Extraosseous aneurysmal cyst. A case presentation

We present a case of a soft tissue aneurysmal cyst [STAC] in a 13 year old girl. The lesion was detected in the left paraspinal lumbar region extending from the level of transverse process of 2[nd] lumbar vertebra to the transverse process of 4[th] lumbar vertebra. The lesion was investigated by plain X- ray, ultrasound, bone scan, computed tomography [CT], and magnetic resonance imaging [MRI]. Pathological examination has been done preoperatively by fine needle aspiration cytology [FNAC], and histologically after surgical excision

Alternative technique for posterior exposure of the distal humeral shaft

The common approach for the distal humeral shaft is the posterior one, and in treating fractures at the distal third this approach includes exploration of the radial nerve through the triceps muscle. In this study an alternative approach avoiding triceps splitting is experienced. This approach has been experienced in twenty one patients with fracture at the distal third of the humeral shaft treated by open reduction and internal fixation using plates and screws. All the fractures have united with very good functional results. Two cases developed postoperative radial nerve neuropraxia, and both have recovered within ten weeks. This approach was found satisfactory as it allows good exposure of an adequate part of the humerus as well as starting early postoperative rehabilitation

Primary ankle fusion using blair technique for severely comminuted fracture of the talus

We report a case of a severely comminuted fracture of the body of the talus treated by primary Blair tibiotalar fusion. Clinical Presentation and Intervention: A very severely comminuted open fracture of the body of the talus was treated on the same day of injury by debridement and tibiotalar fusion using the Blair fusion technique. Blair fusion may be indicated in cases of severely comminuted fractures of the talar body. It has the advantage of giving a near-normal appearance to the foot, producing less shortening and allowing motion to remain at the talonavicular and anterior subtalar joints

Spontaneous rupture of the Tibialis anterior tendon

Spontaneous rupture of the tibialis anterior tendon is a rare occurrence that most often affects men in their fifth to seventh decades. We present the case of a 59 year old man [Doctor] who sustained an acute rupture of the tibialis anterior tendon while he was playing tennis. It was repaired on the day following the injury; it was ruptured at distal one and half inch of its insertion in a tangential way