ABSTRACT
The authors present a 9-year-old girl with a juvenile hyaline fibromatosis observed before any treatment and after surgical releases. The disorder showed impressive clinical features both concerning the size of the dermal nodules and the degree of limitation of involved joints. Although the follow-up was short, we emphasize the great role surgery can play in reaching very satisfying results, both aesthetically and functionally.
Subject(s)
Fibroma/diagnosis , Hyalin/metabolism , Knee Joint/surgery , Skin Neoplasms/diagnosis , Arthritis, Juvenile/diagnosis , Arthrogryposis/diagnosis , Child , Diagnosis, Differential , Female , Fibroma/surgery , Humans , Knee Joint/diagnostic imaging , Knee Joint/physiopathology , Radiography , Range of Motion, Articular , Skin Neoplasms/surgery , Tibia/diagnostic imaging , Tibia/pathologyABSTRACT
A rare case of vertebral eosinophilic granuloma (C4) causing spinal cord compression is reported. The clinical, histological and radiological features of this pathological entity are discussed. After surgery a complete neurological recovery was observed. The value, in selected cases, of surgical treatment with total removal of the tumour and reconstruction of the spine to ensure spinal stability and to prevent irreversible neurological deficit is emphasized.
Subject(s)
Cervical Vertebrae/physiopathology , Eosinophilic Granuloma/complications , Spinal Cord Compression/etiology , Cervical Vertebrae/surgery , Child , Eosinophilic Granuloma/physiopathology , Eosinophilic Granuloma/surgery , Humans , Magnetic Resonance Imaging , Male , Spinal Cord Compression/surgery , Tomography, X-Ray ComputedABSTRACT
It is now 3 years since we published a new surgical approach to type II tibial agenesis. All three patients have reached the end of growth, and we have been able to conduct a maturity review of the functional, psychological, and economic value of this method of treatment. All three patients were very satisfied with the treatment they had received, although it was long and often arduous. We have attempted to compare the costs of primary amputation without complication in the first year of life, followed by supply of at least 10 prostheses, until age 18 years, with that of the reconstructive technique, which is liable to require five operations and considerable periods of inpatients and outpatient care until age of 18 years.
Subject(s)
Ilizarov Technique , Leg Length Inequality/surgery , Tibia/abnormalities , Adolescent , Adult , Cost of Illness , Follow-Up Studies , Humans , Ilizarov Technique/economics , Leg Length Inequality/congenital , Leg Length Inequality/economics , Leg Length Inequality/psychology , Male , Postoperative ComplicationsABSTRACT
Thirteen patients with gluteoperineal necrosis of the skin and subcutaneous tissue without muscle involvement associated with palsy of the peroneal branch of the sciatic nerve were examined at the authors' institution. This syndrome was a complication after umbilical vessel catheterization for injection of medications mainly for respiratory distress and apnea. Skin and subcutaneous damaged tissues required debridement without sedation or anesthesia. Local antibiotic application and ultraviolet rays helped heal the lesions, leaving a star-like scar that did not cause cosmetic disfigurement or fistulae formation. For the residual peroneal nerve palsy with involvement of peroneal, toe extensor, and anterior tibialis musculature, the therapeutic approach initially consisted of physical therapy to the involved muscles of the foot. Surgery was required only to correct the deformity of the foot secondary to muscular deficits. In this series, the final results of the muscles involved secondary to nerve palsy were good in 4 patients, fair in 6, and poor in 3. No excellent result was noted.
