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Irwin Kahn posted an update 1 week ago
In recent times, there have been concerns about potential malignant transformation of these lesion to chondrosarcoma, diagnosing these lesions have become important.
Cyclops syndrome is a classic complication after anterior cruciate ligament (ACL) reconstruction and usually manifests as an extension deficit. A presentation dominated by recurrent hemarthrosis has never been reported.
We report the cases of two patients who underwent ACL hamstring reconstruction and whose post-operative recurrent hemarthrosis revealed the presence of a cyclops syndrome typical lesion.
Theses atypical presentations of cyclops syndrome should alert surgeons that post-operative hemarthrosis after ACL reconstruction may reveal fibrous nodule at the tibial insertion of the graft by a cyclops lesion and that a puncture should be performed to bring back hemorrhagic fluid. It is imperative that treatment should include coagulation of this hypervascularization to avoid any recurrence.
Theses atypical presentations of cyclops syndrome should alert surgeons that post-operative hemarthrosis after ACL reconstruction may reveal fibrous nodule at the tibial insertion of the graft by a cyclops lesion and that a puncture should be performed to bring back hemorrhagic fluid. It is imperative that treatment should include coagulation of this hypervascularization to avoid any recurrence.
Galeazzi fracture-dislocation is a unique entity of forearm fractures since they involve a fracture of the radius shaft, along with the dislocation of the distal radioulnar joint, the gold standard of treatment for adults is open reduction and internal fixation with or without repair or pinning of the DRUJ.
We present a case of a 27-year-old male with a neglected Galeazzi fracture for over 2 months, the patient was treated with open reduction and internal fixation without the need of a salvage procedure and achieved excellent outcomes.
Galeazzi fractures are not uncommon, and any forearm fracture requires complete radiographic and clinical assessment to avoid dreadful complications of delayed management.
Galeazzi fractures are not uncommon, and any forearm fracture requires complete radiographic and clinical assessment to avoid dreadful complications of delayed management.
Concomitant ipsilateral floating hip with floating knee is a very rare injury pattern. Its co-occurrence with ipsilateral complete separation of ileum from pelvic girdle, which can be termed as “floating ileum,” is even rarer. These are extremely high energy injuries associated with significant systemic insult adding to the dilemma and complexity in management. There is no mention in the literature about this potentially life-threatening injury combination; hence, an attempt has been made to provide a pathway of the management of this rare but complex injury pattern.
We are presenting a case of 17-year-old male with this menacing amalgamation of injuries along with the challenges associated in the management. The patient had ipsilateral complete disruption of sacroiliac joint along with transverse fracture of acetabulum due to which ileac bone was completely separated from rest of the pelvic bone and was displaced anteriorly, superiorly, and medially. The patient was also having ipsilateral shaft of femur fracture and distal third tibia fracture and acute respiratory distress syndrome as well to further complicate the scenario.
Early damage control, followed by definitive fixation and aggressive rehabilitation, appears to be the safe and acceptable path to reach good clinical outcome.
Early damage control, followed by definitive fixation and aggressive rehabilitation, appears to be the safe and acceptable path to reach good clinical outcome.
Posterior impingement of the elbow is not a common finding. Further investigation is ideal if impingement persists in spite of non-operative treatment.
A male patient aged 33 years presented to us in the outpatient department with18 months history of impingement. Magnetic resonance confirmed soft-tissue as cause for impingement. Elbow arthroscopy revealed a rent in the olecranon fossa showing the fat pad locked into it. Debridement with arthroscopic shaver made the patient symptom free.
Further investigation and minimal invasive elbow arthroscopy is recommended for persistent posterior elbow impingement.
Further investigation and minimal invasive elbow arthroscopy is recommended for persistent posterior elbow impingement.
Ewing sarcoma is a malignant neoplasm occurring usually in bones such as femur, tibia, and iliac wing. We are here reporting a case of same arising from scapula. Of all the tumors arising from scapula, Ewing’s sarcoma contributed to only 8%.
A male patient presented to us with pain and swelling over right scapular region. After initial investigation, biopsy was performed. TL12-186 clinical trial Biopsy reveals uniform small-sized cells arranged in layers with high nucleus to cytoplasmic ratio. Provisional diagnosis of Ewing sarcoma was made which was later confirmed on immunohistochemistry. The patient underwent planned surgery after neoadjuvant chemotherapy, and swelling along with partial scapula was resected.
Although Ewing sarcoma is common neoplasm, it rarely arises from flat bone-like scapula. Henceforth, reporting of such a case is not only imperative but also mandatory.
Although Ewing sarcoma is common neoplasm, it rarely arises from flat bone-like scapula. Henceforth, reporting of such a case is not only imperative but also mandatory.
Aneurysmal bone cyst (ABC) is a benign intraosseous lesion, usually seen before the age of 20 years and is a lesion filled with blood cavities causing a blowout distension of the bone. It constitutes to about 1% of benign bone tumors. Although benign, a large lesion is liable to develop pathological fracture, so needs prompt addressal. Surgical resection or curettage in large lesions can lead to bone defects, deformities, and even functional abnormalities, especially in children. This article describes a large aggressive ABC of proximal metaphyseodiaphyseal region of proximal humerus in a 12-year-old male patient, which we managed effectively with the use of liquid absolute alcohol based sclerotherapy under fluoroscopic control.
A 12-year-old boy presented to the outpatient department of our hospital presenting with complaint of swelling in the right shoulder region which was insidious in onset with gradual increase in size and deep aching pain since past 6 months. Plain radiograph revealed a large expansile osteolytic lesion with characteristic blown out “soap bubble appearance” involving the proximal humerus and abutting the growth plate.