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Aug 26, 2026Open Access
Background: Spinal surgery is increasingly performed in Nigeria, yet comprehensive data on complications across multiple centres remain scarce. This multicenter study aimed to appraise the spectrum, frequency, and predictors of complications following spinal surgeries in Nigeria. Methods: A retrospective multicenter review of 638 consecutive spinal surgeries performed across four tertiary centres in Nigeria from January 2010 to December 2024 was conducted. Data on patient demograph...
Jun 15, 2026Open Access
Femoral neck stress fractures (FNSFs) are uncommon injuries that may present with atypical and misleading symptoms, resulting in delayed diagnosis. Although classically associated with athletes and military personnel, these fractures can also occur in non-athletic individuals exposed to repetitive mechanical stress. We report the case of a 35-year-old male who presented with isolated knee pain without antecedent trauma. Initial clinical evaluation suggested primary knee pathology, and knee radio...
Apr 24, 2026Open Access
Cauda Equina Syndrome (CES) is a rare but serious neurological emergency resulting from compression of the lumbosacral nerve roots within the spinal canal. It typically presents with bilateral lower limb weakness, saddle anesthesia, and bladder or bowel dysfunction. However, atypical or incomplete clinical presentations may occur and can pose significant diagnostic challenges for clinicians. We report the case of a 32-year-old male who presented with acute unilateral right-sided foot drop as the...
Apr 23, 2026Open Access
Objective: To ascertain the association of congruence instability of patellofemoral joint and quadriceps femoris strength deficits after hamstring tendon harvest and Anterior Cruciate ligament-Reconstruction (ACL-R), and to propose a new index to clarify the likely significant influence on patellofemoral pain and early onset of patellofemoral joint osteoarthritis after ACL-R surgery. Methods: 20 patients underwent Magnetic Resonance Imaging (MRI) scan before anterior cruciate ligament reconstruc...
Jan 21, 2026Open Access
Background: Implant breakage following Intramedullary (IM) nailing of long bone fractures is an uncommon but potentially catastrophic complication that often necessitates complex revision surgery. Robust estimates of its incidence and predictors are needed to guide surgical planning and postoperative management. Methods: PubMed and Google Scholar were systematically searched for studies published between January 2005 and December 2024 reporting IM nail breakage ...
Jan 12, 2026Open Access
Sickle cell disease (SCD) is one of the most common inherited hemoglobi-nopathies in the West African sub-region and is frequently complicated by musculoskeletal manifestations, especially avascular necrosis (AVN) of the femoral head. This complication can progress to femoral head collapse and secondary osteoarthritis, leaving total hip arthroplasty (THA) as the only definitive solution. However, THA in patients with SCD is fraught with unique challenges: altered bone morphology, poor bone quali...
Nov 06, 2025Open Access
Supracondylar humeral fractures are the most common pediatric elbow fractures and often require operative stabilization. While cross pinning provides superior biomechanical stability, it carries the risk of iatrogenic ulnar nerve injury. We report the case of a 7-year-old girl with a displaced Gartland type III supracondylar humeral fracture—defined as a completely displaced fracture with no cortical contact—managed with closed reduction and modified cross pinning using two lateral and one media...
Mar 17, 2025Open Access
Background: Fractures of the long bones are becoming increasingly common in our environment, due to the upsurge in road accidents. In low- and middle-income countries such as Cameroon, where universal health coverage is still in its infancy, patients tend to orient their treatment choices according to their financial means. This study aimed to assess the functional outcome of patients with long bone fractures discharged against medical advice at the Yaounde Emergency Center. Methods: We conducte...
Feb 19, 2025Open Access
Introduction: The association of radiocarpal dislocation with enucleation of the semilunate remains a rare injury. It often occurs following violent trauma. Observation: A 25-year-old right-handed patient presented with open trauma to the left hand and wrist. His hand had been forcibly trapped by a car door. Examination revealed a linear wound on the dorsal surface of the hand and a wound on the anterior surface of the wrist. Active bleeding along the radial art...
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