[Neurilemoma of the dorsalis pedis nerve [report of on case]]

We report a case of neurolimoma at the forfoot developed to him depends of the dorsalis pedis nerve at one girl, 12 old years presented a masse at the dorsal face of the forfoot, without any neurological symptom. The standard radiography is normal, RMI showed the tumour a long the nerve, was easy to remove without affecting the nerve. The anatomopathologic exam confirms a diagnosis of the neurilemoma and no neurological alteration occurred at the postoperative period. We didn't recover publications retuning a similar case

[Chondrosarcoma secondary to an exostosis of the distal femur [Report of a case with review of literature]]

The solitary osteochondroma or exostosis, is the most benign frequent tumor of the skeleton. It is the privilege of the young. It can be solitary or multiple in the framework of a multiple hereditary osteochondromata. The surgical indication is retained only when the tumour becomes symptomatic. The degeneration occurs in 1 to 25%, this rate increase when the great size tumors and the old patient. We report the case of a 25 years old patient, presenting a solitary osteochondroma of the left lower femoral metaphysis, with signs of malignancy in low grad secondary chondrosarcoma, suspected on elements of imagery and confirmed by the biopsy, this patient has underwent a monobloc large resection of the tumor, the bone and the adjacent muscle, with a favourable outcome after four years. This case illustrates the great limits ambiguity between the benign and the malign in the cartilaginous neoplastic pathology of the bone and the importance of the respect of algorithms of the skeleton tumors surgery in suspicious cases, because even if the histological examination of the operative model has not found the clear malignancy aspect, that does not eliminate the diagnosis of a chondrosarcoma, indeed, the histological distinction between an osteochondroma and a chondrosarcoma of low rank is very subtle

[Racking guying of absorbable fractures of the olecranon results In 96 cases of series]

Our study is concerning a serial of 96 cases of the olecranonbone fracture treated within the department of Orthopedics in H.M.I.M.V between 1995 and 2000.The average age is 34 years [17-59 years], with a most dominance of males [84.3%]. The left side is most concerned [67.7%] although. The circumstances of the trauma are due to a direct traumatism caused by a fall on the olecranon-bone [83.3%]. The diagnosis are based on clinic observation and confirmed by regular radiography for all cases. All fractures are joint displaced. The treatment comprises at first a reduction of the fracture and restrain with osteosynthesis technics for all cases [100%]: embrochage-haubannage with vicryl n°2, in number eight like figure with framing. Our post-operatory resultsare presented as follows, according to Tomeno criteria: 67.7% are very good results, 17.7% are good, 9.3% are average, 5.2% are unsatisfactory. In conclusion, our therapy approach for displaced olecranon-bone is surgically based on pinning-haubanage with vicryl and completed by plaster immobilisation. We have, in this respect, obtained satisfactory functional results

[Clinical facts, Peri - Articular Fibrous Dysplasia Elbow from [about one case]]

Bone fibrous dysplasia is a benign and unfrequent disease, it represents 7% of benign bone-tumours. It is characterized by the proliferation of the fibrous tissue, when it affects only one bone, it is called "monostotic form" and when it affects several bones it is called "polyostotic form". This disease mainly affects young persons, with equal repartition between sexes. Most authors agree nowadays that it is of congenital origin. The clinical symptomatology relies on the localization of the dysplasic lesions: in long bones we observe pain mostly, bone deformities and pathologic fractures. Radiology is an essential examination for enhancing the diagnosis. However, the dysplasic disease often creates problems of differential diagnosis, which necessitate a histologic examination. The treatment may be medical, orthopedic or surgical and it is reserved only for bones lesions which generate a functional handicap. Through the overall clinical observation, authors report a case of fibrous dysplasia with particular localization on both parts of the elbow

[ scarf osteotomy in the treatment of hallux valgus [about 30 cases]]

The authors return their experience by the way set of 30 Hallus valgus collected in the service or orthopedic traumatology of the military hospital Mohamed V of Rabat between 1999 and 2003 and operate by SCARF osteotomy with middle receding of 2 years. Our recruitment is dominated by feminine sex topic 70%. The middle age of our patients was of 53 years [21 years, 68 years]. This osteotomy always comes with a sesamoidian strap recentred with medial capsulorraphy and cut of the adductor of the big toe. 80% of the patients didn't have any pains anymore. From a radiological point of view the Valgus Hallux [M1P1] and the Metatarsus varus [M1M12] pass 36[degree sign] and 14 [degree sign] before intervention in 13, 5[degree sign] and 6,5[degree sing] in post-operative. The result reaches 75% of good and very good result according to the quotation of Groulier