RÉSUMÉ
The fracture of femoral head with concommittant hip dislocation is very rare and the choice of its treatment is still controversial. Various methods of treatment such as Judet prosthesis (Palin, 1954), mold arthroplasty (Lipscomb, 1958), Thompson endomedullary prosthesis (Burman, 1958), and bone peg fixation have been adopted without much success, but Sarmiento and Laird (1973) recently reported a case of femoral head fracture that was successfully treated with screw fixation of the fracture fragments. The authors present a case of femoral head fracture combined with dislocation of ipsilateral hip that was treated successfully by the Sarmientos screw fixation method. A two year follow-up indicated a normal hip function, restored without sequellae. The authors consider this method very valuable as a first step treatment.
Sujet(s)
Arthroplastie , Luxations , Études de suivi , Champignons , Tête , Luxation de la hanche , Hanche , Méthodes , Prothèses et implantsRÉSUMÉ
No abstract available.
RÉSUMÉ
Two cases of multiple epiphyseal dysplasia in a 3 years old boy and a 10 years old girl are reported. Since Fairbanks description of the disease in 1935, it has been a well recognized entity which is a rare congenital developmental error characterized by mottling or irregularity in density and outline of several of the developing epiphyses, and dwarfism. Many reports indicate a definite hereditary and familiar distribution, particularly one series in which there were 10 cases in a single family, But in this report parent and siblings, all of whom were examined clinically, and roentgenographically showed no demonstrable stigmata of any growth disturbance. As the child develops, a subnormal growth rate becomes more obvious. The vertebrae are usually not affected so that dwarfing is confined to the extremity. The process rarely comes to attention of the physician until the child begin to walk, and then it is noted that one has a waddling gait and short stubby digits of the hands and feet. Intelligence is unaffected. Prognosis as to life expectancy and range of activity is good.
Sujet(s)
Enfant , Femelle , Humains , Mâle , Christianisme , Nanisme , Épiphyses (os) , Membres , Pied , Démarche , Main , Intelligence , Espérance de vie , Ostéochondrodysplasies , Parents , Pronostic , Fratrie , RachisRÉSUMÉ
One case of osteoid osteoma in the lamina of the fifth lumbar spine with hamstring muscle tightness was experienced and successfully treated by surgery at the department of orthopedic surgery in Seoul National University Hospital. Literature on the subject was reviewed in detail.