[Spinal localization of a solid aneurysmal cyst. Clinical, radiologic and histopathological aspects]. / Localisation rachidienne d'un kyste anévrysmal "solide". Aspects cliniques, radiographiques et histopathologiques.

An 8 year old child with a "solid" aneurysmal cyst of L4 posterior arch was investigated by straight films, bone scintigraphy and CT scans. The suggested diagnosis had been a benign tumor, probably an osteoblastoma. Initial histopathology results were in favor or a non ossifying fibroma or a chondromyxoid fibroma, this lacking concordance with the usual epidemiology of primary spinal tumors in children. A description is given of the histologic characteristics of this new histopathologic entity first described by Sanerkin in 1983.

[Post-angina septicemia caused by Fusobacterium necrophorum in a 7-year-old child]. / Septicémie post-angineuse à Fusobacterium necrophorum chez un enfant de 7 ans.

A fusobacterium necrophorum septicemia due to a neglected peritonsillar abscess is reported in a 7 year-old boy with no significant past medical history. Osteo-articulary, hepatic and pleuro-pulmonary septic localizations, with an otherwise favourable outcome left severe orthopedic sequelae in the right hip. This resembles the post-peritonsillar abscess septicemia described by Lemierre in 1936 which was due to an anaerobic bacillus (fusobacterium). The reappearance of this pathology should lead to systematic anaerobic blood and abscess studies. Penicillin G and Metronidazole are still efficient in controlling this organism.

[Osteoid osteoma of the femur neck with synovitis simulating chronic monoarthritis of the hip]. / Ostéome ostéoïde du col du fémur avec synovite simulant une monoarthrite chronique de hanche.

The authors report a case of subperiosteal osteoid osteoma of the femoral neck in a 14 year-old girl presenting as chronic hip monoarthritis with narrowed coxofemoral joint space and non specific histological synovitis. They analyse the synovitis which is associated with some osteoid osteomas (hip, elbow, knee, ankle bones) emphasizing the "pseudo-arthritis of the hip" picture and insist that all cases of unexplained chronic monoarthritis of the hip should suggest subperiosteal osteoid osteoma of the neck.

[An aid toward decision in congenital hip dislocation. Value of decision trees in the determination and treatment of hips at risk (preliminary study)]. / L'aide à la décision dans la luxation congénitale de hanche. Apport des arbres de décision dans la détermination et le traitement des hanches à risque (étude préliminaire).

Well established procedures exist for treatment of congenital dislocation of hip, whereas unanimity is lacking with respect to management of a hip at risk during the neonatal period. Based on a homogeneous series of 720 case-reports of neonates at risk a decision tree has been developed to determine essential risk factors and to demonstrate preferential pathways when evaluating appropriate therapy.

[Priapism in the young adolescent (author's transl)]. / Priapisme du grand enfant.

Priapism is exceptional before puberty and a new case is here related. Facing the failure of the medical treatment, a caverno-saphenous shunt is realized at the 72e hour. In connection to this case, we present a review of etiological and pathological knowledges applying to this anomaly of erection. An early surgical treatment is obviously necessary to prevent fibrosis, ground for later impotence. Likewise, we must insist on the usually temporary practice of this accident which may lead to discuss about the suppression of the shunt in some secondary deficiency of erection.

[Traumatic dislocations of the hip in children under 6. Apropos of 10 cases]. / Luxations traumatiques de la hanche de l'enfant de moins de 6 ans: A propos de 10 observations.

In a group of 11 traumatic dislocations of the hip, treated between 1962 and 1979, the authors find and study 10 cases of pure dislocation in often mild traumatism, about children between 4 and 5 and half yeard old. They remembre the classic tests: the most frequent hit by the boy, frequency of the posterior dislocation, the relative geod pronostic of the hurt in the growth, at this age. In front of theses particular facts of happening, they look for predisposing bone-factors by anamnestic investigations, a coxometric study of the hip, and for 5 children, a tomodensitometric investigation. They cannot have a definitive conclusion, but the results seem to show an association of predisposing articular defects which they go to the dislocation. That would be explain the great frequency of pure dislocations and the rarety of the cephalic necrosis.

[Synovial chondromatosis in children (author's transl)]. / La chrondromatose synoviale de l'enfant.

A serie of four patients is reviewed. We conclude that synovitis chondromatosis is very rare in children; the diagnosis, accepting Jaffe definition is not easy. In this serie age and localisation on the hip modify consequently our indication of the treatment, and explain some recurrence.