervical spine and gives insight into its pathogenesis, diagnosis, and management. PMID: 26640638 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Trigger Wrist.
This study reports on two of those cases: one with anomalous muscle and the other with fibroma of flexor tendon sheath. Accurate examination and proper diagnosis are mandatory to obviate improper and time-wasting treatment for patients with trigger wrist. PMID: 26640639 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Acute Compartment Syndrome after Non-Contact Peroneus Longus Muscle Rupture.
Authors: Merriman J, Villacis D, Kephart C, Yi A, Romano R, Hatch GF Abstract This case demonstrates a rare variation in the pattern of injury and the presentation of acute lateral compartment syndrome of the leg. Although uncommon, lateral compartment syndrome of the leg after an ankle inversion leading to peroneus longus muscle rupture has been previously documented. This case was unusual because there was no overt ankle injury and the patient was able to continue physical activity, in spite of a significant rupture of the peroneus longus muscle that was determined later. This case highlights the necessary vigila...
Source: Clinics in Orthopedic Surgery - December 11, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Wide-Awake Primary Flexor Tendon Repair, Tenolysis, and Tendon Transfer.
This article describes the method that I have used for tendon surgery. PMID: 26330947 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Shaft Fractures of Both Forearm Bones: The Outcomes of Surgical Treatment with Plating Only and Combined Plating and Intramedullary Nailing.
CONCLUSIONS: The functional results and the average union time were superior in group A than in group B. However, we think that combined fixation is a useful method for SFBFBs that cannot be treated with plate fixation only. PMID: 26330948 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comparison of the Sliding and Femoral Head Rotation among Three Different Femoral Head Fixation Devices for Trochanteric Fractures.
CONCLUSIONS: The ability to stabilize femoral head appears to be greater with blade-type materials than with screw-type materials. Furthermore, we believe that a non-cylindrical blade is preferable to a cylindrical blade for the surgical treatment of comminuted, unstable trochanteric fractures in order to prevent femoral head rotation and cut-out. PMID: 26330949 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Preoperative Incidence of Deep Vein Thrombosis after Hip Fractures in Korean.
CONCLUSIONS: While the preoperative incidence of DVT after hip fractures was relatively low (2.6%) in the Korean geriatric population, we confirmed that getting no treatment within 72 hours after injury increased the incidence of DVT. Thus, we conclude from this study that a workup for DVT should be considered in cases where admission or surgery has been delayed for more than 72 hours after injury. PMID: 26330950 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Screw-Home Movement of the Tibiofemoral Joint during Normal Gait: Three-Dimensional Analysis.
CONCLUSIONS: Paradoxical screw-home movement may be an important mechanism that provides stability to the knee joint during the remaining stance phase. Obtaining the kinematic values of the knee joint during gait can be useful in diagnosing and treating the pathological knee joints. PMID: 26330951 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Two-Stage Revision for Infected Total Knee Arthroplasty: Based on Autoclaving the Recycled Femoral Component and Intraoperative Molding Using Antibiotic-Impregnated Cement on the Tibial Side.
CONCLUSIONS: This novel technique provides excellent radiological and clinical outcomes. It offers a high surface area of antibiotic-impregnated cement, a good range of motion between first and second stage revision surgery for the treatment of chronic infection after total knee arthroplasty, and is of a reasonable cost. PMID: 26330952 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Utilization of Hyaluronate and Incidence of Septic Knee Arthritis in Adults: Results from the Korean National Claim Registry.
CONCLUSIONS: Cautious aseptic technique is required when hyaluronate is administered in adult patients with osteoarthritis of the knee due to the concerns of the risk of septic arthritis. PMID: 26330953 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

A Systematic Review of Interspinous Dynamic Stabilization.
CONCLUSIONS: No particular problem was found regarding the safety of the technique. Its clinical outcomes were similar to those of conventional techniques, and no additional clinical advantage could be attributed to interspinous dynamic stabilization. However, few studies have been conducted on the long-term efficacy of interspinous dynamic stabilization. Thus, the authors suggest further clinical studies be conducted to validate the theoretical advantages and clinical efficacy of this technique. PMID: 26330954 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Results of Corrective Osteotomy and Treatment Strategy for Ankylosing Spondylitis with Kyphotic Deformity.
Authors: Kim KT, Park DH, Lee SH, Lee JH Abstract BACKGROUND: To report the radiological and clinical results after corrective osteotomy in ankylosing spondylitis patients. Furthermore, this study intended to classify the types of deformity and to suggest appropriate surgical treatment options. METHODS: We retrospectively analyzed ankylosing spondylitis patients who underwent corrective osteotomy between 1996 and 2009. The radiographic assessments included the sagittal vertical axis (SVA), spinopelvic alignment parameters, correction angle, correction loss, type of deformity related to the location of the apex,...
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Particular Features of Surgical Site Infection in Posterior Lumbar Interbody Fusion.
CONCLUSIONS: The rate of SSI in PLIF was 1.6%, with the most common type being O/SI. The causative bacteria of O/SI was of lower virulence than in the incisional infection, and thus diagnosis was delayed due to its latent and insidious feature. Contamination of auto-local bone was presumed attributable to the progression of SSI. Irrigation of auto-local bone helped in the reduction of SSI. PMID: 26330956 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Factors Affecting Survival in Patients Undergoing Palliative Spine Surgery for Metastatic Lung and Hepatocellular Cancer: Dose the Type of Surgery Influence the Surgical Results for Metastatic Spine Disease?
CONCLUSIONS: There was no significant difference in surgical outcomes and survival rates between posterior and AP surgery for metastatic lesions resulting from lung and hepatocellular cancer. Preoperative Karnofsky score and improvement of performance status had a significant impact on the survival rate following surgical treatment for these metastatic spine lesions. PMID: 26330957 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Evaluation of the Effusion within Biceps Long Head Tendon Sheath Using Ultrasonography.
CONCLUSIONS: The effusion within the biceps long head tendon sheath is closely related to the range of motion and clinical scores in patients with painful shoulders. Ultrasonographic detection of the effusion within the biceps long head tendon sheath might be a simple and easy method to evaluate shoulder function. PMID: 26330958 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Delta Reverse Polarity Shoulder Replacement: Single Surgeon Experience with a Minimum 2-Year Follow-up.
Authors: Jehan S, Eltayeb M, Javaid MM Abstract BACKGROUND: The delta reverse shoulder replacement system was developed for the treatment of rotator cuff arthropathy so that the deltoid can substitute for the deficient rotator cuff. To evaluate the results of delta reverse shoulder replacement for functional improvement and complications in a consecutive series by a single surgeon over a period of six years with a minimum follow-up of 2 years. METHODS: The data were collected retrospectively from electronic theatre records. Over a period of 6 years (2006-2012), 46 cases that fulfilled the inclusion criteria wer...
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Arthroscopic Changes of the Biceps Pulley in Rotator Cuff Tear and Its Clinical Significance in Relation to Treatment.
CONCLUSIONS: Biceps pulley lesions with more than partial tears were identified in 48% of rotator cuff tear cases. The incidence and severity of pulley lesions were related to the rotator cuff tear size, the status of the long head of the biceps tendon and subscapularis tendon lesion, and the treatment methods. PMID: 26330960 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Results of Abductor Pollicis Longus Suspension Ligamentoplasty for Treatment of Advanced First Carpometacarpal Arthritis.
CONCLUSIONS: The APL suspension ligamentoplasty for treatment of advanced first CMC arthritis yielded satisfactory functional results. PMID: 26330961 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Redisplacement of Distal Radius Fracture after Initial Closed Reduction: Analysis of Prognostic Factors.
Authors: Jung HW, Hong H, Jung HJ, Kim JS, Park HY, Bae KH, Jeon IH Abstract BACKGROUND: To evaluate risk factors of redisplacement and remind surgeons of key factors regarding conservative treatment of distal radius fracture. METHODS: A total of 132 patients who received conservative treatment for distal radius fractures between March 2008 and February 2011 were included in this study. Radial inclination, radial length, volar tilting angle, ulnar variance, fragment translation, and presence of dorsal metaphyseal comminution were measured on the X-rays taken immediately after reduction, one week after injury du...
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Demineralized Bone Matrix Injection in Consolidation Phase Enhances Bone Regeneration in Distraction Osteogenesis via Endochondral Bone Formation.
CONCLUSIONS: DBM administration into the distraction gap at the end of the distraction period resulted in a significantly greater regenerate bone area, trabecular number, and cortical thickness in the rabbit tibial DO model. These data suggest that percutaneous DBM administration at the end of the distraction period or in the early consolidation period may stimulate regenerate bone formation and consolidation in a clinical situation with delayed bone healing during DO. PMID: 26330963 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Usefulness of the Medial Portal during Hip Arthroscopy.
Authors: Kang C, Hwang DS, Hwang JM, Park EJ Abstract The current conventional portals for hip arthroscopic surgery are the anterior, anterolateral, and posterolateral portals. For lesions in the medial anteroinferior or posteroinferior portion of the hip, these portals provide insufficient access to the lesion and consequently lead to incomplete treatment. Thus, in such a situation, a medial portal approach might be helpful. However, operators have avoided this procedure because of the risk of injury to the obturator, femoral neurovascular structures, and the medial femoral circumflex artery. Thus, to overcome the...
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Surgical Correction of Pelvic Malunion and Nonunion.
We report our experience with satisfactory results of surgery for pelvic malunion and nonunion in four patients. The key to successful reconstruction is thorough preoperative planning and methodical surgical intervention. PMID: 26330965 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Birmingham Mid-Head Resection Periprosthetic Fracture.
We report a case of a 57-year-old male, who sustained a periprosthetic fracture following surgery with a BMHR arthroplasty. This paper illustrates the first reported case of a BMHR periprosthetic fracture. The fracture pattern is spiral in nature and reaches to the subtrochanteric area. This fracture pattern is different from published cadaveric studies, and clinicians using this implant should be aware of this as revision is likely to require a distally fitting, rather than a metaphyseal fitting stem. We have illustrated the surgical technique to manage this rare complication. PMID: 26330966 [PubMed - in process] (So...
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Differentiating between Traumatic Pathology and Congenital Variant: A Case Report of Butterfly Vertebra.
We describe a 40-year-old woman that presented to our emergency department with back pain and sciatica. Initial radiological evaluation revealed an incidental finding of a L4 butterfly vertebra in the anteroposterior and lateral view radiographs. The patient presented with no neurological deficit. This rare congenital anomaly is usually asymptomatic, and awareness of its non-traumatic nature is critical in order to establish a correct diagnosis. Further evaluation of the patient is necessary to exclude pathologic fracture, infection, or associated vertebral anomalies and syndromes, such as Alagille, Jarcho-Levin, Crouzon, ...
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Multilevel Thoracolumbar Spondylolysis with Spondylolisthesis at L4 on L5.
Authors: Kim WJ, Song YD, Choy WS Abstract A 24-year-old male patient was initially evaluated for persistent back pain. The visual analogue scale (VAS) score was 7 points. Physical examination revealed a decreased range of lumbar spinal motion, which caused pain. Simple X-ray revealed Meyerding grade 1 spondylolisthesis at L4 on L5, with mild dome-shaped superior endplate and consecutive multilevel spondylolysis at T12-L5. Standing anteroposterior and lateral views of the entire spine revealed normal balance of sagittal and coronal alignment. A computed tomography scan revealed bilateral spondylolysis at T12-L4, le...
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Uncalcified Synovial Chondromatosis in the Pisotriquetral Joint.
We report an extremely uncommon case of synovial chondromatosis in the pisotriquetral joint, in which radiographs and magnetic resonance imaging did not demonstrate apparent calcified bodies. In our case, for the accurate diagnosis and treatment, surgical exploration of the joint and synovectomy with removal of loose bodies was performed. PMID: 26330969 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Superficial Fibromatosis Mimicking Glomus Tumor of the Second Toe.
Authors: Jo HJ, Chae SU, Kim GD, Kim YJ, Choi DH, Park JI Abstract Various types of tumor can occur in the subungual space, including glomus tumors, subungual exostosis, hemangioma, epidermal cysts, and malignant tumors. While fibromatosis can occur at various sites throughout the body, it is very rarely seen in the toe. Here, we are the first to report a case of superficial fibromatosis mimicking a glomus tumor in the subungual space of the second toe. The presentation of this condition shows the possibility of encountering uncommon superficial fibromatosis in the distal phalanx of the toe, and suggests that super...
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Concealing Block Sizes Is Not Sufficient.
Authors: Berger VW, He X PMID: 26330971 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Corrigendum to "Evaluation of the Accuracy and Precision of a Next Generation Computer-Assisted Surgical System".
Corrigendum to "Evaluation of the Accuracy and Precision of a Next Generation Computer-Assisted Surgical System". Clin Orthop Surg. 2015 Sep;7(3):424 Authors: Angibaud LD, Dai Y, Liebelt RA, Gao B, Gulbransen SW, Silver XS Abstract [This corrects the article on p. 225 in vol. 7, PMID: 26217470.]. PMID: 26330972 [PubMed - as supplied by publisher] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 6, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Twenty-Year Experience of a Double-Bundle Anterior Cruciate Ligament Reconstruction.
Authors: Muneta T Abstract Double-bundle (DB) anterior cruciate ligament (ACL) reconstruction using a four-strand semitendinosus tendon was started in our department in July 1994. The motivation for starting the procedure was that the EndoButton with an inside-out procedure instrument became available in Japan. A review article of our DB ACL reconstruction procedure was summarized for the twentieth anniversary of the surgical procedure. Initial tension setting of the two grafts was changed in the first 8 years to achieve better stability during DB ACL reconstruction. A randomized clinical trial (RCT) was started in...
Source: Clinics in Orthopedic Surgery - July 31, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Accurate and Easy Measurement of Sliding Distance of Intramedullary Nail in Trochanteric Fracture.
CONCLUSIONS: We conclude that the modified NAR method should be the most recommended based on its accuracy, reproducibility, and usefulness. PMID: 26217459 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - July 31, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Arthroscopic Treatment of Symptomatic Internal Snapping Hip with Combined Pathologies.
Authors: Hwang DS, Hwang JM, Kim PS, Rhee SM, Park SH, Kang SY, Ha YC Abstract BACKGROUND: Arthroscopic iliopsoas tendon release was introduced in 2000. The purpose of this study was to evaluate clinical outcomes of arthroscopic iliopsoas tendon release for painful internal snapping hip with concomitant hip pathologies. METHODS: Between January 2009 and December 2011, we performed arthroscopic iliopsoas tendon release and related surgeries in 25 patients (20 men and 5 women; mean age, 32 years; range, 17 to 53 years) with combined intraarticular hip pathologies. The patients were followed for a minimum of 2 yea...
Source: Clinics in Orthopedic Surgery - July 31, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comparison of Continuous Epidural Analgesia, Patient-Controlled Analgesia with Morphine, and Continuous Three-in-One Femoral Nerve Block on Postoperative Outcomes after Total Hip Arthroplasty.
Authors: Tetsunaga T, Sato T, Shiota N, Tetsunaga T, Yoshida M, Okazaki Y, Yamada K Abstract BACKGROUND: Postoperative pain relief can be achieved with various modalities. However, there are only few reports that have analyzed postoperative analgesic techniques in total hip arthroplasty patients. The aim of this retrospective study was to compare the postoperative outcomes of three different analgesic techniques after total hip arthroplasty. METHODS: We retrospectively reviewed the influence of three analgesic techniques on postoperative rehabilitation after total hip arthroplasty in 90 patients divided into th...
Source: Clinics in Orthopedic Surgery - July 31, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Avon Patellofemoral Joint Replacement: Mid-Term Prospective Results from an Independent Centre.
We report our prospective mid-term results of the Avon PFJR for established isolated PFJ arthritis in 61 consecutive procedures. METHODS: Sixty-one Avon PFJRs were performed in 57 patients. The outcome measures were the new Oxford knee score (OKS), Hungerford and Kenna score (HKS), and Crosby Insall knee scores. Only patients with severe isolated PFJ OA were included. The diagnosis was based on a combination of clinical, radiological and, where available, arthroscopic findings. RESULTS: Mean follow-up was 5.09 years (range, 12 to 124 years). There were 2 revisions in the first 5 years. The median HKS score was 80 (...
Source: Clinics in Orthopedic Surgery - July 31, 2015 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research