Deformity of talus and calcaneous in congenital clubfoot: an anatomical study.

Clubfoot is a complex congenital deformity. Midtarsal joint is a key point to understand the deformity in clubfoot as a consequence of the malalignment of the osseous columns. Talar and calcaneal deformities affecting the normal alignment of the medial and lateral osseous columns in the foot can be the factors that determine the difficulty in the management of clubfoot. We report observations of two clubfeet of one stillborn. Our observations in the head of the talus report two different articular areas: the histological section of medial area facing the navicular shows active articular cartilage and the lateral area shows an atrophic articular cartilage suggesting a difference between the anatomical declination angles of the talus from a functional declination angle. Observing the calcaneous, we report a twisting rotational deformity along the longitudinal axis of the calcaneous. These observations may contribute to a better understanding of the clubfoot relapse, and also the treatment of complicated cases of clubfeet.

Long bone florid reactive periostitis ossificans: a case in the distal femur mimicking osteosarcoma.

Florid reactive periostitis ossificans is a well-known benign lesion classically described in hands and feet which histopathological features can lead to a misdiagnosis of osteosarcoma. To the best of our knowledge, there is only one previous report of this lesion in a long bone. In this study we report a case of florid reactive periostitis ossificans located in the distal metaphysis of the left femur that histologically mimicked an osteosarcoma and discuss the differential diagnosis between these two entities to warn about a diagnostic pitfall.

Longitudinal growth after nonphyseal forearm fractures.

The overgrowth phenomenon after fracture has been considered rare in the upper extremity. This study analyzes 119 patients with forearm fractures treated conservatively. All patients had scanograms of both forearms 5 years later. A difference in length more than 2 mm was considered a discrepancy. Positive values of discrepancy were called overgrowth. A radial length discrepancy was observed in 80 patients (67.2%) and overgrowth in 38 (26.8%); ulnar values were 65 (54.6%) and 29 (24.3%), respectively. Radial overgrowth and ulnar overgrowth were related to the location of the radial fracture and handedness but not to the type of fracture, age or sex of the patient, or the presence or absence of an associated ulnar fracture. Discrepancy did not show a significant relationship to any of these variables. Surprisingly, fractures in the proximal and middle thirds often presented with overgrowth, whereas those closer to the distal physis did not.