RESUMEN
Twenty-four children with a diagnosis of Burkitt's lymphoma were seen at Jordan University Hospital during a 6 year period (1978-1983). Their median age was 4 years and the male to female ratio was 3:1. A space clustering of cases was evident. Abdominal mass was the commonest presentation being observed in 21 patients, while only two patients presented with jaw masses. Sixteen patients had advanced disease (stages C and D). Chemotherapy was the basic form of therapy given. Twelve children (50%) survived. Advanced stage and poor nutritional status at diagnosis correlated with poor outcome. Our data indicate that Burkitt's lymphoma in Jordanian children presents an intermediate type that shares some similarities with both the endemic (African) and non-endemic types.
Asunto(s)
Linfoma de Burkitt/epidemiología , Linfoma de Burkitt/diagnóstico , Niño , Preescolar , Femenino , Humanos , Jordania , Masculino , PronósticoRESUMEN
A review of 26 cases of odontoid fractures has been carried out. Late diagnosis and consequent delay in treatment were found to be important causes of non-union. Myelopathy in odontoid fractures is of two types. One type is that present immediately after injury, while the other is delayed. In treatment of long-standing cases, only fusion without posterior decompression should be done. If the latter procedure is carried out, it can produce medullospinal haematomyelia with respiratory arrest and tetraplegia. In the performance of atlanto-axial fusion, the technique of bone grafting and the use of thick wires need emphasis.
Asunto(s)
Vértebra Cervical Axis/lesiones , Fracturas Óseas , Adolescente , Adulto , Anciano , Niño , Femenino , Fracturas Óseas/complicaciones , Fracturas Óseas/cirugía , Humanos , Masculino , Persona de Mediana Edad , Enfermedades de la Médula Espinal/etiología , Fusión VertebralRESUMEN
Two hundred knees of 100 Chinese cadavera were studied with reference to factors which have been implicated in the etiology of chondromalacia of the patella. The findings were as follows: chondromalacia of the patella was less common in Chinese than in Europeans, did not always start in the medial patellar facet, and showed no relationship to the presence of abnormal menisci or to the anatomical characteristics of the medial femoral condyle which have been suggested as causative factors.
Asunto(s)
Pueblo Asiatico , Enfermedades de los Cartílagos/epidemiología , Cartílago Articular/patología , Rótula/patología , Adulto , Anciano , Autopsia , Enfermedades de los Cartílagos/etiología , Enfermedades de los Cartílagos/patología , Humanos , Persona de Mediana Edad , SingapurRESUMEN
Fifteen patients with fracture of the axis arch ("Hangman's Fracture" of the cervical spine) reviewed with regard to the clinical features, mechanism of injury and management, present a relatively high rate of cord involvement (11 patients) and injuries around the jaw (5 patients). All of the injuries occurred in civilian accidents. The jaw injuries suggest the inclusion of an extension-distraction force. Treatment was conservative in all patients, even in those with severe displacement. Union generally occurred in about 3 months. The only complaint in those patients with union in the displaced position, was limitation of lateral rotation of the head.
