Orthopedics

Introduction Bilateral asymmetric traumatic hip dislocation is a rare orthopaedic condition. Only few cases are reported in the literature. Most of the bilateral hip dislocations are posterior dislocation. In few numbers it is a combination of both anterior and posterior dislocation. We report such a case of asymmetric traumatic bilateral hip dislocation in an adult of 30 years of age. Case Report A 30 year adult male was presented to our casualty following road traffic accident with complaints of severe pain in the hips with deformity and inability to move. The right hip was abducted and externally rotated and the left hip was adducted, flexed and internally rotated. Clinically the right hip was dislocated anteriorly while the left hip was dislocated posteriorly. The clinical findings were confirmed by X-ray of the pelvis with hips. Reduced under general anaesthesia within four hours, both the hip showed concentric reduction. Conclusion Bilateral asymmetric dislocation of the hip, though a rare condition may present because of increase in number of road traffic accidents. Early diagnosis and reduction of the dislocated joint is the key to regain a normal hip joint and to prevent avascular necrosis of the femoral head. Key Words: Hip dislocation; asymmetric; bilateral; adult; avascular necrosis

An uncommon case has been reported of bilateral transscaphoid-perilunate dislocation racture following trauma. A 21-year-old male with bilateral transscapholunate dislocation was treated by open reduction and internal fixation. The case was examined in detail, and compared to the findings in the literature; observations regarding fracture prognosis were also made. Two years post-surgery, the patient remained asymptomatic.

Avulsion fractures of the tibial tuberosity are uncommon. There occur in well-developed, muscular athletic male individuals nearing skeletal maturity. The authors present a case of an 15-year-old boy who has a type IIB avulsion-fracture of the tibial tubercle. Surgical treatment gives an excellent outcome. We compare it with the literature.

The authors report a case of mycetoma of the foot (Madura foot). This is a patient of 34 yearswith a chronicswelling of the right foot withfistulasgiving a purulent yellow ishcontaining grains. Antibiotics and antifungaltreatments have not worked. Radical treatmentwasnecessary.

Traumatic shoulder dislocation in Child is a very rare injury. The treatment and the recurrence rate are differents then adult. We report a case of shoulder dislocation in a 9 years old judoka.

The cerebro-spinal tuberosity fractures (CT) are complex fractures. The existence of a dislocation of the head or fracture even worse prognosis. Several therapeutic alternatives have been proposed in this context. We report a case of fracture dislocation of the humeral head associated with a fracture of the humeral shaft in a matter of 79 years, treated by intramedullary antegrade nailing with self-stabilizing screws type TARGON Consolidation is achieved at 8 weeks, the fracture reduction is acceptable.

Abstract Background: Infantile Digital Fibromatosis is a rare benign fibro proliferative tumour of early childhood. Case characteristics: A six-month-old boy with swelling on the right third digit histopathologically fibromatosis. Observation: Congenital onset in our patient. Message: Reassure about benign nature to avoid unnecessary surgical intervention. Key words: Infantile digital fibromatosis (IDF), benign

Synovialosarcoma is one of the most common soft tissue sarcomas. Despite its name, the synoviolosarcome does not seem to be of synovial origin, but is rather derived multipotent cells. Paradoxically, the more often it is tumors that are within distance joints. Synovialosarcoma is in order of frequency the third histological type among soft tissue sarcomas. Complete surgical removal of the tumor is the basis of traitement.la adjuvant radiotherapy for appears beneficial residual tumor. As for chemotherapy, it remains to be explored its role.

Galeazzi fracture involves a fracture of the radial shaft and a distal radioulnar dislocation (RCD). RCD lesions are almost always associated with isolated fractures of the radius. They often go unnoticed and their ignorance strike prognosis, because disorders pronosupination and the potential impact on the entire wrist. It was described by Sir Astley Cooper in 1866 for the first time. Judet in 1913 and in 1929 Schneck also described this injury but it is only since 1934 following the publication of 18 cases by Ricardo Galeazzi lesion that bears his name. This fracture is rare and only occurs in 6.8% of fractures of the forearm according to the review of 1934 fractures Moore.

Giant cell tumor (GCT) of the distal radius poses problems for reconstruction after resection. Several reconstructive procedures like vascularized and non-vascularized fibular graft, osteo-articular allograft, ceramic prosthesis and megaprosthesis are in use for substitution of the defect in the distal radius following resection. Most authors advocate wrist arthrodesis following resection of distal radius and non vascularized fibular graft. Here we have used a self-grafting by iliac crest the results are very satisfactory