Alkaptonuria in an Elderly Presenting with Asynchronous Rupture of both Quadriceps Tendons and Chronic Kidney Failure: Case Report and Literature Review.

Introduction: Alkaptonuria (AKU) is a rare autosomal-recessive multisystemic disease. It is caused by a mutant homogentisate dioxygenase coding gene, leading to the accumulation of homogentisic acid (HGA), hence systemic manifestations. Renal manifestations and tendon rupture are rarely reported.

Surgical Management of Traumatic Cervicothoracic Junction Spondyloptosis Without Neurological Injury: A Case Report and Review of the Literature.

Acute traumatic cervical spondyloptosis in neurologically intact patients is uncommon and involvement of the cervicothoracic junction is rare. Herein, we report a case of traumatic C7-T1 spondyloptosis in a 56-year-old neurologically intact male patient, with radiographic findings of C7-T1 grade V traumatic listhesis associated with C7 floating segment, cord compression with myelomalacia, extensive ligamentum injury, and intervertebral disc traumatic change and protrusion. He underwent global spine fixation starting with a posterior approach.

Prevalence and classification of accessory navicular bone: a medical record review.

Background: The accessory navicular bone (ANB) is one of the most common accessory bones in the foot. Certain pathologies, such as posterior tibial tendon insufficiency are associated with ANB, and should be differentiated from midfoot and hindfoot fractures such as navicular tuberosity avulsion fractures. There are few studies addressing the prevalence and types of ANB in Saudi Arabia.

Rare Constellation of Pelvic Injuries: A Case Report.

Crescent fracture-dislocations are sunset of lateral compression injuries. They can be associated with vascular, bowel, genitourinary, or soft tissue degloving injuries. Here, we describe a patient with bilateral crescent fracture-dislocation, right common iliac artery (CIA) injury, and an extensive Morel-Lavallée lesion (MLL).

Outcome of Vertical Expandable Prosthetic Titanium Rib (VEPTR) Instrumentation in Scoliosis Associated With 1p36 Deletion Syndrome: A Case Report.

Monosomy 1p36 deletion is a rare syndrome that consists of developmental delay, intellectual disability, seizures, hearing and vision defects, brain anomalies, orofacial clefting, congenital heart defects, cardiomyopathy, renal anomalies, and scoliosis. We report the case of an eight-year-old boy who presented to the orthopedic clinic with spinal deformity with a background of 1p36 deletion syndrome. The treatment modalities at this age include growing rods, vertical expandable prosthetic titanium rib (VEPTR), or posterior spinal fusion.

Is It Compartment Syndrome? Two Case Reports and Literature Review.

Recently, a unique entity of acute compartment syndrome (ACS) has been termed "silent" compartment syndrome. These patients develop ACS in the absence of classic pain and physical findings. We report two cases of posttraumatic silent ACS in two healthy competent adult patients presenting mainly with swollen tense compartments.

Patterns and prognosis of ventriculoperitoneal shunt malfunction among pediatrics in Saudi Arabia.

Objective: To examine the predictors of pediatric ventriculoperitoneal (VP) shunt malfunction in a university hospital.

Methods: A retrospective cohort was conducted. Patients under 18 years old who underwent VP shunt revision at least once between 2016 and 2019 were included.

Sinus Pericranii Complicated by Hydrocephalus: Case Report and Literature Review.

Background: Sinus pericranii (SP) is a rare vascular condition that results when abnormal communication between the intracranial and extracranial venous systems is present. Here we report a rare case of hydrocephalus revealed through a SP scalp mass with a review of literature.

Case Description: A 13-year-old girl presented with a history of bulging left eye, bilateral gradual deterioration of vision, nausea, and progressive headaches.