RESUMO
For a long time the use of bone grafting has demonstrated its interest in orthopedic surgery and traumatology. The autografts which are still very frequently used present various problems. On the one hand, it is necessary to find a correct mechanical quality and a sufficient quantity of bone. On the other hand, the graft removal lengthens the operative time and generally painful in postoperative. These disadvantages of autografts have led to the development of bone allografts. Indeed, the low immunogenic power of the bone, the good integration of the graft and the ease of bone preservation techniques make it possible to overcome the various problems posed by bone autografts. The increasing use of bone allografts has resulted in the need for a structure allowing the management of graft stocks. The purpose of this work is to demonstrate the mode of operation of a bone bank, whose conservation activity is limited to the femoral heads treated by cryopreservation and without secondary sterilization process. The bank collaborates with all orthopedic surgeons in the Rabat and Casablanca city at first and then with all orthopedic surgeons in Morocco. It provides allografts in quality and safety.
Assuntos
Bancos de Ossos/organização & administração , Transplante Ósseo/métodos , Procedimentos Ortopédicos/métodos , Transplante Autólogo/métodos , Autoenxertos/normas , Autoenxertos/provisão & distribuição , Cabeça do Fêmur/transplante , Humanos , Marrocos , OrtopediaRESUMO
Coxalgia causes osteocartilaginous destructions of the hip joint; these lesions are responsible for severe pain leading to functional discomfort and limitations in everyday life. Their surgical treatment is still not well established. The aim of our study was to demonstrate the interest of total hip arthroplasty associated with anti-tuberculous chemotherapy to improve patients' quality of life. We report a retrospective study of 10 cases of total hip replacement following coxalgia at the Department of Orthopaedics and Trauma of Rabat University Hospital from 2002 to 2011. The average age of our patients was 38 years. The discovery of coxalgia was made under different circumstances according to the patients. The surgical approach we used was exclusively posterolateral (Moore). All prostheses were cemented. Four patients required acetabulum reconstruction. Intraoperative biopsy was positive in a patient, negative in the remaining nine. All patients underwent anti-tuberculous treatment. No recurrence was noted after a minimum follow-up of 3 years. Results according to Merle d'Aubigné score were considered good. In case of advanced bone destruction with badly tolerated functional impact in mature subject, total hip arthroplasty always associated with effective anti-tuberculous chemotherapy is the treatment of choice for sequelae of coxalgia.
Assuntos
Antituberculosos/administração & dosagem , Artroplastia de Quadril/métodos , Articulação do Quadril/cirurgia , Dor/etiologia , Acetábulo/cirurgia , Adulto , Feminino , Seguimentos , Articulação do Quadril/patologia , Hospitais Universitários , Humanos , Masculino , Pessoa de Meia-Idade , Marrocos , Qualidade de Vida , Estudos Retrospectivos , Adulto JovemRESUMO
Cubitus varus or malunion is most often secondary to displaced supracondylar fractures of the lower end of the humerus in children. Various surgical techniques have been proposed with different success rates but also with different reported complication rates. Our retrospective study of 25 cases diagnosed at the University Hospital of Rabat evaluated the results of the technique of external subtraction which was used in our training to handle this deformation.
Assuntos
Articulação do Cotovelo/cirurgia , Fraturas do Úmero/complicações , Deformidades Articulares Adquiridas/cirurgia , Osteotomia/métodos , Articulação do Cotovelo/anormalidades , Seguimentos , Hospitais Universitários , Humanos , Deformidades Articulares Adquiridas/etiologia , Marrocos , Estudos Retrospectivos , Adulto JovemAssuntos
Vítimas de Crime , Extremidade Inferior/lesões , Violência , Ferimentos e Lesões/epidemiologia , Adolescente , Adulto , Idoso , Feminino , Hospitais Universitários , Humanos , Masculino , Pessoa de Meia-Idade , Marrocos/epidemiologia , Estudos Retrospectivos , Ferimentos e Lesões/cirurgia , Adulto JovemAssuntos
Traumatismos do Tornozelo , Fíbula/lesões , Futebol Americano , Luxações Articulares/diagnóstico , Entorses e Distensões , Traumatismos dos Tendões/diagnóstico , Traumatismos dos Tendões/cirurgia , Adulto , Fíbula/fisiopatologia , Humanos , Masculino , Procedimentos Ortopédicos , Traumatismos dos Tendões/etiologia , Resultado do TratamentoAssuntos
Neuropatias do Plexo Braquial/etiologia , Luxação do Ombro/complicações , Acidentes por Quedas , Idoso de 80 Anos ou mais , Eletromiografia , Feminino , Humanos , Imobilização , Imageamento por Ressonância Magnética , Modalidades de Fisioterapia , Radiografia , Recuperação de Função Fisiológica , Luxação do Ombro/diagnóstico por imagem , Luxação do Ombro/reabilitação , Luxação do Ombro/cirurgiaRESUMO
Tuberculosis TB is common in countries constituting endemic areas like Morocco, spinal sites represents half of osteo-articular locations, while peripheral locations in the limbs are rare. The authors relate in this observation the case of a particular location of tuberculosis arthritis. It is osteoarthritis of the metatarsophalangeal joint of the 2(nd) ray of the foot. Clinical signs were characterized by a moderately painful swelling of the dorsum of the foot with slow evolution. The definitive diagnosis was histologically obtained. Clinical cure was achieved after 09 months of medical treatment.
Assuntos
Ossos do Metatarso/patologia , Articulação Metatarsofalângica/patologia , Tuberculose Osteoarticular/patologia , Antituberculosos/uso terapêutico , Granuloma de Células Gigantes/diagnóstico por imagem , Granuloma de Células Gigantes/tratamento farmacológico , Granuloma de Células Gigantes/etiologia , Granuloma de Células Gigantes/patologia , Humanos , Masculino , Ossos do Metatarso/diagnóstico por imagem , Articulação Metatarsofalângica/diagnóstico por imagem , Pessoa de Meia-Idade , Radiografia , Tuberculose Osteoarticular/complicações , Tuberculose Osteoarticular/diagnóstico por imagem , Tuberculose Osteoarticular/tratamento farmacológicoRESUMO
INTRODUCTION: Soft tissue myoepithelial carcinoma and myoepithelioma are rare entities, part of myoepithelial tumors. They were incorporated into the World Health Organization classification of soft tissue tumors in 2002. Here we present an exceptional case of myoepithelial carcinoma and myoepithelioma association. To the best of our knowledge, such an association has never been reported in the literature. CASE PRESENTATION: We report a case of myoepithelial carcinoma combined with myoepithelioma occurring in the soft tissue of the right forearm of an 84-year-old Arabian man. We describe the clinical, radiological and pathological features dominated by histological polymorphism. We will also describe the proposed histological criteria of malignancy and the major role of immunohistochemistry in positive and differential diagnosis. We finally mention the therapeutic arsenal available. CONCLUSION: Through this work, we report that myoepithelioma of soft tissue can progress to malignant myoepithelioma.
Assuntos
Mioepitelioma/patologia , Neoplasias de Tecidos Moles/patologia , Idoso de 80 Anos ou mais , Antebraço , Humanos , Masculino , Mioepitelioma/cirurgia , Neoplasias de Tecidos Moles/cirurgiaRESUMO
Schwannoma is a tumor that develops from nerve sheath. The authors report an unusual case of schwannoma of the median nerve (MN) that remained asymptomatic for four years. The diagnosis was based on MRI (magnetic resonance imaging) and histopathological examination. Surgical removal is usually curative. The asymptomatic character of the tumor and its slow evolution remain an essential factor in diagnosis delays. This tumor has a good prognosis with a low recurrence rate and potential for malignant transformation.
Assuntos
Extremidades/patologia , Dor/etiologia , Sarcoma Sinovial/terapia , Adulto , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Dor/epidemiologia , Prognóstico , Estudos Retrospectivos , Sarcoma Sinovial/diagnóstico , Sarcoma Sinovial/patologia , Fatores de Tempo , Resultado do Tratamento , Adulto JovemAssuntos
Neoplasias Ósseas/cirurgia , Cuidados Intraoperatórios/métodos , Osteoma Osteoide/cirurgia , Neoplasias Ósseas/diagnóstico por imagem , Neoplasias Ósseas/patologia , Humanos , Marcação por Isótopo/métodos , Masculino , Osteoma Osteoide/diagnóstico por imagem , Osteoma Osteoide/patologia , Radiografia , Resultado do Tratamento , Adulto JovemRESUMO
Myositis ossificans circumscripta (MOC) is a benign condition of non-neoplastic heterotopic bone formation in the muscle or soft tissue. Trauma plays a role in the development of MOC, thus, non-traumatic MOC is very rare. Although MOC may occur anywhere in the body, the lesions are localized predominantly in the high-risk sites of injury, such as the thigh, buttock, and elbow. MOC can easily be mistaken for osteomyelitis or a malignant tumor, specifically osteosarcoma or soft-tissue sarcoma. We report a rare case of non-traumatic myositis ossificans circumscripta of thigh which appear clinically and radiologically as a malignant neoplasm. Despite its rarity, MOC should be contemplated in the differential diagnosis of malignant tumors.