De Quervain's tendovaginitis stenosans in Jordanians

To study the De Quervain's Tendovaginitis Stenosans in Jordanians for triggering, septation and the presence or absence of tendons and their number. We operated on sixty-two wrists with the diagnosis of De Quervain's Tendovaginitis Stenosans, the mean age was 46 years old ranging from 28 to 77 years, amongst them were 44 females and 17 males. The right hand was the one affected in 37 and the left in 25, one of them had Bilateral. The dominant hand was affected in 35 cases while, the rest were not recorded. Occupation has some bearing as it has ranged from housewives, hairdressers, office secretaries, managerial jobs, heavy labor workers, handy men, farm hands and recent pregnancy and child birth. Twelve of the cases were of the triggering type; two of them had full septation, while three had partial septation. As for nodularity, five demonstrated a nodule in the Abductor Pollicis Longus [APL] or Extensor Pollicis Brevis [EPB]. Three had synovitis of Abductor Pollicis Longus and four had no nodularity or synovitis. Of the remaining fifty, 18 had full septation and a partial septation in 9, while the rest were in a single compartment. The number of tendons varied, fifty-five had a single [EPB] with no cases of APL absence. However, eighteen had one APL tendons, 33 had two, while six had 3 -4 or more slips of tendons. Fifty-eight patients of them attended for follow up. Forty-seven had full satisfaction; two reported scar hypertrophy, scar adherence in 3 and two cases of dysesthesis in the Superficial Branch of the radial Nerve [SBN]

Successful management of thigh necrotizing fasciitis with debridement-continuous irrigation method: Case report and review of the literature

This study reports an interesting case of left upper thigh necrotizing fasciitis following internal fixation of femur neck fracture in a 60 -year-old man. The patient developed severe necrotizing fasciitis post operatively which was managed by aggressive surgical debridement of infected tissues and intravenous antibiotics. Continuous Irrigation System [CIS] was established on the first debridement session and continued for one week. The patient eventually recovered after one month where he showed no signs of complications or recurrence. The authors describe a new method of treatment combining surgical debridement and continuous irrigation of the wound. Continuous irrigation is a simple and practical way to control soft tissue infections and may contribute substantially to the management of patients with necrotizing fasciitis after initial debridement

Demographic analysis of primary bone tumors at the Jordan University Hospital

A total of 352 cases of primary bone tumors, diagnosed at the Jordan University Hospital [JUH] during the period from 1977 to 1996, were reviewed and analyzed. Diagnosis of tumors was based on histologic examination of excisional or bone biopsies excluding bone marrow aspirates. The relative frequencies of these tumors by age, sex, site and histologic type were compared and discussed. Patients affected ranged in age from 2 to 76 years, with a slight male preponderance [ratio of 1.35 to 1]. Primary bone tumors were most common in the second and third decades of life. The lower limbs were more commonly involved as compared to other sites. Malignant bone tumors accounted for 52% of all primary bone tumors and for 1.9% of all malignant tumors diagnosed in the same period. Among malignant bone tumors, osteosarcomas were highest in frequency [36%], followed by Ewing's sarcoma [27%] and hematopoietic ones [20%]. Among benign bone tumors, which represented 48% of all primary bone tumors, chondrogenic tumors were the most common [52%] whereas those of unknown origin were the least common [9%]