ABSTRACT
A discoid meniscus is a thick meniscus, discoid in shape rather than having the normal semilunar configuration. Discoid meniscus is considered an uncommon lesion; discoid medial meniscus is rare and involvement of the medial meniscus bilaterally is extremely rare. This is the first case report of bilateral discoid medial menisci with symmetrical radial tears. The patient was treated successfully by excision of the central anomalous discoid portion of the menisci, using arthroscopic techniques.
Subject(s)
Menisci, Tibial/abnormalities , Tibial Meniscus Injuries , Adolescent , Adult , Arthralgia/etiology , Arthroscopy , Child , Endoscopy , Humans , Knee Injuries/diagnosis , Knee Injuries/etiology , Knee Injuries/physiopathology , Knee Injuries/surgery , Magnetic Resonance Imaging , Male , Menisci, Tibial/pathology , Menisci, Tibial/surgery , Range of Motion, ArticularABSTRACT
A case of flexor tenosynovitis caused by Mycobacterium bovis is presented. Since the incidence of Mycobacterium bovis infections are very rare in humans, clinical suspicion is important for diagnosis. The treatment is a combination of chemotherapy and surgical debridement.
Subject(s)
Mycobacterium Infections/complications , Mycobacterium bovis , Tenosynovitis/microbiology , Adult , Hand , Humans , Male , Mycobacterium Infections/diagnosis , Mycobacterium Infections/pathology , Mycobacterium Infections/surgery , Tenosynovitis/diagnosis , Tenosynovitis/pathology , Tenosynovitis/surgeryABSTRACT
Five cases of primary spinal column sarcomas are presented. Sarcomas primarily originating from paravertebral soft tissues were excluded. Patients' age ranged from 1 to 14 years (mean 8.4 years). The male:female ration was 2:3. Two patients had Ewing's sarcoma (ES) originating from L5-S1 and L4-5 pedicles, respectively; two patients had mesenchymal chondrosarcoma (MCS) originating from L1-2 pedicles and L5 body, respectively; and one patient had osteogenic sarcoma (OS) of C4 body. All patients clinically presented with pain and progressive weakness of the extremities. The time that elapsed between the onset of symptoms and diagnoses ranged from one to five months. All cases were treated with chemotherapy, radiotherapy and subtotal tumour resection with spinal canal decompression. Two cases received posterior spinal fusion operations. Three patients were alive 10 to 98 months following diagnosis. Only the case with ES of L5-S1 pedicles was in complete remission and off therapy at the 98th postoperative month. The two MCS cases were in partial remission, and were receiving chemotherapy at the time of analysis. These tumours caused similar clinical findings and prognoses, and required combined treatment, which consisted of surgery, radiotherapy and chemotherapy; histologically three different types of malignant tumours are presented in the same category. We preferred surgical decompression and stabilization procedures especially for neurologically symptomatic patients, even if they had extensive tumours with high grades. By spinal canal decompression and stabilisation, we did not intend to cure the disease; however, we intended to provide neurological improvement, spinal stabilisation, improved quality of life, early mobilisation of the patient, and cytoreduction by means of surgical tumour ablation, which could render the chemotherapy more effective.
