[Synovial osteochondromatosis of the shoulder. [Report of 3 cases]]

Synovial osteochondromatosis of shoulder is a rare affection, it becomes on the fourth place after the knee, elbow and hip. We report 3 cases in patients of more than 40 years old, the diagnosis suspected after radiologic study is confirmed by histologic study. All the patients benefited from open sky surgical treatment that permitted to make ablation of foreign bodies followed by a synovialectomy [cases n°l and n°2], a resection of the serous bursa with its synovial and a resection of the biceps tendon sheath for the case n°3. The results is affected by late diagnosis

Patellar ligament ruptures concerning 6 cases

In this study, six cases of patellar ligament ruptures [five recent ones and one inveterate] affecting only the tendon fibers were reported. The osseous stripping of the rotular point and of the anterior tibia tuberosity was not considered. A surgical treatment was done. More sutures were undertaken to wipe out lesions [five cases] or transosseous points [one case]. A protection centering in the Mac Laughlin way achieved the repair in all the cases. An immediate reeducation was undertaken for five times. There were excellent results over the active extension [six cases]

[Osteosynthesis of pertochanteric fractures by screw [DHS]]

Our retrospective study concerns 46 patients operated on because of pertrochanteric fractures by DHS from December 1992 to November 1993, and supervised till the consolidation with minimal delay of 6 months. These fractures supervene in old persons [mean age is 61,6 years old], the age brackets are 24 and 8 years. The walking after osteosynthesis has been precocious for all the patients. We noticed one death, 1 superficial infection, any case of vicious callus by varus or pseudarthrosis, and 2 disinsertions of material. The average delay of consolidation in our patients is 45 days with extremes [30-60 days]. The functional results are very good [42 cases], mean [3 cases] and bad [1 case]. The serew [DHS] still subject of critics about all the methods of surgical treatment of the pertochanteric fractures. Newertheless, it presents the advantage of the closed focus surgery, in comparison with the pinning of Ender and the plaque lamina, the precocious supervision what ever is the fracture type

[ dislocation-fracture of the Hip [correlation between the type of injury, therapeutic process and the anatomo functional evolution]]

In this retrospective study of 44 cases collected between 1982 and 1992, we try to analyse the lesional relation ship of the luxations - fractures of the hip, the therapeutic processes and the anatomic and functional evolution of this articulation. The mean age of our patients is 35 years old, the extreems are 13 and 70 years. The highway accident is the most fruquent etiology. In 77% of the cases, the luxation has been associated to the fracture of the posterior panes. The lesional association was varied [cranial traumatism, sciatic lesion]. The treatment was orthopedic especially and consisted in the reduction of the luxation emergently and the traction. The surgical treatment of the fracture depended on the result of the reduction, the articular congruence, the fracture type and the residual displacement. The delay was 1 to 10 years, we noticed 24% of bad result, the cephalic necrosis is more frequent in the luxation -fracture than in pure luxations. The risk of arthrosis is important in relation ship with the fractures of isolate socket, we noticed a non neglectable frequency of the periarticular ossifications. We insist on the rigorous pathologic complete physical examination, the emergent treatment, the accurate value of the state of articular congruence [roof theed, socket head] in order to diminish the risk of complications [necrosis, senile coxarthritis]

[ floating elbow: attempt of classification]

Under the word "floating elbow", the autors describe the simultaneous fractures of the arm and the forearm on the same number. They describe 26 cases of floating elbow with back including between 2 and 8 years. They insist on the superiority of surgery and propose a simple classification in order to codify indications and evoluate the prognosis