ABSTRACT
Mandibular aggressive central giant cell granuloma is a rare non-neoplastic giant cell tumour characterised by pain, bone destruction, tooth root resorption, jawbone cortical perforation, and high recurrence rate. This is a case of a 10-year-old boy who presented to the Dental Surgical outpatient clinic of University of Uyo Teaching Hospital with a three-year history of left jaw swelling. The clinical diagnosis was fibrous dysplasia of the left hemi-mandible. Consequently, left hemi-mandibulectomy was performed, and subsequent histopathological diagnosis was aggressive central giant cell granuloma of the mandible. This article presents this rare diagnosis and explores its classification, aetiopathogenesis, clinico-pathological features and management.
Subject(s)
Humans , Male , Female , Granuloma, Giant Cell , Histiocytosis, Langerhans-Cell , Bone Diseases , Giant Cells , MandibleABSTRACT
Background: The practice of traditional bone setting (TBS) is extensive in Nigeria and it enjoys enormous patronage by the populace. However; the outcome of the intervention of TBS treatment is usually poor with profound effects on the patient. There are many publications highlighting different aspects of this subject but none has summarized the entire practice and problems as a single publication. Objective: This work aims at reviewing the entire subject of traditional bone setting in Nigeria in a single article to enable easy understanding and appreciation of the practice and problems of traditional bone setting by orthodox practitioners. Method: A total of thirty-one relevant published original scientific research papers involving all aspects of the subject were reviewed and the practices and problems were documented. Results: The results showed that the origin of the practice is shrouded in mystery but passed on by practitioners from one generation to another. There is no formal training of bonesetters. Though the methods of treatment vary; the problems caused by them are usually similar with extremity gangrene being the worst. When attempts have been made to train the bone setters; improvement have been noted in their performance. Conclusion: In other to prevent some of the most debilitating outcomes like amputation; it is suggested that the TBS practitioners undergo some training from orthopaedic practitioners
Subject(s)
Bone Diseases/therapy , Medicine , Practice Patterns, Physicians'ABSTRACT
The authors report two cases of diaphyseal osteoid osteoma; the first case is femoral; whereas the second is tibial. The symptomatology is classical; manifesting by acute night-pains relieved by non steroidal anti-inflammatory drugs. Standard X-rays showed cortical hypertrophy; but the nidus was shown on the CT scan; which also allowed thelocalization of the lesion. Firstly; the mode was minimal compared to the nidus. Surgical excision removed a limited band of bone cortex. The results were reviewed after a minimum followup of 12 months. This method of treatment indicated safety; satisfactory and efficient symptom relief. Cure was obtained at first attempt; so allowing an immediate resumption of activities and a short immobilization of the patient
Subject(s)
Bone DiseasesABSTRACT
Background: To review and share our experience about the management and complications of acute haematogenous Osteomyelitis at our hospital. Methods: 57 children with confirmed diagnosis ofacute haematogenous Osteomyelitis; hospitalised in Rustaq hospital; Oman between March 1998 and April 2005 were retrospectively reviewed. Results: The prevalence of age; sex; bone affected;type of organism isolated and complications were established. Elevated ESR; CRP along with Ultrasonographic changes seen in soft tissues are the most valuable supportive investigations. It wasobserved that early decompression of the bone /soft tissue under cover of combinations of antibiotics led to resolution of disease in majority of patients.. Conclusion: Surgery should be performed withminimal damage of the covering periosteum and soft tissue. Antibiotics should be continued for a period of 6-8 weeks according to sensitivity. Clinician should always keep in mind gram negativeand fastidious organisms in negative cultures for antibiotic selection
Subject(s)
Bone Diseases , General Surgery , OsteomyelitisABSTRACT
A partir du depistage systematique aux ELISA 1;2 et mixte chez les malades d'orthopedie presentant une affection opportuniste; les auteurs rapportent 33 cas de seropositifs sur 2185 malades hospitalise du 1er janvier 1989 au 23 fevrier 1995. Seuls 16 avaient un dossier complet et un suivi regulier. L'etude des 16 dossiers a permis de retrouver des resultats epidemiologiques corroborant avec ceux de la litterature; a savoir : une atteinte plus frequente des hommes (sex ratio = 4;3); de la population citadine (75 pour cent des cas); l'age moyen de seroprevalence = 35;6 ans avec des pics entre 10 -19 ans et 30-39 ans; par contre; ils trouvent une atteinte plus elevee chez les personnes sans emploi. Parmi les pathologies osteo-articulaires repertoriees; ils retrouvent une association frequente des infections osteo-articulaires (osteo-arthrite de la hanche; mal de pott; osteomyelite chronique a infection VIH : de ce constat ils proposent la systematisation de la serologie VIH devant toutes ces infections osseuses. Ils considerent comme facteurs de risques le nombre eleve de seropositifs (33/2185 cas =0;15) par rapport aux donnees de la litterature; la manipulation de ces seropositfs par une equipe soignante travaillant dans une ambiance et un contexte favorable a la contamination par le VIH. Ils suggerent des recommandations dont l'application permettrait de minimiser ces risques
Subject(s)
Bone Diseases , HIV Infections/epidemiologyABSTRACT
3 cases of osteogenesis imperfecta (0.1) seen at Mulago Hospital diagnosed as per clinical and X-ray appearances are presented. Case No. 1 is that of a neonate who died 6 hours and 20 min. after delivery. Postmortem X-rays were done confirming the clinical suspicion of 0.1 Case No. 2 an infant of 8 months was X-rayed because of weakness of lower limbs since 3 months of age. The films led to the diagnosis. The 3rd case with typical radiological features was retrieved from the departmental archieves and no history was available. The salient radiological features; namely cortical thinning; scanty spongiosa and multiple fractures; healing with scanty callus were common to all the three cases above. 0.1 is not an uncommon bone dysplasia in Uganda Africans