Exploring the Esoteric: Tuberculosis of the Medial Epicondyle of the Humerus.

Tuberculosis (TB) of the medial epicondyle of the humerus represents a rare etiology of chronic pain, swelling, and restricted mobility of the elbow joint, characterized by a gradual progression of the swelling. The paucity of reported cases in the literature attests to their infrequency. Herein, we present a case that was referred to our department after enduring swelling, restricted movement, and discomfort for a period of one year. The patient underwent a thorough clinical evaluation, followed by debridement, which ultimately resulted in the diagnosis of TB of the medial epicondyle of the humerus. In this ensuing case report, we comprehensively describe the clinical presentation, diagnosis, and treatment approach employed for this uncommon manifestation of TB affecting the elbow joint.

Osteogenic potential of autogenic demineralized dentin implanted in bony defects in dogs.

The bone morphogenetic properties of implants of autogenic demineralized dentin were evaluated. The dentin matrix was implanted as small pieces and as thin slices in experimental mandibular osseous defects in dogs. The dentin implants were obtained from mandibular incisor teeth from the same dogs used in the experiment. Experimental interradicular osseous defects were surgically created in the mandibular premolars areas. 2 of the 3 defects were filled with either pieces or slices of prepared dentin. The 3rd defect served as an unfilled control. The results indicate that all demineralized autogenic dentin implants induce bone formation. There was an increase in the osteogenic capacity of the implant when the samples were used as thin slices. The slices of dentin matrix give no evidence of resorption and were readily incorporated into the new bone deposited. The end product was represented by a trabecular bone joined to the dentin matrix slices. In the case of the small piece samples, the specimens were readily resorbed and replaced by new deposits of cancelous bone. The osteogenic capacity of the small piece samples of the dentin matrix is less efficient comparable to the thin slice samples of the same implant material.

[New criteria for the characterization of facies leprosa]. / Novos critérios para caracterização da facies leprosa.

Facies leprosa was characterized by a combination of nasal change and resorption of nasal bone, anterior nasal spine, supra-incisive alveolar region and anterior alveolar process of the maxilae, associated with the loss of upper incisors teeth, according to the criteria of radiographic interpretation.