RESUMEN
Breast reconstruction with a free Deep Inferior Epigastric Perforator Flap (DIEP flap) is now well established and provides excellent aesthetic results. Nevertheless, preoperative radiotherapy can damage the recipient vascular axes. We report a case of a grave and undocumented spontaneous rupture of the internal mammary artery related to the use of irradiated arterial vessels.
Asunto(s)
Mamoplastia/métodos , Arterias Mamarias , Colgajos Quirúrgicos/efectos adversos , Enfermedades Vasculares/etiología , Adulto , Femenino , Humanos , Rotura EspontáneaRESUMEN
Aneurysmal bone cyst is a rare, benign bone tumor and its location in the carpal scaphoid has never been described in the literature. We report a clinical case illustrating this location.
Asunto(s)
Quistes Óseos Aneurismáticos/diagnóstico , Hueso Escafoides/diagnóstico por imagen , Accidentes por Caídas , Adolescente , Quistes Óseos Aneurismáticos/cirugía , Femenino , Humanos , Ilion/trasplante , Radiografía , Hueso Escafoides/cirugíaRESUMEN
The authors report an aneurismal bone cyst in the second metacarpal of a 16-year-old patient. It was an aneurismal bone cyst of the agressive diffuse variety involving the proximal metaphyseal, diaphyseal and distal epiphyseal zones. Conservation of the MCP joint of the index was the priority. The authors report the technique used as well as the clinical and radiological results.
Asunto(s)
Quistes Óseos Aneurismáticos , Huesos del Metacarpo , Articulación Metacarpofalángica , Adolescente , Quistes Óseos Aneurismáticos/diagnóstico , Quistes Óseos Aneurismáticos/diagnóstico por imagen , Quistes Óseos Aneurismáticos/cirugía , Trasplante Óseo , Legrado , Femenino , Estudios de Seguimiento , Humanos , Factores de Tiempo , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
The authors report the correction of an ulnar club-hand in a 16 year-old boy who complained of recurrent wrist pain after a fracture of both bones of his left forearm treated by internal fixation at the age of nine years. Correction was achieved by progressive ulnar lengthening, using Ilizarov's method, without radius osteotomy or bone grafting. Union was achieved 2 months post-operatively. Functional outcome and cosmetic appearance were satisfying.