ABSTRACT
Snapping hip syndrome is a relatively common problem that can be easily managed with conservative treatment. This syndrome can be divided into external, internal and intra-articular types. Internal snapping hip syndrome is the rarest amongst these and its etiology is not well understood. We report a unique case of osteochondroma arising from the anterior inferior iliac spine (AIIS), which caused the internal snapping hip syndrome with hip pain and restriction of activity. This rare case of snapping hip syndrome from the AIIS was treated surgically and the symptoms completely disappeared after excision of the tumor.
Subject(s)
Adult , Female , Humans , Bone Neoplasms , Hip Joint/diagnostic imaging , Ilium/diagnostic imaging , Joint Diseases/etiology , OsteochondromaABSTRACT
Introduction. The swelling of the soft tissues can be studied with a variety of techniques, amongst which the emphasis is on high resolution ultrasound (US) for its high availability. Bone tumors are a very rare cause of increased volume in soft tissue. Before the ultrasound finding of a bone tumor it is important to try to specify their nature to determine the need for additional studies. Objective. To present an ultrasound schema that allows for a better diagnostic approach to the unusual finding of a bone tumor. Method. Retrospective study. All soft tissue ultrasound performed at our institution over a period of five years (2009-2013), were reviewed...
Introducción. El aumento de volumen de las partes blandas puede ser estudiado con una variedad de técnicas, entre ellas destaca el ultrasonido de alta resolución (US) por su alta disponibilidad. Los tumores óseos son una causa muy infrecuente de aumento de volumen de partes blandas. Ante el hallazgo ecográfico de una tumoración ósea es importante intentar especificar su naturaleza para determinar la necesidad de estudios complementarios. Objetivo. Presentar un esquema ecográfico que permita una mejor aproximación diagnóstica ante el hallazgo inusual de un tumor óseo. Método. Estudio retrospectivo. Se revisaron todos los US de partes blandas realizados en nuestra institución por un periodo de 5 años (2009-2013)...
Subject(s)
Humans , Male , Adolescent , Adult , Female , Infant, Newborn , Infant , Child, Preschool , Child , Young Adult , Middle Aged , Aged, 80 and over , Bone Neoplasms , Osteochondroma , OsteomaABSTRACT
Se realizó un estudio prospectivo, descriptivo sobre 196 pacientes con Osteocobdromatosis Múltiple Hereditaria (OMH), que acudieron a la Unidad de Tumores óseos del estado Monagas, Venezuela, entre 2001 al 2013. 29 familias estudiadas con promedio de afectación de 88%. Los motivos de consulta fueron el dolor y la limitación funcional. 186 pacientes tenían afectación en Miembros Inferiores en quienes las lesiones se localizaban alrededor del fémur distal (94%), el valgo era deformidad predominante. La función articular se vio levemente afectada, en especial a nivel de la rodilla y el tobillo. En los Miembros Superiores las deformidades del antebrazo detectadas en 55 pacientes, fueron consideradas en la clasificación de Masada. La excisión simple sola o en combinación con osteotomías, alargamiento o hemiepifisiodesis permitió corregir las deformidades y retrasar la progresión de las mismas. Degeneración maligna se observó en 4 casos. No hubo evidencias de recurrencias ni metástasis en el seguimiento postoperatorio(AU)
It was performed a prospective, descriptive 196 patients with Osteochodromatosis Hereditary Multiple (OMH), who attended the Bone tumors Unit Monagas state, from March 2001 to March 2011. 29 families were studied with an average family affected by 88%. The main complaints were pain and functional limitation. On radiographs, 186 patients had involvement in lower limbs in whom the lesions were located around the distal femur (94%) and valgus as predominant deformity. Joint function was mildly impaired, especially at the level of the knee and ankle. In Upper Limb forearm deformities detected in 55 patients, were considered in the classification of Masada. As for surgical procedures, simple excision alone or in combination with osteotomies or elongation allowed hemiepiphysiodesis correct deformities and slow the progression thereof. Malignant degeneration was observed in 4 cases. There was no evidence of recurrence or metastasis in the postoperative follow-up(AU)
Subject(s)
Humans , Male , Female , Bone Neoplasms , Osteochondromatosis , Lower Extremity , Upper Extremity , Medical Oncology , Exostoses , Femur , Knee , AnkleABSTRACT
Se presentó un caso de tibia vara del miembro inferior izquierdo en un niño de ocho años de edad debido a displasia epifisariahemimélica (enfermedad de Trevor), confirmándose el diagnóstico mediante estudios radiológicos. Se exponen los hallazgos clínicos y radiológicos, así como el tratamiento quirúrgico que se realizó. Se señala cuán importante es tomar siempre en consideración la infrecuente enfermedad de Trevor como posibilidad diagnóstica ante la presencia de tibias varas, así como tener presente que los osteocondromas que son tan frecuentes podrían encontrarse formando parte de la enfermedad de Trevor aun en ausencia de deformidad.
We present the case of varus tibia of the left low limb in a male child aged 8 years due to hemimelic epiphyseal dysplasia (Trevor's disease), confirming the diagnose by radiologic studies. We expose the clinical and radiological findings, and also the carried out surgical treatment. We point out how important is taking into account the infrequent Trevor´s disease as a diagnostic possibility in the presence of varus tibias and also that the so frequent osteochondromas might be part of the Trevor´s disease even in the absence of deformities.
ABSTRACT
Deformity of the forearm is common in patients with hereditary multiple osteochondromas. It produces cosmetic and functional impairment. The deformity of the forearm in hereditary multiple osteochondromas that we described is often associated with osteochondroma of the distal part of ulna causing ulnar longitudinal hypoplasia. This osteochondroma mechanically disturbs the axial alignment of the adjacent joints, either directly or though tension on the interosseous membrane. We reviewed 9 cases of forearm deformity caused by hereditary multiple osteochondromas in 9 patients, in whom ulnar lengthening with excision of osteochondroma was a main procduree. The patients were followed along for a mean of 3 year 6 months. The procedures included ulnar lengthening with excision of osteochondroma in the distal part of the ulna in 6 patients, ulnar lengthening with excision of the osteochondroma and corrective osteotomy of the radius in 2 patients, and stapling of the distal physis of the radius with excision of osteochondroma in 1 patient. Ulnar lengthening was performed by an immediate bone graft and internal fixation in 5 patients, or gradual distraction with and external fixator in 3 patients. The cosmetic results of the surgery were very gratifying and the range of motion of radial deviation at the wrist was increased. Partial recurrence of the deformity was seen during follow up in the skeletally immature patients. However, in general, Ulnar lengthening with excision of osteochondroma was an effective procedure to restore cosmesis as well as function of the wrist.