Giant cell tumour of the femoral neck: Failure of curettage-cavity filling cementation with screw fixation, a case report.

BACKGROUND: Giant cell tumours are common primary long bone tumours with femoral neck locations infrequent and notorious for pathological fractures. Treatment with simple curettage often results in local recurrence. Aggressive treatment that combines tumour resection with cement filling and internal fixation aims at preserving native joint function. CASE REPORT: The authors intend to illustrate the short falls of such conservative approach through a case report of a femoral neck giant cell tumour in a 37 year old patient. Patient had undergone curettage-cavity filling with screw fixation for a pathological femoral neck fracture. Total hip arthroplasty was undertaken following implant failure and severe hip impairment 3 years after initial surgery. CONCLUSION: Intralesional curettage and cavity cementation with internal fixation of giant cell tumour of the proximal femur allows joint preservation. Mechanical failure, local recurrence and degenerative changes hinder long term outcomes especially in the setting of pathological fractures. Further studies are required to delineate the benefits of joint sparing techniques vis-a-vis total hip replacement for giant cell bone tumours of the femoral neck.

Surgical management of intramuscular hemangioma of the foot: a case report.

BACKGROUND: Hemangiomas are benign tumors usually found in the lower extremity yet their surgical management on the location in the foot is rarely documented. CASE PRESENTATION: We report a case of a plantar intramuscular hemangioma in 25-year-old patient with a history of percutaneous therapy. Patient had undergone intralesional sclerotherapy 3 years prior to his admission with persistent pain on weight bearing activities.MRI demonstrated a multi lobulated lesion of the 1st IMS with a peripheral enhancement on gadolinium injection. The patient underwent elective surgery with complete excision and no functional impairment at the last follow-up 3 years after surgery. CONCLUSION: Intramuscular hemangiomas are rare occurrences. Steroid injection and sclerotherapy are effective non-operative methods. Complete excision of isolated hemangioma lesions allows definite diagnosis with no recurrence.

Musculoskeletal Echinococcus infection as a rare first presentation of hydatid disease: case report.

BACKGROUND: Hydatid disease (HD) is a cosmopolitan parasitosis caused by Echinococcus granulosus that can potentially affect any part of the human body. Liver and lungs are the most frequent localizations. Primary musculoskeletal hydatidosis are seldom reported in literature and their incidence is unknown. CASE PRESENTATION: We deem interesting to report a case of a primary hydatid cyst in a 25-year-old patient who presented with a painful swelling of the right elbow. Meticulous examination and preoperative imaging did not reveal other localizations. Patient was admitted for surgery where total excision of cyst was done without intraoperative spillage and a cutaneous skin flap was subsequently required to make up for soft tissue loss. CONCLUSION: Primary hydatid cysts are sometimes difficult to diagnose preoperatively. It should be considered in the differential diagnosis of subcutaneous cystic lesions in regions where hydatid cysts are endemic. Currently, surgical excision is deemed first choice treatment for solitary cysts and antihelminthic treatment should be initiated preoperatively in the case of risk of rupture or in the event of complications.

Effect of supplementing Rhodes grass hay (Chloris gayana) with Berchemia discolor or Zizyphus mucronata on the performance of growing goats in Kenya.

Twenty growing Small East African goats were used to determine the effects of feeding sun-dried leaves of the browse forages Berchemia discolor and Zizyphus mucronata as supplements to low-quality basal diet, Rhodes grass (Chloris gayana) hay, on voluntary feed intake (VFI), digestibility and growth performance. The grass hay and maize bran were used as a control. The dried leaves were then included at the rates of 15% and 30% of the dry matter intake (DMI). Berchemia discolor had the highest crude protein (CP) content of 195.5 g/kg DM, while Z. mucronata had CP content of 169.5 g/kg DM. The grass hay had the lowest CP content of 50.9 g/kg DM. The browse forages had low fibre content [Neutral detergent fibre (NDF); 257.9-369.5 g/kg DM], while the grass hay had high fibre content (NDF; 713.1 g/kg DM). Goats in the groups supplemented with either of the browse forages had higher total DMI, nitrogen (N) intake and retention and live-weight gains than those in the control diet group. The digestibility of DM and organic matter (OM) was not affected by supplementation, but the CP digestibility increased with supplementation. The use of the browse forages as supplements for goats fed on poor-quality basal diets would enhance the performance of the animals.