Operative Treatment Research Articles

Overview of Wrist Injuries Treatment

This paper discussed an overview of wrist injuries, and the various methods used to treat them. Since there are different methods, this paper uses examples and research to help with the analysis and to find the most suitable ones. In this case, conservative methods are often used first, followed by operative treatments if needed. Also, this paper provides numerous ways to diagnose, such as objective methods like MRI and more subjective methods like function tests. Additionally, advice on preventing wrist injuries is given.

Current surgical treatment concepts for traumatic thoracic and lumbar vertebral fractures in adults with good bone quality

The surgical treatment of traumatic vertebral body fractures in patients with good bone quality is controversially discussed. The data situation is unclear and only of limited help due to mainly insufficient evidence. The surgical measures include an axially aligned reduction and an osteosynthesis which is stable under load so that immediate mobilization of the patient is possible. This requires anatomical restoration of the alignment and the biomechanical challenge of fracture healing or fusion in the correct position without relevant loss of reduction must be taken into account. The aim should be the lowest possible loss of function. In the case of existing or impending neurological deficits it is crucial to prevent deterioration of the neurological situation and to achieve the prerequisites for recovery. Posterior stabilization primarily plays the decisive role in the operative treatment. If possible, this should be a minimally invasive procedure and over short distances. For bisegmental treatment monoaxial screws and the use of index screws improve construct stability. In addition, stable cobalt rods should be used as 5mm longitudinal support. Special minimally invasive reduction instruments are helpful in restoring the sagittal and coronal relationships. The indications for an additional ventral column depend on the rigidity of the posterior stabilization, the extent of the injury of the anterior column and the intervertebral disc. Anterior fusion can often be delayed or avoided altogether, depending on the course with corresponding clinical signs.

Early Results of Operative Treatment of Freiberg Disease Using Extra Articular Dorsal Closing Wedge Osteotomy

Early Results of Operative Treatment of Freiberg Disease Using Extra Articular Dorsal Closing Wedge Osteotomy

Outcomes Following Transtibial Amputation with and without a Tibiofibular Synostosis Procedure

Background: This study compared outcomes at 18 months between patients who underwent transtibial amputation with and without a tibiofibular synostosis procedure. We hypothesized that complication rates would be lower in patients who did not receive a synostosis procedure compared with those who did receive a synostosis procedure, but the synostosis group would report better function. Methods: This multicenter randomized clinical trial (RCT) included patients aged 18 to 60 years who were treated without (n = 52) or with synostosis (n = 54) during transtibial amputation. Patients who refused randomization were enrolled in an observational (OBS) study (n = 93; 31 synostosis, 62 non-synostosis). There were 2 primary outcomes: operative treatment for a complication within 18 months of amputation and Short Musculoskeletal Function Assessment (SMFA) scores. The primary analyses were based on the RCT participants, and the secondary analyses were based on the treatment received by the combined RCT + OBS participants. Results: In the primary RCT analysis, the probability of ≥1 operatively treated complication was higher for the synostosis group (42%; 95% confidence interval [CI]: 29.8% to 56.2%) than the non-synostosis group (24%; 95% CI: 14.2% to 37.9%), with an absolute risk difference of 18% (95% CI: 0.31% to 36%). There were no appreciable differences in mean SMFA scores. In the secondary combined analysis, the probability of an operatively treatment complication was larger in patients who did versus did not receive a synostosis procedure (absolute risk difference: 26.1%; 95% CI: 12.0% to 40.3%). Differences in SMFA scores favored synostosis, although there were no differences in pain, prosthetic use, and satisfaction. Conclusions: The results of the primary RCT analysis supported our hypothesis of fewer complications in patients who do not undergo a synostosis procedure compared with those who undergo a synostosis procedure, but we found insufficient evidence to conclude that those in the synostosis group have better function. The trial did not reach target enrollment. The secondary combined analysis supported the primary analysis in terms of complications. In the secondary analysis, while pain, prosthetic use, and satisfaction remained similar, the SMFA scores were better for the patients who received a synostosis procedure, although the differences are of uncertain clinical importance. Level of Evidence: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

Operative Treatment of Nonprimary Osteochondral Lesions of the Talus: A Systematic Review.

Nonprimary osteochondral lesions of the talus (OLT) pose a significant challenge in orthopaedics, with no definitive consensus on optimal surgical treatment. To consolidate the most recent evidence on operative treatments for nonprimary OLT by assessing patient-reported outcomes (PROs), postoperative complications, and clinical failures. Systematic review; Level of evidence, 4. This review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 and PRISMA in Exercise, Rehabilitation, Sport medicine and Sports science guidelines. Searches were conducted in PubMed, Embase, and Cochrane Library databases through June 2023. Eligible studies evaluated operative outcomes in skeletally mature patients with nonprimary OLT after failed previous surgeries. Primary outcomes included clinical and functional PROs. Secondary outcomes included postoperative complications and clinical failures. Quantitative analyses involved weighted means, mean differences, minimal clinically important differences, success rates (95% binomial proportion confidence interval), and a pre-to-postoperative meta-analysis. Out of 3992 identified records, 50 studies involving 806 ankles from 794 patients were included. All operative treatments significantly improved PROs (P < .05), except osteochondral allograft transplantation (OCA) for American Orthopaedic Foot and Ankle Society and pain (visual analog scale/numeric rating scale [VAS/NRS]) scores and HemiCAP for pain (VAS/NRS) scores. Autologous chondrocyte implantation (ACI) and osteochondral autologous transplantation (OAT) demonstrated the greatest PRO success rates, exceeding 80%. Postoperative complications occurred in 4% of cases, most frequently with HemiCAP. Clinical failures affected 22% of cases, particularly with autologous matrix-induced chondrogenesis, OAT, OCA, and HemiCAP. Our systematic review demonstrated that ACI and OAT are promising treatments for nonprimary OLT, with ACI showing fewer clinical failures than OAT. Conversely, OCA and HemiCAP exhibited lower effectiveness and higher clinical failure rates, suggesting a need for reassessment.

Proximal Tibia Fractures.

Proximal tibia fractures in children pose challenges in management due to the complex anatomy in this region. The relationship between the proximal tibial physis, proximal tibial apophysis, extensor mechanism, and nearby vascular structures allows for potential injuries from toddler-aged children through adolescence. The most common injuries include tibial tubercle fractures, proximal tibia physeal fractures, and proximal tibia metaphyseal fractures; they may result from both low-energy and high-energy mechanisms. Nonoperative treatment is indicated for nondisplaced or adequately reduced fractures, while operative treatment is indicated for irreducible fractures or fractures with loss of adequate reduction. Complications of these injuries may include growth arrest, limb length discrepancy, angular deformity, vascular compromise, and compartment syndrome.

Treatment of Initial Anterior Shoulder Instability in National Hockey League Players: A Survey of NHL Team Physicians.

Managing an in-season anterior shoulder instability poses a special challenge for team physicians, as they need to balance the aim of promptly returning the athlete to play while mitigating the chances of recurrence and further injury to the shoulder. To investigate and report on the treatment preferences of National Hockey League (NHL) team physicians when managing in-season first-time anterior shoulder instability in professional hockey players. Cross-sectional study. A survey consisting of 33 sport-specific questions focused on the treatment options and preferences for anterior shoulder instability in hockey players was developed, and 32 NHL team physicians were invited to anonymously complete the survey. Following the collection of the data, the distribution of the responses to each question was documented as counts and percentages. Of the 32 invited team physicians, 31 (97%) completed all (n = 28) or most (n = 3) of the survey. The mean experience of the respondents was 13 ± 11 years. A total of 28 (90%) respondents would attempt nonoperative treatment of an in-season initial anterior shoulder dislocation with an isolated soft tissue injury, while 28 (90%) would recommend operative treatment of the same injury with bony involvement. Of the 31 respondents, 30 (97%) utilized rehabilitation parameters rather than time from injury when determining whether a player could return to play. Of those parameters, clinical strength (100%), range of motion (87%), anterior apprehension (84%), and pain (65%) were the most utilized. For surgical management of an isolated soft tissue lesion, 28 (90%) of the respondents preferred arthroscopic repair, while 2 (7%) preferred open repair. Of the 32 NHL team physicians surveyed, 28 preferred nonoperative management for the treatment of initial anterior shoulder dislocations with isolated soft tissue injuries, while initial operative management was preferred by the same number of team physicians for any injuries with bony involvement.

Post-radical hysterectomy ovarian torsion—A gynecological emergency: a case series

BackgroundOvarian torsion is a surgical emergency whereby the ovary twists, or torts, on its ligamentous support and potentially compromises vascular supply to both the ovary and Fallopian tube. It accounts for 2–3% of all acute gynecological emergencies, yet is a condition that is rarely reported to occur after hysterectomy.While it is well established that ovarian torsion can occur after laparoscopic hysterectomy, we report on the rare occurrence of ovarian torsion occurring post the supposedly preventative ovarian transposition suspension procedure or ovariopexy. This highlights that further evaluation of laparoscopic surgical techniques are required to prevent this exquisitely painful gynecological condition occurring postoperatively.Case presentationWe report two cases of ovarian torsion post-primary laparoscopic radical hysterectomy performed for cervical malignancy. Both patients were Caucasian, multiparous, premenopausal female patients, aged 37 and 39 years old.Ovarian transposition suspension was performed at the primary procedure to allow ovarian function to be preserved if the patient’s required postoperative pelvic irradiation if surgically upstaged. Both patients underwent emergency laparoscopic detorsion, with one torsion due to reoccurrence of her cervical cancer.ConclusionsAdnexal torsion is estimated to occur between 1% and 8% in post-hysterectomy cases. It can be a difficult to diagnose condition, with prudent history-taking, relevant investigations, and a low threshold to consider laparoscopy forming essential clinical acumen. Unfortunately, the suspension of the ovaries post-hysterectomy does not exclude future ovarian torsion. With rising rates of cervical cancer in premenopausal women, reportedly increasing by 37% in the 25–34 age range in the United Kingdom (National Cancer Registration and Analysis Service, Public Health England. 2021), further research is needed to improve techniques to allow for safe ovarian conservation for these patients while undergoing operative treatment of cervical cancer.

The role of the certified surgeon-oncologist in improving the diagnosis and operative treatment of patients with breast tumors

The role of the certified surgeon-oncologist in improving the diagnosis and operative treatment of patients with breast tumors

Rib and Sternum Nonunions: Diagnosis and Treatment and Awareness of Other Potential Posttraumatic Pathology

Summary: As the operative management of acute, chest wall, skeletal injury escalates throughout the world, it has become commonplace for patients with posttraumatic conditions to present with clinical reconstructive challenges as well. In addition, it is becoming clear that rib nonunions are not rare, likely more than 5% of rib fractures. No subspecialty is better equipped to address such painful conditions than orthopaedic surgery. Likewise, there are a plethora of other posttraumatic problems that patients face, from intercostal neuralgia, pleural herniation, rib synostosis, and costal margin and sternal injuries that do not heal properly, which require treatment solutions. This emerging new field of surgery is optimized by an interdisciplinary approach, between general and orthopaedic trauma surgeons, and between thoracic, anesthesia, and rehabilitation specialists. This article emphasizes the workup and operative treatment of painful rib and sternal nonunions, in particular, and familiarizes the orthopaedist with other cold skeletal trauma in general. From the distinctive history and physical examination of the patient with a rib psuedoarthrosis to proper diagnostic studies, the surgeon is led through a principled approach to nonunion surgery, inclusive of autogenous graft harvest to provide both biologic and mechanical variables to bear in the successful treatment of this condition.

When to intervene in aortic stenosis; can cardiac troponin I in the first morning urine be our guide?

Aortic stenosis is one of the most prevalent acquired valvular diseases in the Western world. Despite its high incidence, timely intervention through valve replacement remains a diagnostic challenge. Recent studies suggest that measuring cardiac troponins in the first morning urine may have potential clinical applications. In healthy individuals, concentrations of troponin I in the first morning urine are several times higher than in plasma. Various conditions that damage the heart, such as arterial emergencies or cardiotoxic therapy, lead to an increased concentration of cardiac troponin I in the first morning urine. Conversely, in patients with severe aortic stenosis scheduled for operative treatment, concentrations of cardiac troponin I in the first morning urine are barely detectable. This phenomenon may result from myocardial remodeling and altered clearance of troponin I from the heart. We hypothesize that reduction in the concentration of troponin I in the first morning urine indicates the onset of cardiomyocyte necrosis, adverse myocardial remodeling, and myocardial fibrosis during the progression of aortic stenosis.

Grip Strength and Carpal Tunnel: What Interest in Management

Introduction: Carpal tunnel syndrome (CTS) is one of the most common musculoskeletal disorders of the upper extremity. Strong evidence supports operative treatment, in motor forms, regardless of technique, as superior to nonoperative treatment. Severity of motor forms of CTS depend of clinicals, and Electroneuromyography aspects. According to ENMG aspects, therapeutics decisions are difficults. Hook grip strength could early diagnosed decreasy strenght, and classified patients. Objectives: Our study aim to determine strenght grip characteristics in differents class of severity in CTS. Patients and Methods: We conducted a multicenter study including patients with unilateral CTS, on two phases. Weren’t included, patients with bilateral CTS and pre-existing functional limitations of upper limb. We classed patients in 3 groups of severity according to motor ENMG results. Hook grip strength measured in all patients by a dynamometer with a maximum strenght of 90 kg on both sides and Functional capacity evaluated by Functional dimension of Boston Crapal Tunel Questionary (FBCTQ). We classes strenght grip on three groups of severity according to differences of both sides. Results: We collected 33 patients. Median age was 48,33 ± 11,67 years. Sex-ratio was 0,27. CTS was severe in 54. 5% of patients. Grip strenght decreased in 81.8% of patients. Minor reduced grip strenght interested 45.5% of patients. FBCTQ score is less than 2/5 in 64% of patients. Functional prognosis factor in CTS were FBCTQS (P= 0.035), trans-carpal Tunel Velocity (p=0,025). Conclusion: Therapeutics decisions in CTS must include evaluation of Hook Grip strength and FBCTQS.

Comparative efficacy of operative versus conservative treatment for Rockwood type III acromioclavicular joint dislocation: a systematic review and meta-analysis of randomized controlled trials.

Optimal management of Rockwood type III acromioclavicular joint (ACJ) dislocation is still debated. Our aim is to conduct a meta-analysis of clinical studies evaluating the functional outcomes of operative versus conservative treatment for Rockwood type III ACJ dislocation. We conducted a systematic search across PubMed, EMBASE, Web of Science, and the Cochrane Library, including only randomized controlled trials (RCTs) focusing exclusively on type III ACJ dislocation. A total of 244 patients from four studies were included. Outcomes measured included Constant scores (CS), coracoclavicular distance (CCD), pain, and complication rates. Heterogeneity was assessed and managed to ensure robust conclusions. The pooled results showed no significant difference in long-term functional outcomes, measured by CS, between surgical and conservative treatments (MD: 4.82, 95% CI: -6.42 to 16.06, P = 0.400). Surgical treatment provided better early pain relief and superior CCD at all follow-up points but did not improve long-term outcomes. Complication rates were similar for both treatments, though surgical intervention had a higher incidence of posttraumatic osteoarthritis and hardware-related issues. Conservative treatment resulted in fewer complications and comparable long-term results. Based on the evidence, while surgical treatment may offer early benefits in pain relief and CCD improvement, it does not enhance long-term functional outcomes and is associated with higher specific complication rates. Conservative treatment provides a viable alternative with fewer complications and similar long-term outcomes. These findings highlight the need for individualized treatment plans based on patient-specific factors and suggest further high-quality, long-term studies to refine management strategies for Type III AC joint dislocations.

Is excessive body weight related to energy level of injury in tibial tubercle fractures in adolescents?

To assess whether excessive body weight or obesity predisposes adolescents to tibial tubercle fractures from less energetic traumas, prolongs the period of rehabilitation from these injuries or leads to worse outcomes. A retrospective study of patients who underwent surgical treatment for fracture of the tibial tubercle in the period from March 2013 to March 2022. Patients were classified according to age, gender, fracture type, BMI, mechanism and energy levels of injury, time to complete painless range of motion was achieved and rate of complications. We have surgically treated 33 patients who have sustained 34 tibial tubercle fractures. Twenty of our patients had a BMI in the 'healthy weight' range while 13 were either overweight or obese. A significant difference in the distribution of injury types between the two groups has been statistically confirmed, whereby more severe injuries were recorded in the 'healthy weight' group of patients. A statistically significant higher proportion of patients who sustained a fracture after a blow to the knee or during light activity could have been confirmed in the 'overweight/obese' group while patients in the 'healthy weight' group more often sustained fractures after a powerful concentric or eccentric contraction of the quadriceps muscle. All of the patients achieved full painless range of motion and a radiologically confirmed osseous union. The healthy weight group had a significantly shorter period of rehabilitation. Two minor complications have been recorded. A higher BMI may lead to tibial tubercle fractures caused by less energetic injuries in adolescent patients. We may also conclude that blows to the knee or injuries sustained while running most often do not cause the most severe type of fractures. However, operative treatment provides a good outcome regardless of the type of injury or BMI.

Discharge Pain Medications: Do They Affect 6-Month Patient-Reported Outcomes After Operative Treatment of CMC Arthritis?

The purpose of this study is to analyze the relationship between discharge opioids after operative treatment of carpometacarpal (CMC) arthritis and patient-reported outcomes (PROs) over a 6-month episode of care. A total of 172 patients met inclusion criteria for this study. Patient-reported outcomes including patient-reported wrist/hand evaluation (PRWHE), single assessment numeric evaluation, and PRO measurement information system (PROMIS) global-10 questionnaires were collected prospectively and stored in an electronic data capture system until review for the purpose of this study. Morphine milligram equivalents (MMEs) were calculated using a Centers for Disease Control and Prevention-published opioid conversion table. Of the 172 patients who met inclusion criteria for this study, 121 (70.4%) were female. The average patient age on the day of procedure was 63.6 ± 7.4 years. All patients received a prescription pain medication upon discharge with an average of 191.3 MMEs (range: 40.00-800.00 MMEs) prescribed per patient. Overall, there was no correlation between the amount of pain medication prescribed in MMEs and change in PROs between baseline, 6-weeks, 3-months, and 6-months (r < .14). Surgeons should feel confident limiting postoperative opioid prescription for patients after CMC arthroplasty without jeopardizing outcomes.

Using Deep Learning to Suggest Treatment for Proximal Humerus Fractures.

Proximal humeral fractures are among the most common fractures seen in emergency departments. Accurately diagnosing and selecting the most appropriate treatment for these fractures can be challenging, and consultation with a senior orthopedic surgeon can be time-consuming for both the patient and the emergency unit. We developed a machine learning model for predicting the type of treatment based on injury radiographic images. The model distinguishes between nonoperative and operative treatment options, achieving an accuracy of 86% and an interobserver reliability (kappa) of 0.722 for test-dataset, which is more than the interobserver agreement between shoulder surgeons. This model has the potential to serve as a therapeutic decision support system for the practitioners in the emergency departments to expedite treatment decisions and to reduce patients' waiting time.

Barriers and facilitators to fecal sludge treatment in humanitarian camps: A systematic review of interventions

Treatment of human excreta in humanitarian camps remains rare, leading to environmental and public health risks. Fecal sludge treatment (FST) can help reduce these risks. Our objective was to summarize barriers (hindering implementation) and facilitators (enabling implementation) to FST in humanitarian camps to inform guidance. We completed a systematic review of eight databases and 39 websites in 2020, with an update in April 2023. Documents were included if they assessed FST implementation, in a humanitarian camp setting, with primary data collection of at least output level indicators. Overall, 53 documents, including 75 FST interventions from 12 countries were included. We identified 424 barriers and 435 facilitators in 11 categories: performance (239), operation (146), technical (109), economic (78), environmental (59), spatial (55), social/cultural (47), temporal (44), safety (34), supply (29), and institutional (19). The most common facilitators of FST implementation were: high reduction efficiencies; rapid implementation with available technologies; low capital and operational costs; ease of operation and maintenance; and, achieving effluent discharge standards, effluent reuse, and safe discharge. The most common barriers included under- or over-designed systems with inappropriate materials, needing strong operational supervision and additional treatment, with effluents not meeting discharge standards. Future guidance should focus on recommendations to enable facilitators and hinder barriers. Limitations included that most of the research was from one country (Bangladesh), and in stable contexts. Strengths of this work include a holistic, broad, example-based summary of actual FST implementations in camps in humanitarian settings. This review can be used to develop guidance and checklists for implementing FST in humanitarian camps, and future research needed.

The correlation between severe asymptomatic carotid artery stenosis and severe multi-organ dysfunction after off-pump coronary artery bypass grafting.

The current research aimed to demonstrate the independent association between preoperative severe asymptomatic carotid artery stenosis (ACAS) and severe multi-organ dysfunction after off-pump coronary artery bypass grafting (OPCAB), which may further indicate the relationship between severe ACAS and adverse 30-day postoperative outcomes of patients undergoing OPCAB. This was a single-center, retrospective observational study including patients without a history of stroke or Transient Ischemic Attacks (TIA) (asymptomatic), who underwent for an isolated OPCAB in the center for operative treatment of coronary artery disease of Beijing Anzhen Hospital from January 2020 to December 2021. All enrolled patients underwent carotid artery ultrasound prior to OPCAB. The information was extracted independently by two authors of the study from the medical records. Both univariate and multivariate analyses were conducted. A total of 562 patients met the inclusion criteria for the current study. 63 (11.2%) suffered from severe ACAS. The Sequential Organ Failure Assessment (SOFA) maximum in the severe ACAS group was significantly higher than that in the non-severe ACAS group (9.76 ± 3.03 vs. 7.75 ± 2.96, p < 0.0001), and a higher proportion of patients in the severe ACAS group exhibited severe multi-organ dysfunction (44.4% vs. 14.0%, p < 0.0001). In addition, severe ACAS was related to an increased rate of 30-day postoperative major adverse cardiovascular and cerebral events (MACCEs), including a 30-day postoperative stroke. Severe ACAS was associated with an elevated risk of delirium, and acute kidney injury (AKI). The results of the multivariate analysis demonstrated that severe ACAS may be independently associated with severe multi-organ dysfunction (OR, 7.37, 95% CI 4.80-14.30, p < 0.0001) after OPCAB. Also, severe ACAS may be independently associated with 30-day postoperative stroke (OR, 2.83, 95% CI 1.03-7.75, p = 0,043). Severe ACAS was independently associated with severe multi-organ dysfunction after OPCAB, which may be associated further with an increased rate of 30-day postoperative mortality and complications. This study highlights: (1) the importance of personalized assessment for potential advantages and disadvantages in prognosis of severe ACAS patients undergoing OPCAB with carotid endarterectomy; (2) the role of multi-organ parameters, especially cardio-cerebral factors, should be emphasized during the process of severe ACAS management.

СРАВНИТЕЛЬНЫЙ АНАЛИЗ ЭФФЕКТИВНОСТИ ОПЕРАТИВНОГО И КОНСЕРВАТИВНОГО ЛЕЧЕНИЯ ДВУХЧАСТНЫХ СМЕЩЕННЫХ ПЕРЕЛОМОВ ПРОКСИМАЛЬНОГО ОТДЕЛА ПЛЕЧЕВОЙ КОСТИ У ПОЖИЛЫХ ПАЦИЕНТОВ

Purpose. To evaluate the long-term results of treatment of two-part displaced fractures of the proximal humerus in patients over 60 years of age by comparing the effectiveness of surgical treatment using fixing plates and conservative methods. Materials and methods. Between March 2022 and August 2024, a randomized controlled trial was conducted with 22 patients in the Central Hospital of the RCH. Participants were divided into two groups: surgical treatment with the use of fixing plates and non-surgical treatment. The primary outcome measure was the DASH scale, and secondary criteria were the Constant-Murley scales, the Visual Analogue Pain Scale, the 15D and EQ-5D Quality of Life questionnaires, and the Oxford Shoulder Scale. The study was semi-blind, using sealed envelopes and standardized treatments. Results. At 2 years after the start of the study, there were no statistically significant differences in the average DASH score between the groups: 29.1 in the operational group and 28.0 in the non-operational group. The difference was 1.2 points (p = 0.20). Similarly, other measures, including the Constant-Murley scale, VAS of pain, and quality of life assessments, did not demonstrate significant differences in the long term. Conclusions. The study showed that at 2 years there are no statistically significant differences in the results between the operative and conservative treatment of two-part displaced fractures in groups of patients over 60 years of age. These data confirm the lack of benefits of surgery during long-term recovery, emphasizing the importance of an individualized approach when choosing tactics for treating these fractures.

Convexity dural hemangioma: illustrative case.

Dural hemangiomas are a relatively rare form of intracranial mass, as hemangiomas tend to present in bone or as intraparenchymal lesions and only around 5%-13% have been reported to originate from the dura mater. Here, the authors present the case of a 46-year-old female who underwent craniotomy for a suspected convexity meningioma resection, which was unexpectedly found to be a dural capillary hemangioma. The patient was a 46-year-old female who presented with a left frontal intracranial mass found incidentally and showed significant growth over 4 years. The mass was suspected to be a meningioma as it was homogeneously enhancing, extra-axial, and exhibited findings of a broad base with a dural tail along the dura of the superior frontal lobe. This was excised en bloc and found to be a purplish-red mass firmly attached to the dura, which was diagnosed as a capillary hemangioma on histopathology. Dural hemangiomas, particularly at the convexity, are quite rare and can mimic meningiomas on imaging, sometimes even demonstrating homogeneous enhancement with a broad base and dural tail. These are an important part of the differential diagnosis when diagnosing dural-based masses and should be considered when planning operative or radiation treatment. https://thejns.org/doi/10.3171/CASE24476.