RESUMO
We report a case series of aggressive fibromatosis of the forearm and discuss the differentiation criteria of overlapped intra- or extra-osseous origin of aggressive fibromatosis, surgical approach, and outcome. Ten cases of aggressive fibromatosis of the forearm were evaluated. When there was no involvement of vital adjacent structures, such as nerves, vessels, and tendons, en-bloc excision was performed for the removal of the soft-tissue mass. Bone involvement was observed in nine cases. Intercalary allograft was performed whenever one of the forearm bones was involved (six cases), while extensive curettage was used if both forearm bones were affected (three cases). The mean Musculoskeletal Tumor Society Score was 90%, ranging from 80% to 97%. Limited forearm rotation was the most frequent complication. Three local recurrences were observed, none with intercalary allograft reconstruction. We conclude that the extensive curettage of the involved bone results in a higher risk of local recurrence compared with intercalary allograft. LEVEL OF EVIDENCE: IV.
Assuntos
Neoplasias Ósseas/diagnóstico , Fibroma Desmoplásico/diagnóstico , Fibromatose Agressiva/diagnóstico , Antebraço , Neoplasias de Tecidos Moles/diagnóstico , Adolescente , Adulto , Criança , Estudos de Coortes , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Rádio (Anatomia) , Ulna , Adulto JovemAssuntos
Calcinose/complicações , Fístula Cutânea/complicações , Joelho/fisiopatologia , Escleroderma Sistêmico/complicações , Adolescente , Antibacterianos/uso terapêutico , Calcinose/diagnóstico por imagem , Fístula Cutânea/tratamento farmacológico , Feminino , Humanos , Amplitude de Movimento ArticularAssuntos
Deformidades Adquiridas do Pé/fisiopatologia , Gota/complicações , Gota/fisiopatologia , Articulação do Joelho/fisiopatologia , Limitação da Mobilidade , Punho/fisiopatologia , Atividades Cotidianas , Artroscopia , Síndrome do Túnel Carpal , Doença Crônica , Desbridamento , Deformidades Adquiridas do Pé/etiologia , Deformidades Adquiridas do Pé/cirurgia , Gota/psicologia , Gota/terapia , Humanos , Articulação do Joelho/cirurgia , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Índice de Gravidade de Doença , Punho/cirurgiaRESUMO
This study reports the clinical presentations, intra -operative findings, type of the treatments, outcome of the treatment and specially associated injuries in patients with the avulsion of the distal end of the triceps brachii (TB) tendon. We studied 6 patients with rupture or avulsion of the distal end of the TB tendon. The medical records, imaging files, clinical outcomes at the final follow up visit were reviewed. The clinical outcomes were assessed by Mayo Elbow Score at the final follow-up visit. All patients were male, 4 of them having injury in the left hand as the non-dominant hand. Mean age of them was 34.5 years. All cases had small bony fleck in the posterior of elbow in lateral radiograph. Three patients had associated injuries -including intra-articular fractures and medial collateral ligament rupture. In one case V-Y plasty of the distal TB was done. In 4 patients the results of surgery were excellent, one was good and one was fair. Although TB tendon rupture is rare, it should be -considered in differential diagnosis of the upper -extremity trauma and its associated injuries should be addressed properly.
