ABSTRACT
A case of eosinophilic granuloma affecting a cervical vertebra, thoracic vertebra and pelvis in a child is reported. We present this case because multifocal eosinophilic granuloma lesions of the spine are rare and can present as this case did with both diagnostic and therapeutic problems. Preoperative diagnosis may be made by X-ray, isotope bone scan and needle biopsy, avoiding unnecessary surgical intervention (AU)
Subject(s)
Humans , Child, Preschool , Eosinophilic Granuloma/diagnosis , Eosinophilic Granuloma/therapy , Pelvis , Cervical Vertebrae/diagnostic imaging , Thoracic Vertebrae/diagnostic imaging , Tomography Scanners, X-Ray Computed , Biopsy , Vincristine/therapeutic use , Cyclophosphamide/therapeutic use , Prednisolone/therapeutic useABSTRACT
Thirty-three cases of traumatic dislocations of the hip joint treated at the Queen Elizabeth Hospital between January 1976 and December 1983 were studied. Thirty-one were posterior dislocations, one anterior and one central. There were 27 men and 6 women. Road traffic accidents accounted for over 2/3 of the cases. Five resulted from falls and four from other less severe trauma. The sole case of anterior dislocation resulted from an alleged assault. Twenty-one of the 33 cases were available for review. Ten had required open operation to reduce and fix the acetabular fragment or reduce the dislocation. Two patients died. Follow-up of these 19 remaining patients (1-6 years) showed 85 percent good or excellent clinical results. Complications encountered included sciatic nerve palsy, (2 patients), extra capsular calcification (2 patients) and avascular necrosis of the femoral head in one case, leading to osteroarthritis. Prognosis of these injuries seems to depend on the severity of the injury, the age of the patient, and the timing of the reduction, especially open reduction (AU)
