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Introduction and importance Ewing's sarcoma is an aggressive malignancy primarily affecting skeletal system in children and young adults. CASE PRESENTATION: We report an unusual case of Ewing sarcoma in a 14-year-old boy with clinical and radiological features of rapid onset metachronous skeletal metastasis (within 4 weeks of diagnosis). CLINICAL DISCUSSION: Although the deterioration of symptoms was very rapid, it is unusual to note that in the presence of such widespread metastatic disease the lungs per se remained uninvolved. CONCLUSION: We describe a unique case of metastatic Ewing's sarcoma who showed rapid systemic disease progression with widespread skeletal metastases (and CNS involvement) but without any evidence of pulmonary involvement.
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INTRODUCTION: Salvage Talectomy is a considered treatment for rigid equinocavovarus foot deformity that has different surgical techniques. CASE: This study reports on a 16-year-old girl with global developmental delay and bilateral rigid equinocavovarus feet. Underwent bilateral staged limb salvage talectomy. DISCUSSION: Surgical technique in talectomy being crucial as a means of avoiding remnants of the talus or cartilage. Surgical steps necessary for removing the talus as one piece and avoiding a piecemeal talectomy. CONCLUSION: A principal reason for the failure or relapse of a talectomy is incomplete excision of the talus, resulting in a recurrence on the left side because of the retained talus. However, in this case study, this was successfully avoided by means of a technically revised talectomy.
