[Lombar Pott's diseases in baby. A case report]

The authors report a case of lombar Potts disease in an 8-month baby. The diagnosis was based on clinical arguments; tuberculosis contamination, painful rachidian stiffness on exam, biological arguments; inflammatory syndrome and positive cuti-test and radiological arguments; anterior vertebral destruction and infiltration of psoas muscle. The baby was medically treated by the association of Isoniasid, Rifampicine and Ethambutol with a good evolution

[Desmoid tumors of the limbs in the child. About 6 cases]

[Invasive fibroma of the limbs in childhood] Six cases of invasive fibromata have been observed in children of various age. The symptoms are described and were found seldom to be typical. Treatment should always be surgical. Recurrence is frequent despite extensive resection

Inhabitual case of sciatica in a child: presacral hydatid cyst

Hydatid cyst involving the pelvis in children is extremely rare. We report a case of an 11-year old boy with sciatic pain. Ultrasonography and computerised tomography scan showed a presacral cyst mass extending into the intervertebral foramen at the S1 level. The intraoperative findings and histologic examination indicated the diagnosis of a solitary hydatid cyst. After surgical enucleation, there was no envidence of recurrence on long-term follow-up

Microsurgical treatment of brachial plexus paralysis

Obstetrical brachial plexus palsy is still current pathology. It occurs in 1/2000 deliveries in developed countries. Spontaneous recovery occurs only in 50% of all cases. This is justifying surgical exploration of the brachial plexus and its reparation by microsurgical techniques. This surgery can lead to 82% of good results in the upper arm paralysis of Erb-Duchenne. In paralysis of the entire arm, the results are not as good, but operative procedure usually leads to better results than that following spontaneous recovery

Diagnosis of child abuse

The increase of frequency for child abuse had pushed the authors to make the portrait of this kind of children. Battered children are usually less than 3 years and they may be boys as well as girls. They usually live in a recomposed family, and they are usually battered by their mother The clinical examination may found skin, neurologic, thoraco-abdominal and osseous injuries, I and all these lesions are often multiple and of different ages. In battered children, all theses injuries have some specificities

Les pseudoarthroses post osteomyelitiques: a propos de 25 cas operes

The autors report a study of 25 pseudarthrosis and bone defect following osteomyelitis in children and adolescents between 8 month and 17 years. The sites affected were the tibia in 17 cases, femur in 8 cases, forearm in 4 cases and 1 metatarsus. The treatment varied depending to the localizations. In the lesions of tibia our preferential treatment were Hahn and Huntington procedures. The results were satisfactory in 24 cases and the problem of consolidation were resolved

Le decollement epiphysaire de l'extremite inferieure du femur: a props de 18 cas

The authors report a Study of 18 cases of traumatic separation of epiphysis of the lower end of the femur. The patients ranged in age from 1 to 16 years. The lesions were classified according to the scheme of Salter and Harris, there were 4 type I fractures, 11 type II and 3 type IV. 5 fractures without deplacement have had a cast, 10 have been treated by closed reduction, 3 of them had percutaneous pins. 4 patients have been treated with open reduction. 14 patients have been seen after follow up average of 3 years the results were satisfying in 7 cases and bad in 7 other cases with 6 premature epiphyseal closure

Syndrome de Larsen: a propos de 2 cas

The authors report the cases of two children affected by LARSEN'S syndrome. The children present multiple joint dislocation, and the priority was given to treatment of the knee dislocation In second part, the authors review the clinical and radiological caracteristics of this rare affection whose actiopathogeny and the hereditary problem remain unknown