0000000000335385
AUTHOR
V. Sanchis-alfonso
Neurilemoma of the tibial nerve in the popliteal fossa A case report
We report a case of a 61 year old man who had a history of 4 years right leg pain. Clinical and radiological examination and MRI revealed a soft tissue mass in the popliteal fossa. A neurilemoma of the tibial nerve was confirmed after removal of the tumor and histological examination. To our knowledge this is the first case of a neurilemoma located in the tibial nerve reported in the literature.
Kuntscher nailing of femoral shaft fractures in children and adolescents.
We have reviewed 29 cases of very unstable diaphyseal fractures of the femur in children and adolescents treated by Kuntscher nailing. Follow up was for at least 5 years, and in most cases until after the end of growth. There were no post-operative complications, and the mean overgrowth of the femur was 7.06 mm. There was growth disturbance of the proximal femur in one case, but this did not interfere with function. We believe that Kuntscher nailing is indicated in children and adolescents with unstable high velocity fractures of the femoral shaft.
Osteoblastic osteogenic sarcoma in a 13-month-old girl.
Summary Osteosarcoma is exceptional in early periods of life. Therefore osteosarcomas involvingthe bones of the hand are extremely rare. We present a case of an osteogenic sarcoma involving the second metacarpal bone of a 13-month-old girl who has been remaining free of disease, after treatment — radial amputation and chemotherapy pre- and post-operative-, for a period of 10 years in the follow-up.
The value of MRI in the evaluation of the ACL deficient knee and in the post-operative evaluation after ACL reconstruction
To evaluate the usefulness of magnetic resonance imaging (MRI) in the exploration of the anterior cruciate ligament (ACL) deficient-knee, a total of twenty-five patients with chronic instability of the knee joint and who underwent both MRI and arthroscopy were studied prospectively. Twenty-three of these patients underwent an intra-articular reconstruction of the ACL with bone-patellar tendon-bone autografts. For the ACL lesions MRI had a sensitivity of 95.8%, a specificity of 100% and a diagnostic accuracy of 97.7%. Associated bowing of the PCL was seen in 20 cases of the study group. For the associated meniscal lesions MRI had a sensitivity of 77.7%, a specificity of 94.7% and a diagnosti…
The value of high resolution CT in the diagnosis of meniscal lesions of the knee
We report on 50 patients who had meniscal pathology and were given computed tomographic (CT) scans. Our diagnostic accuracy was approximately 92%. We believe that CT is a good method of screening these patients prior to using a much more expensive method, such as magnetic resonance imaging or diagnostic arthroscopy.