ABSTRACT
Key Clinical Message: Actinmomycetma is a granulomatous infection with a presentation was very similar to osteosarccoma. Multidisciplinary team and triple assessments are extremely important to prevent misdiagnosis, surgical treatment in combination with medical treatment followed by regular clinical and radiological follow-up can be a limb-saving procedure in such cases. Abstract: Various conditions may mimic osteosarcoma. The differential diagnosis of osteosarcoma is broad; Includes tumors, infection, trauma, and inflammatory processes arising from the musculoskeletal system. A proper history, examination, diagnostic imaging studies, and pathological analysis are essential to establish a precise diagnosis. This case report serves to illustrate the significance of recognizing the similarities between these two lesions and other rare features that will help to differentiate between actinomycetoma and osteosarcoma, to prevent late or misdiagnosis.
ABSTRACT
Background: Herniated lumbar disc is one of the common causes of back pain. Discectomy provides rapid relief of back pain and radicular pain. Few studies have been done in our setting to look for the outcome of discectomy. The purpose of this study was to assess the outcome of discectomy. Methods: This prospective cross-sectional hospital-based study was carried out on Soba Teaching Hospital and Future hospitals in Khartoum, Sudan. Sixty-one patients with lumbar discectomy were included in this study, collected data through a direct interviewing questionnaire and took some information from patients' files. Then collected data were analyzed using the statistical package for social science (SPSS) 24. Results: In sixty-one patients with lumbar discectomy of them, 24(39.3%) were within the age group 31-45 years old, 21(34.4%) were within the age group 46-50 years old, and 10(16.4%) were within age group 51-65years old. Results showed a male-to-female ratio of 1.5:1. The most common presenting symptoms were right Leg pain or numbness in 14(23%) patients. In the majority, 33(54.1%) of patients, the duration of symptoms was 6-12 months, 46(75.4%) underwent discectomy only, and 15(24.6%) underwent discectomy with fusion. Preoperatively, the majority of 30(49.1%) patients had a complete disability, 26(42.6%) had a severe disability, and 5(8.2%) had a moderate disability. In contrast, postoperatively, the majority, 35(57.4%) of patients, had mild disability, 24(39.3%) had no disability, and only 2(3.3%) had moderate disability (P value < .001). Moreover, there was a statistically significant association between the presence of co-morbidity and postoperative outcome (P value = .021). Conclusion: Discectomy is a gold stander procedure in the management of LDH. Patients showed excellent functional outcomes. The most common presenting symptoms were right leg pain or numbness. Patients postoperatively showed significant clinical improvement according to the mODI score.
ABSTRACT
A 17-year-old male was ejected from the motorcycle and brought to the Emergency Department with bilateral hip dislocation and absence of pelvic or femur fractures or sciatic nerve injury. Closed reduction and postreduction examination were performed with a bilateral stable full range of motion in all directions.
