ABSTRACT
This is a case report with literature review and discussion of current diagnostic studies and management of a rare case of glomus tumour in the fourth toe of a 36-year-old male patient.
Subject(s)
Glomus Tumor/diagnosis , Toes/blood supply , Toes/pathology , Adult , Aftercare , Biopsy/methods , Diagnosis, Differential , Glomus Tumor/pathology , Glomus Tumor/surgery , Glomus Tumor/ultrastructure , Humans , Male , Margins of Excision , Pain/diagnosis , Pain/etiology , Toes/diagnostic imaging , Treatment OutcomeABSTRACT
Residual acetabular dysplasia is a frequent cause of secondary osteoarthritis of the hip and its management is still controversial. The aim of this review is to describe residual acetabular dysplasia, to estimate the age limit above which surgical management is needed, and to emphasize the role of assistive imaging in evaluating predictive parameters for future acetabular development. A decision-making algorithm is presented.
Subject(s)
Acetabulum , Hip Dislocation, Congenital/surgery , Hip Joint/surgery , Acetabulum/diagnostic imaging , Aftercare , Age Factors , Child , Child, Preschool , Decision Making , Female , Femur Head/diagnostic imaging , Hip Dislocation, Congenital/complications , Hip Dislocation, Congenital/diagnostic imaging , Hip Joint/abnormalities , Hip Joint/diagnostic imaging , Humans , Infant , Magnetic Resonance Imaging , Male , Osteoarthritis, Hip/etiology , Osteotomy , Retrospective Studies , Risk FactorsABSTRACT
Here we report the case of a 13-year-old girl with a history of massive left knee arthroplasty after excision of a proximal tibial osteosarcoma with subsequent leg length inequality. Owing to her short stature and her parents' refusal of surgical shortening by epiphysiodesis of the right lower limb, tibial lengthening over the prosthesis stem using an Ilizarov apparatus was undertaken and achieved 5 cm good quality regenerate but with a secondary infection leading to prosthesis removal. To the best of the authors' knowledge, no similar case has been previously reported in the literature. Although the goal of bone lengthening was achieved, this procedure should be avoided because of the high risk of secondary infection.
Subject(s)
Arthroplasty, Replacement, Knee , Ilizarov Technique/adverse effects , Osteogenesis, Distraction , Surgical Wound Infection/etiology , Adolescent , Bone Nails , Bone Neoplasms/surgery , External Fixators , Female , Humans , Ilizarov Technique/instrumentation , Leg Length Inequality/etiology , Leg Length Inequality/surgery , Osteosarcoma/surgery , Prosthesis Failure , Range of Motion, Articular , Tibia/pathology , Tibia/surgery , Treatment OutcomeABSTRACT
The purpose of this paper is to present a case of severe atlantoaxial rotatory fixation owing to a previously unreported etiology, and to discuss its pathogenesis and management. Conservative measures were unable to prevent progression, thus requiring surgical intervention.
