[Slipped capital femoral epiphysis in a patient with cerebral palsy due to seizure]. / L'épiphysiolyse fémorale supérieure chez un malade en paralysie cérébrale suite à une crise convulsive.

Slipped capital femoral epiphysis (SCFE) is a slippage of the femoral epiphysis (femoral head) on the femoral neck. Femoral epiphysis usually slips backward and inward because of body weight. This disorder mainly occurs during puberty. We report the very rare case of a child with cerebral palsy associated with spasticity of the limbs.

[Galeazzi fracture in children: about 5 cases and literature review]. / Fracture de Galeazzi chez l'enfant: à propos de 5 cas et revue de la littérature.

Galeazzi fracture describes a fracture of the radial diaphysis in association with distal radioulnar dislocation (most often dorsal). We conducted a retrospective study in the Department of Pediatric Orthopedic Trauma at the Mother-Child Hospital CHU Hassan II in Fez (Morocco). The study involved five male children. Four children underwent orthopedic treatment while one child underwent surgical reduction. Mean follow-up was 24 months (8-30).

[Bone hydatid cyst: a rare localization at the level of the hip bone]. / Un kyste hydatique osseux: une localisation rare au niveau de l'os iliaque.

Hydatid disease is a parasitic disease caused by the development in humans of the larval form of a tapeworm, namely a very small tænia called Echinococcus Granulosus. This anthropozoonosis is characterized by the presence of different types of anatomo-radiologic variants associated with various topographic and evolutionary aspects of the cysts. Bone hydatid disease is a rare condition, it accounts for only 0.9-2.5% of all locations. We report the case of a 9 year old child, who was admitted with febrile lameness and with a mass in the right iliac fossa, revealing a hydatid cyst at the level of the hip bone. Lesion assessment objectified a hydatid cyst of the hip bone with extension into adjacent soft tissues. An infected cyst was detected during surgery, hence the performance of a surgical excision of the cyst with drainage. Hydatic osteopathy is infiltrating, diffuse, slow and gradual, causing delays in diagnosis and compromising the quality of care.

[Circumscribed myositis ossificans of the elbow: about a case]. / La myosite ossifiante circonscrite du coude: à propos d'un cas.

Circumscribed myositis ossificans (CMO) is a heterotopic ossification of the striated muscles. Its location at the level of the elbow is rare. It occurs in young patients, often following trauma as it can also develop without experiencing any traumatic event. Its predominant location is at the level of the larger muscles limbs root (gluteus, deltoid) or of the areas which are most exposed to direct shocks (the quadriceps in more than 40% of post-traumatic cases). Our study aims to highlight the aspects of a circumscribed myositis ossificans in conventional radiology and tomodensitometry to avoid potential diagnostic confusion with a malignant bone tumor.

Tuberculosis of the calcaneus in children.

Osteoarticular tuberculosis represents 1.7-2% of all tuberculosis (TB). The localization in the foot is rare and accounts for less than 10% of osteoarticular TB. The following report describes the case of a 7-year-old boy who presented with a gradually increasing inflammatory swelling over the lateral aspect of the right ankle. An X-ray of his right ankle showed an osteolytic image at the calcaneus. Diagnosis was confirmed by the presence of a tuberculoid granuloma with caseous necrosis on bone biopsy.

Article patellar aneurysmal bone cyst in children: a case report.

An aneurysmal bone cyst is rare in the patella. We report the case of a 9 year-old boy who presented with chronic pain and no previous trauma history. Treatment included curettage of the cyst and filling with a iliac bone graft. Ten months after surgery, the knee was mobile and painless and graft incorporation was good.

Giant-cell tumor of the fourth metacarpal bone in children: case report.

Giant-cell tumor is a rare benign tumor that generally arises in long bones of the lower extremity in adults. The involvement of the metacarpal bone in children is extremely rare. The authors report the case of an 8-year-old boy admitted for a painless swelling of the posterior surface of the fourth right metacarpal bone. The radiological examination showed an expansile osteolytic lesion with a multilocular appearance. Total resection of the metacarpal bone and reconstruction with free fibular graft was performed. We highlight the rarity of this neoplasm in childhood and discuss epidemiological, clinical, radiological, and therapeutical characteristics of this pathology.

Lung hydatic cysts in children: comparison study between giant and non-giant cysts.

PURPOSE: The aim of this study is to review our experience in pediatric giant pulmonary hydatid cysts focusing on clinical symptoms, location of the cyst, type of the intervention, postoperative complications and long-term results. METHODS: Between June 2002 and May 2007, 118 children were operated on for hydatid lung cysts. Two groups were defined: Group 1, 32 children with giant hydatid cysts and Group 2, 86 children with non-giant cysts. The statistical significance between the groups was estimated using paired samples t test. RESULTS: The mean age was 11.8 years in G1 and 9.7 years in G2. All of the patients were symptomatic in G1 but only 18% in G2 (P=0.003). The right lower lobe was most frequently involved in both G1 and G2. Surgical parenchymal resection was performed in five patients in G1 (16%) and in 2% in G2 (P=0.033). Postoperative complications in G1 were more significant comparatively to G2 (P=0.003). CONCLUSION: Giant hydatid lung cysts represent a distinct pathology. They affect essentially adolescents and may reach a large size causing parenchymal destruction. Thus, surgical resections are frequently used and postoperative complications rate is high.