RESUMEN
Purpose: Enchondromas are primary, benign bone neoplasms that arise from intramedullary proliferation of hyaline cartilage cells. Slow and progressive in growth, enchondromas can lead to bone destruction, deformities, and fractures. The treatment of enchondromas remains controversial. We hereby describe the technique for bone fixation using headless intramedullary screws (HISs) after enchondroma resection in the long bones of the hand. Methods: From January 2018 to June 2021, all patients treated with HISs after the resection of enchondroma of the hand were retrospectively assessed and included in the study. The series comprised four patients with a minimum postoperative follow-up period of 12 months. Postoperative functional results were measured according to Takigawa criteria and postoperative radiographic results were graded according to the Tordai system. Results: After tumor resection and screw fixation, one patient had autologous bone grafting from the iliac crest, and another had the defect filled with calcium phosphate cement. All patients were followed up for at least 12 months, and the mean healing time of the pathologic fracture was 5 weeks. There were neither complications related to the procedure nor the need for a second surgery. Conclusions: We describe the technique of intramedullary headless screws for bone fixation after enchondroma resection in the long bones of the hand, as well as the excellent functional, cosmetic, and radiographic results of four patients treated with the technique presented herewith. Type of study/level of evidence: Therapeutic IV.
RESUMEN
O osteoma osteoide é um tumor benigno osteoblástico, incomum na mão. A localização nos ossos do carpo é infrequente, a qual leva a erros no diagnóstico em decorrência do polimorfismo de sinais clínicos. Na revisão bibliográfica foram referidos nove casos de osteoma osteoide no escafoide. Relata-se um caso de osteoma osteoide no escafoide, tratado inicialmente como tenossinovite estenosante de De Quervain, tendo diagnóstico definitivo retardado por cinco anos.
Osteoid osteoma is a benign osteoblastic tumor that is unusual in the hand. A location in the carpal bones is infrequent, which leads to errors in diagnosing it because of polymorphism of the clinical symptoms. Reviewing the literature shows that nine cases of osteoid osteoma in the scaphoid have been reported. Here, one case of osteoid osteoma in the scaphoid that was initially treated as De Quervain's stenosing tenosynovitis is reported, with a definitive diagnosis that was delayed for five years.
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Diagnóstico por Imagen , Osteoma Osteoide , Hueso EscafoidesRESUMEN
Osteoid osteoma is a benign osteoblastic tumor that is unusual in the hand. A location in the carpal bones is infrequent, which leads to errors in diagnosing it because of polymorphism of the clinical symptoms. Reviewing the literature shows that nine cases of osteoid osteoma in the scaphoid have been reported. Here, one case of osteoid osteoma in the scaphoid that was initially treated as De Quervain's stenosing tenosynovitis is reported, with a definitive diagnosis that was delayed for five years.
RESUMEN
The trypanosomatid flagellar apparatus contains conventional and unique features, whose roles in infectivity are still enigmatic. Although the flagellum and the flagellar pocket are critical organelles responsible for all vesicular trafficking between the cytoplasm and cell surface, still very little is known about their roles in pathogenesis and how molecules get to and from the flagellar pocket. The ongoing analysis of the genome sequences and proteome profiles of Leishmania major and L infantum, Trypanosoma cruzi, T. brucei, and T. gambiensi ( www.genedb.org ), coupled with our own work on L. chagasi (as part of the Brazilian Northeast Genome Program- www.progene.ufpe.br ), prompted us to scrutinize flagellar genes and proteins of Leishmania spp. promastigotes that could be virulence factors in leishmaniasis. We have identified some overlooked parasite factors such as the MNUDC-1 (a protein involved in nuclear development and genomic fusion) and SQS (an enzyme of sterol biosynthesis), among the described flagellar gene families. A database concerning the results of this work, as well as of other studies of Leishmania and its organelles, is available at http://nugen.lcc.uece.br/LPGate . It will serve as a convenient bioinformatics resource on genomics and pathology of the etiological agents of leishmaniasis.
Asunto(s)
Flagelos/genética , Genes Protozoarios , Leishmania/genética , Leishmania/patogenicidad , Familia de Multigenes , Secuencia de Aminoácidos , Animales , Bases de Datos Genéticas , Flagelos/fisiología , Genoma de Protozoos , Leishmania/clasificación , Leishmania/fisiología , Datos de Secuencia Molecular , Proteoma , Proteínas Protozoarias/genética , Homología de Secuencia de Aminoácido , Virulencia/genéticaRESUMEN
O uso de plantas medicinais como alternativa terpêutica data de épocas remotas. A esse conhecimento tradicional empírico, vem se associando o conhecimento científico, como forma segura de permitir o uso de agentes fitoterápicos em odontologia alternativa
