scholarly journals Painful torticollis due to tubercular atlantoaxial rotatory fixation: A case report

2020 ◽  
Vol 11 ◽  
pp. 440
Author(s):  
Abolfazl Rahimizadeh ◽  
Walter Williamson ◽  
Shaghayegh Rahimizadeh ◽  
Mahan Amirzadeh
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Laboratory Tests ◽  
Rare Event ◽  
Lateral Mass ◽  
Case Description ◽  
Mass Reduction ◽  
Iliac Bone Graft ◽  
Atlantoaxial Rotatory Fixation ◽  
Rotatory Fixation

Background: Tubercular atlantoaxial, rotary dislocation warranting fixation (AARF) is an extremely rare event. Case Description: AARF was suspected in a 23-year-old female with painful torticollis. When diagnostic studies documented unilateral destruction of the left lateral mass of the atlas, she underwent removal of the lateral mass, reduction of the deformity, and C1-C2 fusion/reconstruction utilizing an iliac bone graft. Laboratory tests and the pathologic surveys were all consistent with the diagnosis of underlying tuberculosis. Conclusion: We present a case of tubercular atlantoaxial, rotary dislocation (AARF) in a patient who warranted C1-C2 decompression, reduction, and fusion.

scholarly journals Fusion Surgery Required for Recurrent Pediatric Atlantoaxial Rotatory Fixation after Failure of Temporary Fixation with Instrumentation

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Yoshiyuki Matsuyama ◽  
Tetsuhiro Ishikawa ◽  
Ei Ozone ◽  
Masaaki Aramomi ◽  
Seiji Ohtori
Keyword(s):  
Bone Graft ◽  
Present Report ◽  
Optimal Time ◽  
Small Children ◽  
Fusion Surgery ◽  
Iliac Bone Graft ◽  
Atlantoaxial Rotatory Fixation ◽  
Multiple Treatments ◽  
Rotatory Fixation

In cases of chronic irreducible and recurrent unstable atlantoaxial rotatory fixation (AARF), closed reduction and its maintenance are often unsuccessful, requiring surgical treatment. The purpose of the present report is to describe a rare case of pediatric AARF that required multiple treatments. A 6-year-old boy was diagnosed as having type 2 AARF. After conservative treatment, the patient was treated with temporary fixation surgery (C1-C2 Magerl) without a bone graft in consideration of motion preservation after screw removal. AARF recurred after the screw removal and required fusion surgery (Magerl–Brooks) with an iliac bone graft. Ultimately, bone union was achieved and the screws were removed 11 months after the surgery. We recommend surgeons be cautious when choosing temporary fixation surgery for AARF in small children. Further investigation is needed to determine the optimal time before screw removal.

MALIGNANT TRANSFORMATION OF AN ENCHONDROMA OF THE HAND: A CASE REPORT

Hand Surgery ◽  
2011 ◽  
Vol 16 (02) ◽  
pp. 201-203 ◽  
Author(s):  
H. Ozcanli ◽  
E. Alimoglu ◽  
A. T. Aydin
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Malignant Transformation ◽  
Iliac Bone ◽  
Total Excision ◽  
Iliac Bone Graft ◽  
Malignant Transformations

Secondary chondrosarcomas according to malignant transformations of the solitary enchondromas were extremely rare in the hand. The aim of this study is to present a case of a 43-year-old male having rare malignant transformation of the solitary enchondroma treated with total excision and replacement with iliac bone graft.

NON-UNION OF ISOLATED RADIAL NECK FRACTURE USING A BONE GRAFT AND TEMPORARY K-WIRE FIXATION: A CASE REPORT

Hand Surgery ◽  
2013 ◽  
Vol 18 (03) ◽  
pp. 389-392 ◽  
Author(s):  
Soo-Min Cha ◽  
Hyun-Dae Shin ◽  
Kyung-Cheon Kim ◽  
Jae-Hwang Song
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Elbow Joint ◽  
External Rotation ◽  
Non Union ◽  
Radial Neck Fracture ◽  
Radial Neck ◽  
Iliac Bone Graft ◽  
Wire Fixation ◽  
Neck Fracture

Introduction: Non-union of radial neck fractures is not common in adults, and surgical treatment is rarely required. This case report documents non-union of the radial neck with persistent pain around the elbow joint and tenderness over the neck of the radius, limited range of motion for 12 months. The authors performed an iliac bone graft and temporary K-wire fixation for non-union of the radial neck after an isolated radial neck fracture. Case presentation: A 54-year-old woman slipped with her hand outstretched 12 months prior to presentation. She was diagnosed with a radial neck fracture, but her injury was eventually diagnosed as a non-union fracture, and she was transferred to our hospital. The patient had tenderness of the radial head and neck and an increasing tendency of pain in the forearm during external rotation with resistance. Flexion was a maximum of 80°, extension was limited to 20°, and internal rotation and external rotation were decreased to 60°. On plain radiographs, a clear radiolucent shadow was present between the bone fragment and radius. After the autogenous iliac bone graft, a temporary K-wire was fixed, and at eight weeks postoperatively, the bone was united. The patient is in the month 24 of postoperative follow-up and is able to perform daily activities without tenderness. Conclusion: If elbow joint pain, tenderness, and limitation of range of motion are present in non-union of radial neck fracture, surgical treatment is necessary. If there is no injury to the ligament around the elbow or instability, the authors consider bone graft and temporary K-wire fixation as an excellent treatment option for bony union and early exercise of the joint.

Chronic Atlantoaxial Rotatory Fixation with Anterolisthesis: Case Report

2004 ◽  
Vol 57 (2) ◽  
pp. 392-395 ◽  
Author(s):  
Shital N. Parikh ◽  
Kerry R. Crone ◽  
Alvin H. Crawford
Keyword(s):  
Case Report ◽  
Atlantoaxial Rotatory Fixation ◽  
Rotatory Fixation

Ilial crest bone graft transposition as treatment for fracture of the medial femoral trochlear ridge in a dog

2014 ◽  
Vol 27 (01) ◽  
pp. 90-84 ◽  
Author(s):  
M. Dimopoulou ◽  
M. H. Lee ◽  
S. E. Ostberg
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Distal Femur ◽  
Major Complication ◽  
Iliac Bone ◽  
Stifle Joint ◽  
Healing Period ◽  
Iliac Bone Graft ◽  
One Year

SummaryThis is a report of a fracture of the medial trochlear ridge of the distal femur occurring as a major complication after surgery for medial patellar luxation. To address the complication, a non-vascularized iliac bone graft was collected and fixated with two positional screws to the trochlea. An external skeletal fixator was placed to prevent motion of the stifle joint during the healing period and to reduce the risk for fragment dislodgment. One year after the graft was placed the dog’s function was satisfactory. This case report indicates that a non-vascularized iliac bone graft provides an alternative for management of fractures of the medial ridge of the distal femur.

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