RESUMO
17 yrs. old boy presented with low back pain and progressive deformity with no history of trauma or tuberculosis. Clinically there was tender knuckle formation at L2 level. X-rays showed vertebra plana (concentric collapse) at L2 level along with skull involvement. While being investigated patient developed partial collapse at L3 level and pelvis involvement within a week. On biopsy from L3 vertebra the lesion was found to be eosinophilic granuloma. This is a case report of a rare instance in which acute progression of eosinophilic granuloma occurred involving multiple skeletal sites in an adult.
Assuntos
Adolescente , Biópsia por Agulha , Vértebras Cervicais/patologia , Progressão da Doença , Granuloma Eosinófilo/diagnóstico , Humanos , Índia , Vértebras Lombares/patologia , Masculino , Doenças da Coluna Vertebral/diagnóstico , Tomografia Computadorizada por Raios XRESUMO
Polyostotic fibrous dysplasia leads to progressive and disabling deformity involving the proximal femur. Conventional methods of treatment have been ineffective in controlling this problem. Two stage reconstruction was carried out in a case of polyostotic fibrous dysplasia with bilateral shepherd's crook deformity. Bilateral subtrochanteric osteotomies with intramedullary fixation in the first stage and intertrochanteric osteotomies in the second stage with nail plate fixation was done to provide definitive control of the deformity. Bone graft was not used.