ABSTRACT
Pigmented villonodular synovitis (PVNS) rarely affects the shoulder. Fewer than 30 cases have been reported in the English and French language literature. In those patients, PVNS was treated by open surgery involving total or local synovectomy, sometimes associated with total shoulder replacement, cuff tear repair, or arthroplastic head resection. The authors report 2 cases of PVNS of the shoulder treated arthroscopically and discuss the advantages and limitations of this technique in the treatment of shoulder PVNS.
Subject(s)
Shoulder Joint/surgery , Synovitis/surgery , Adult , Arthroscopy , Chronic Disease , Female , Follow-Up Studies , Humans , Humerus/diagnostic imaging , Magnetic Resonance Imaging , Shoulder Joint/diagnostic imaging , Synovitis/diagnosis , Tomography, X-Ray ComputedSubject(s)
Arthroplasty, Replacement, Hip/methods , Femur Head Necrosis/surgery , Adult , Age Factors , Arthroplasty, Replacement, Hip/adverse effects , Femur Head Necrosis/diagnostic imaging , Femur Head Necrosis/etiology , Follow-Up Studies , Humans , Middle Aged , Prosthesis Design , Prosthesis Failure , Radiography , Time Factors , Treatment OutcomeABSTRACT
Spontaneous spinal extradural hematomas are rare entities, especially during pregnancy. The authors report a case of a 26 years old women who developed as Brown-Sequard syndrome during pregnancy. The patient underwent first a caesarean and thereafter a prompt spinal surgical decompression. Complete sensory-motor recovery occurred after 48 hours. Differential diagnosis of cord compression, etiology of bleeding, conditions of recovery after surgery are discussed.
Subject(s)
Hematoma, Epidural, Cranial/diagnosis , Pregnancy Complications, Cardiovascular/diagnosis , Adult , Diagnosis, Differential , Female , Humans , Pregnancy , Reflex, Abnormal , Sensation Disorders/diagnosis , Spinal Cord Compression/diagnosis , Syndrome , Torticollis/diagnosisABSTRACT
We report a case of liver abscess secondary to an asymptomatic, subacute appendicitis in a 51-year-old man. The general condition of the patient was altered but there were no gastrointestinal signs. Treatment consisted in broad-spectrum antibiotics, followed by surgical drainage of the abscess and appendicectomy.
