[Reccurrent desmoid tumor of the gluteal area]

Desmoids tumors are fibrous infiltrates recurrent proliferations but not metastasizing. It is about a 40-year-old patient who presented a tumor of the right gluteal area, operated twice for a tumor at the right gluteal area and its histopathologic examination confirmed the diagnosis of a desmoid tumor. A standard X-ray as well as a scanner of the pond objectivized a third recurrence of the desmoid tumor. Given that the clinical signs are not alarming, a surgical abstention was recommended with a regular follow-up of the patient. Desmoids tumors are a port of deep fibromatosis. These kinds of tumors rarely attack young adults with a net feminine predominance. Clinically, the tumor appears in the form of a mass badly limited, of a slow growth, little or not sensitive. The scanner and especially the resonance nuclear magnetic represent radiological examinations of choice. The confirmation diagnosis remains based on the histopathologic study of surgical specimen. The surgery treatment stays the base treatment, the indication of adjuvant treatment based on radiotherapy and medical treatment is limited and the results are uncertain. These tumor rare gluteral; their diagnosis is mostly histological, the treatment is especially based on surgery

[Stress fracture of femoral neck [Report of 3 observations]]

Authors bring back 5 cases of fractures of stress of the femoral collar respectively at 3 patient aged of 26, 36 and 47 years with bilateral reach in 2 cases. The diagnosis of stress fracture has kept before a bundle of arguments to know: the traumatic absence and the existence of an obvious intense physical activity in case, the pathological antecedent absence, the normality of the biologic balance well as the reminiscent radiological aspect. The treatment consisted in a vissage in 4 cases total arthroplastie of the hip in a case. To the light of these 3 observations and a magazie of the literature, authors analyze epidemiologic, etiopathogenic and physiopathologic aspects aspects as well as the therapeutic possibilities of the fractures of stress of the femoral collar. They also underline especially the gravity of this pathology and the interest of data of the imagery to the precocious stadiums of the illness the scintigraphie and the IRM, the key of the treatment being the precocious

Surgical treatment of the metastatic fracture and of the long bones metastsis

Analysis of surgical modalities and techniques used in treatment of fractures of long bones. Material and methods: The authors reported 72 metastatic fractures and perfracture bony metastatics in 68 patients collected from traumato-orthopedic departement in the university hospital center Ibn Sina of Rabat, through a period of 10 years between 1989 and 1999. Average age was 59 year [27-78 year]. Females was more affected [36 women equ 53% of cases]. The classical localisations were femoral and humeral respectively 47 cases [63%] and 24 cases [32,5%]. Sixty four patients were treated surgically, abstinence for four patients. Fracture femur was treated according to its localisation, either by prosthetic replacement for fracture neck, or by symmetrical or non internal osteosynthesis for other localisations. The humeral fructures were treated by centromedulary cement nailing. The association of adjuvant treatment [chemotherapy, radiotherapy and horomotherapy] was needed according to the histological type of the primitive tumour. Evoluation was marked by the functional replacement of limbs and relief of pains in 21 patients [31%] with average follow up of 9,5 months with extremes of 1 month to 5 years. Long bones metastases must be dealt with the prefracture state in order to help the practitioner to do precosious diagnosis