Median Nerve Compression in the Distal Forearm by a Reversed Palmaris Longus Muscle in a Pediatric Patient: A Case Report.

CASE: A 9-year-old girl presented with a 1-year history of volar wrist and hand pain accompanied by hand paresthesia. Magnetic resonance imaging described a superficial muscle belly in the distal forearm, compatible with a reversed palmaris longus (RPL). An initial trial of conservative treatment was unsuccessful, so the median nerve was explored in the distal forearm, with the release of the flexor retinaculum and resection of the RPL muscle belly. One year after surgery, the child had no symptoms. CONCLUSION: To the best of our knowledge, there are only 12 reported cases of RPL, and none at such a young age or symptomatic in daily routine activities such as the case presented.

Superior pole patellar sleeve fracture after medial patellofemoral ligament reconstruction.

A 13-year-old boy sustained a superior pole patellar sleeve fracture after a blunt trauma of the knee. A medial patellofemoral ligament reconstruction had been performed 4 weeks earlier. The patient underwent surgery to reinsert the quadriceps tendon in the superior pole of the patella using two bone suture anchors. One-year postoperative assessment revealed excellent functional outcomes. Sleeve fractures are easily misdiagnosed, and in our case, clinical examination was essential in order to perform the diagnosis.

Neglected Achilles tendon rupture associated with rheumatoid arthritis: a case report and a brief review of the literature.

We report a case about a 69-year-old man, suffering from rheumatoid arthritis, diagnosed with a neglected Achilles tendon rupture. Considering the large Achilles tendon gap and the bad quality of the autologous tendons caused by rheumatoid disease, a reconstruction using an Achilles tendon with calcaneus bone block allograft was performed, with excellent clinical and functional outcomes.