ABSTRACT
Synovial hemangioma is a rare benign vascular malformation. We report a case of chronic swelling in the left knee of a 7-year-old boy. An intra-articular tumor of synovial origin could was detected after a magnetic resonance imaging scan. Surgical excision of the mass associated with partial synovectomy was carried out. A histologic examination confirmed the diagnosis of synovial hemangioma. After 36 months of follow-up, there was no sign of recurrence. We review the literature and discuss the current case, along with noting the diagnostic methods and the therapeutic aspects of this rare and benign lesion.
Subject(s)
Hemangioma, Capillary , Joint Diseases , Knee Joint , Soft Tissue Neoplasms , Synovial Membrane , Biopsy , Child , Hemangioma, Capillary/pathology , Hemangioma, Capillary/surgery , Humans , Joint Diseases/pathology , Joint Diseases/surgery , Knee Joint/pathology , Knee Joint/surgery , Magnetic Resonance Imaging , Male , Orthopedic Procedures , Soft Tissue Neoplasms/pathology , Soft Tissue Neoplasms/surgery , Synovectomy , Synovial Membrane/pathology , Treatment OutcomeABSTRACT
21 cases of Sprengel deformity in 19 patients were treated in Paediatric orthopaedic unit of Children's hospital of Rabat in 20 years. Only 6 patients (4 girls, 2 boys) were operated on. The ages of the patients at operation ranged from four to fifteen years (mean age: 10 years). The duration of follow-up ranged from 8 months to 10 years (average: 4 years and 2 months) The Woodward procedure was constantly used. Post operatively, the average increase in total abduction was 40 degrees (range 30 to 75 degrees) Functional and cosmetic results were judged good in 3 patients, moderate in 2 and fair in one case. We emphasize that patients who are less than 4 years old are the ideal candidates for scapular displacement procedure.
Subject(s)
Scapula/abnormalities , Adolescent , Age Factors , Child , Child, Preschool , Female , Follow-Up Studies , Humans , Male , Radiography , Scapula/diagnostic imaging , Scapula/surgery , Time Factors , Treatment OutcomeABSTRACT
INTRODUCTION: We retrospectively reviewed 106 pediatric cases of peripheral osteoarticular tuberculosis (OAT) seen over a 21-year period in Morocco. Patients with vertebral tuberculosis were excluded from the study. PATIENTS AND RESULTS: The 55 boys and 51 girls had a mean age of 8 years. The hip and knee together contributed 63% of the osteoarticular foci. Organ involvement was documented in 32 cases. Mean time from symptom onset to evaluation was 10 months. This resulted in diagnostic delay, which contributed to the 22% rate of residual abnormalities consisting of joint ankylosis and leg length inequality. CONCLUSION: OAT is a source of functional disability that should be recognized and treated early, particularly in children, given that appropriate management can lead to a full recovery (14 patients in our series).
