ABSTRACT
To date, 23 cases with osteoid osteoma (OO) including multiple nidi in single bone have been reported in the world literature. A case report of an 18-year-old boy with an OO on his left femoral neck, which contained double nidi is presented. Plain radiography, computed tomography (CT) and magnetic resonance imaging (MRI) of the proximal femur showed OO with a multicentric nidus. Bone scintigraphy demonstrated increased activity in the left femoral neck region. The tumor was removed with curettage and shaving using lateral approach. The patient was asymptomatic for 5 years after surgery.
Subject(s)
Femoral Neoplasms/pathology , Osteoma, Osteoid/pathology , Adolescent , Curettage , Diagnostic Imaging , Femoral Neoplasms/surgery , Humans , Male , Osteoma, Osteoid/surgeryABSTRACT
Ipsilateral dislocation of the shoulder and elbow joints is a rare and complex injury. During the last 25 years, only 3 cases have been reported in the literature. We report a 50-year-old woman who suffered ipsilateral elbow and shoulder dislocation with contralateral comminuted humeral fracture. Both shoulder and elbow joints were reduced, but the elbow was dislocated subsequently at follow-up. The reduction in the elbow was stabilized by a Kirschner wire that was removed at 3 weeks, and the elbow was then stable. A U-shaped coaptation splint was applied for the contralateral comminuted humeral fracture. At 6 months, she had acquired a nearly full range of motion of both shoulder and elbow with complete healing in the contralateral humerus. Although rare and complex, ipsilateral shoulder and elbow dislocation, which is the result of a high-energy trauma, can be treated conservatively.
Subject(s)
Elbow Joint , Fractures, Comminuted/complications , Humeral Fractures/complications , Joint Dislocations/complications , Shoulder Dislocation/complications , Female , Fractures, Comminuted/therapy , Humans , Humeral Fractures/therapy , Joint Dislocations/therapy , Middle Aged , Shoulder Dislocation/therapyABSTRACT
We report a case of combined two toe transfer after distal ulnar artery fasciocutaneous flap in a 10-year-old boy who has four-digit amputation. Four years after the operation, satisfactory results were obtained both functionally and cosmetically.