{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:49:56Z","timestamp":1787755796138,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      A 54-year-old man with disseminated rhinosporidiosis presented with chronic knee swelling. Examination revealed a patellar mass, later confirmed as\n                      <jats:italic toggle=\"yes\">Rhinosporidium seeberi<\/jats:italic>\n                      infection, which is likely the first such case reported in the orthopaedic literature.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      Diagnosing a\n                      <jats:italic toggle=\"yes\">R. seeberi<\/jats:italic>\n                      infection in the patella is challenging because of its erosive nature, which can mimic chondrosarcoma. Clinicians should maintain a high degree of suspicion, as this is a highly vascular lesion that may require preoperative angioembolization.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00422","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T18:00:21Z","timestamp":1761933621000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Patellar Involvement in Disseminated Rhinosporidiosis"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7222-1019","authenticated-orcid":false,"given":"Vinod Kumar","family":"Balakrishna Pillai","sequence":"first","affiliation":[{"name":"Deparment of Orthopaedics, Government TD Medical College Alappuzha, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7181-711X","authenticated-orcid":false,"given":"Nikhil Zacharia","family":"George","sequence":"additional","affiliation":[{"name":"Deparment of Orthopaedics, Government TD Medical College Alappuzha, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1862-0379","authenticated-orcid":false,"given":"Sreejith","family":"Sreenivasan","sequence":"additional","affiliation":[{"name":"Deparment of Orthopaedics, Government TD Medical College Alappuzha, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2782-7677","authenticated-orcid":false,"given":"Sethu","family":"Sivan","sequence":"additional","affiliation":[{"name":"Deparment of Orthopaedics, Government TD Medical College Alappuzha, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6169-8648","authenticated-orcid":false,"given":"Vaisakh Krishnan","family":"Radhakrishnan","sequence":"additional","affiliation":[{"name":"Deparment of Orthopaedics, Government TD Medical College Alappuzha, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9258-6337","authenticated-orcid":false,"given":"Alfayas","family":"Paripparamban","sequence":"additional","affiliation":[{"name":"Deparment of Orthopaedics, Government TD Medical College Alappuzha, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10]]},"reference":[{"issue":"2","key":"bib2-20251031","doi-asserted-by":"crossref","first-page":"708","DOI":"10.4269\/ajtmh.20-0291","article-title":"Case report: rhinosporidiosis literature review","volume":"104","author":"Arias","year":"2020","journal-title":"Am J Trop Med Hyg."},{"issue":"1","key":"bib3-20251031","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1111\/cyt.13183","article-title":"Disseminated rhinosporidiosis masquerading as soft tissue round cell tumour diagnosed by fine needle aspiration cytology","volume":"34","author":"Balasubramaniam","year":"2023","journal-title":"Cytopathology."},{"issue":"4","key":"bib4-20251031","doi-asserted-by":"crossref","first-page":"405","DOI":"10.18231\/2395-1362.2018.0078","article-title":"Rhinosporidiosis with musculoskeletal manifestation: a case series","volume":"4","author":"Banchhor","year":"2020","journal-title":"Indian J Orthop Surg."},{"issue":"4","key":"bib5-20251031","first-page":"312","article-title":"Rhinosporidioma of bone--a case report","volume":"32","author":"Aravindan","year":"1989","journal-title":"Indian J Pathol Microbiol."},{"issue":"2","key":"bib6-20251031","doi-asserted-by":"crossref","first-page":"48","DOI":"10.47210\/bjohns.2015.v23i2.43","article-title":"Rhinosporidiosis: various presentations and different sites","volume":"23","author":"Bandopadhyay","year":"2015","journal-title":"BJOHNS."},{"issue":"suppl 3","key":"bib7-20251031","doi-asserted-by":"crossref","first-page":"1863","DOI":"10.1007\/s12070-018-1270-2","article-title":"Series of atypical rhinosporidiosis: our experience in Western part of West Bengal","volume":"71","author":"Das","year":"2019","journal-title":"Indian J Otolaryngol Head Neck Surg."},{"issue":"6","key":"bib8-20251031","doi-asserted-by":"crossref","first-page":"e236404","DOI":"10.1136\/bcr-2020-236404","article-title":"Pharyngeal rhinosporidiosis","volume":"13","author":"Chandran","year":"2020","journal-title":"BMJ Case Rep."},{"issue":"6","key":"bib9-20251031","doi-asserted-by":"crossref","first-page":"e5977","DOI":"10.1002\/ccr3.5977","article-title":"Nasal rhinosporidiosis masquerading as pyogenic granuloma in a pediatric patient at a zonal referral hospital in central Tanzania: case 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review","volume":"66","author":"Dewangan","year":"2020","journal-title":"J Postgrad Med."},{"issue":"suppl 1","key":"bib13-20251031","doi-asserted-by":"crossref","first-page":"S59","DOI":"10.4103\/0975-7406.155804","article-title":"Rhinosporidiosis and the pond","volume":"7","author":"Prakash","year":"2015","journal-title":"J Pharm Bioallied Sci."},{"key":"bib14-20251031","doi-asserted-by":"crossref","first-page":"20101058231160606","DOI":"10.1177\/20101058231160606","article-title":"Recurrent rhinosporidiosis: a case report from Malaysia and review of literature","volume":"32","author":"Tong","year":"2023","journal-title":"Proc Singap Healthc."}],"container-title":["JBJS Case 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