Subject(s)
Neurilemmoma/complications , Peripheral Nervous System Neoplasms/complications , Sciatic Neuropathy/complications , Sciatica/diagnosis , Sciatica/etiology , Adult , Humans , Magnetic Resonance Imaging , Male , Neurilemmoma/diagnosis , Neurilemmoma/diagnostic imaging , Peripheral Nervous System Neoplasms/diagnosis , Peripheral Nervous System Neoplasms/diagnostic imaging , Radionuclide Imaging , Sciatic Nerve/diagnostic imaging , Sciatic Nerve/pathology , Sciatic Neuropathy/diagnosis , Sciatic Neuropathy/diagnostic imaging , Sciatica/diagnostic imagingABSTRACT
Este estudio retrospectivo tiene como objetivo mostrar el papel de la escapulectomía en el tratamiento de tumores escapulares analizando los resultados en 6 pacientes tratados en el Servicio de Cirugía Ortopédica del Hospital IBN SINA en Rabat por distintos tumores en la escápula entre los años 1996 y 2009. La evaluación de estos pacientes mediante el sistema de Enneking mostró en el plano funcional, excelentes resultados para 4 pacientes y buenos en los otros dos casos. En el aspecto oncológico, sólo un caso requirió la ampliación de la escapulectomía por recidiva tumoral, teniendo este paciente una buena evolución posterior. Ya que la escapulectomía ampliada es una intervención que lleva a un déficit funcional importante, actualmente el tratamiento de los tumores malignos de la escápula se realiza con una cirugía conservadora de miembro, realizándose una escapulectomía simple. Ésta debe llevarse a cabo tras una buena estadificación del paciente, para lo que es necesario un estudio de imagen completo y buen conocimiento de la anatomía para una correcta indicación quirúrgica (AU)
This retrospective study aims to demonstrate the role of scapulectomy in the treatment of scapular tumours by assessing the results of 6 patients treated for various scapular tumours in the Orthopaedic Department of IBN SINA hospital in Rabat between 1996 and 2009. The evaluation of these patients by the Enneking system showed, on a functional scale, an excellent score for 4 patients and good one for 2 patients; on the oncology scale, a single case required a total scapulectomy after recurrence with a good evolution. Since an enlarged scapulectomy leads to functional deficit, the majority of malignant tumours of the shoulder are currently treated conservatively, by performing a simple scapulectomy. Patient selection must be made after appropriate staging, a complete imaging study and a good knowledge of anatomy for a correct surgical indication (AU)
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Scapula/pathology , Scapula/surgery , Scapula , Chondrosarcoma/complications , Chondrosarcoma/diagnosis , Osteolysis/complications , Osteolysis , Retrospective Studies , Neoplasm Staging/methods , Neoplasm Staging/trends , Shoulder/pathology , Shoulder/surgery , Shoulder , ChondrosarcomaABSTRACT
Proximal physeal fracture-separation of the clavicle is a very rare injury occurring in the adolescent and in the young adult which involves a contact loss with fracture between the clavicle and its cartilaginous ossification center similar in appearance to a sternoclavicular dislocation. The authors report an unusual case of a proximal physeal fracture-separation of the clavicle with avulsion of sternoclavicular periosteal and ligamentous structures without vasculonervous injury in a 16-year-old young person. A CT scan examination is essential. Surgical management consisted in costoclavicular ligament and periosteum reattachment associated with reduction of the fracture-separation and pin fixation.This repair demonstrated a successful outcome at 8-month follow-up.
