1,721,045 research outputs found

    An unusual case of osteoblastoma of the femur

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    The authors report a rare case of osteoblastoma of the femur in a 3 year old girl. The case provided an interesting clinical history and, because of an earlier negative radiograph, enabled the length of time the tumour took to develop to be established

    Re-growth of an incomplete discoid lateral meniscus after arthroscopic partial resection in an 11 year-old boy: a case report.

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    BACKGROUND: Discoid lateral meniscus is common in children. Arthroscopic partial resection is indicated in symptomatic cases generally achieving satisfactory results. CASE PRESENTATION: We present a case of an incomplete discoid lateral meniscus of the right knee in an 11 year-old boy, treated with arthroscopic partial resection, which developed a re-growth of the remnant, restoring the pre-operative incomplete discoid shape. To the best of our knowledge this is the first report about re-growth of a discoid meniscus after surgery. Debate still exists regarding the etiology of a discoid meniscus. Some authors proposed it is the persistence of the normal stage during fetal development. However, most other authors believe it is anomalous and arises through variant morphogenesis. The re-growth of the discoid lateral meniscus following surgery in this patient seems to prove this latter theory. The residual growth of the knee involves also the lateral meniscus and that may have contributed to restoring the meniscus to the previous condition. CONCLUSION: This case report demonstrates discoid meniscal re-growth in a child. The growth spurt may have an impact on meniscal regeneration. Re-growth of the discoid lateral meniscus in our patient favors the hypothesis of variant morphogenesis

    Hyaluronic acidvscorticosteroids in symptomatic knee osteoarthritis: a mini-review of the literature

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    Although intra-articular injections of hyaluronic acid (HA) are common non-operative measures used in clinical practice in the management of symptomatic osteoarthritis, there is a great controversy on their efficacy and safety compared to corticosteroids (CSs)

    Dysplasia epiphysealis hemimelica. Clinical, histological and histochemical features

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    Dysplasia epiphysealis hemimelica is a condition characterised by asymmetrical and uneven growth of the epiphyses of the long bones of the limbs and of the bones of the tarsus and carpus. The growth disturbance is caused by the development of accessory nuclei that exhibit histological and histochemical features similar to those found in ossifying epiphyseal cartilage and in the ossific centres of developing carpal and tarsal bones. The common histogenesis, as confirmed by the authors, could explain the elective localisations of the disorder

    Long-term results of open sternocleidomastoid tenotomy for idiopathic muscular torticollis

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    At the end of their skeletal growth, we evaluated the cases of sixty-seven patients who had had an open tenotomy of the sternal and clavicular origins of the sternocleidomastoid muscle for idiopathic muscular torticollis. The average length of follow-up was 15.4 years, and the average age at the last follow-up was 23.9 years. The patients were divided into three groups according to their age at the time of operation. Group I consisted of patients who were operated on between the ages of five months and six years; Group II, of patients who were operated on between the ages of seven and eleven years; and Group III, of patients who were operated on when they were twelve years old or older. According to our method of evaluation, 37 per cent of the patients had a good, 45 per cent had a fair, and 18 per cent had a poor result. The patients in Group I had the best results and those in Group III, the worst. In general, the patient's age at operation, the duration of the disease, and the severity of the deformity before the operation had the major effects on both cosmetic and functional results
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