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2.
JBJS Case Connect ; 11(3)2021 08 16.
Artigo em Inglês | MEDLINE | ID: mdl-34398854

RESUMO

CASE: This report presents a logical and effective technique for removing a bullet from the sacroiliac joint (SIJ). The surgery involved a fluoroscopy-guided anterior extraperiosteal lateral window approach. Other than a transient femoral nerve neuropraxia, there were no complications. A literature review identified 3 reports on bullet removal from the SIJ of adult patients. CONCLUSION: An anterior extraperiosteal approach for removing bullets from the SIJ in pediatric patients provides satisfactory results. When deciding whether to remove a bullet from the SIJ, the location, joint diastasis, and patient's age should be considered.


Assuntos
Articulação Sacroilíaca , Adulto , Criança , Fluoroscopia/métodos , Humanos , Articulação Sacroilíaca/diagnóstico por imagem , Articulação Sacroilíaca/cirurgia
3.
J Hip Preserv Surg ; 8(Suppl 1): i4-i8, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34178365

RESUMO

There is a lack of consensus around optimal surgical management for Legg-Calvé-Perthes Disease (LCPD). This case report discusses the benefits of combining arthroscopic femoral neck osteochondroplasty and labral repair with Morscher's Osteotomy (MO) for LCPD. S.A. is a 17-year-old female diagnosed with LCPD at the age of 6 years and has long-standing right hip symptoms. An arthroscopic femoral neck osteochondroplasty and labral repair followed by MO was performed. The pre-operative and 8 months post-operative International Hip Outcome Tool (iHOT-12) scores were 16.3 and 79.8 out of 100, respectively, indicating better quality-of-life. Also, the femoral neck-shaft-angle (NSA) changed from 120 pre-operative to 138.7 post-operative to represent the correction of coxa vara. The literature review revealed no published reports describing combined MO with hip arthroscopic interventions in managing LCPD. Combined arthroscopic femoral neck osteochondroplasty (with labral repair) and MO provides high patient satisfaction and improves radiographic parameters in patients with LCPD.

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