Orthopedics

The bone hemangioma is arare intraosseous benign vascular tumor. It primarily affects the vertebrae and skull;the lesion of the ulna is very rare. We report a rare case of hemangioma of the ulna initially diagnosed as osteoid osteoma. The aim of this study is to emphasize a diagnostic trap.

Aneurysms of the axillary artery are rare, most often they are pseudo-aneurysms of post-traumatic origin, The pathophysiology of aneurisms in Behcet’s disease remains poorly understood and rare in axillary localization. We report the case of a patient who consults for signs of nerve compression of the left upper limb due to an axillary aneurysm, the patient suffers also of Behcet's disease, the revealing mode of the aneurysm and the rarity of this complication prompted us to report this interesting observation.

The dorsal elastofibroma is a rare benign soft-tissue tumor that is slowly progressive and is present in 99% of cases in the sub-scapular region, occurring in the active elderly. The diagnosis can be established on the typical topography of the mass and its characteristic aspect in CT and MRI.The purpose of this study is to highlight the diagnostic characteristics of the elastofibroma and to evaluate the rarity and the existence of bilateral localization.This study reports the case of a 62-year-old housewife with a bilateral location of scapular dorsal elastofibroma, the largest and most symptomatic of which is the left-sided.The diagnosis of the elastofibroma is clinical above all , it is evoked before any dorsal under scapular mass sometimes painful or genat the back and the shoulder mobility.Computed tomography or MRI is the key test for diagnosing the tumor, and some authors report that the specific and evocative appearance of the elastofibroma on the imagery is largely sufficient to confirm its diagnosis, while others believe that the anatomo-pathological examination of the mass is irreplaceable not to miss a malignant or more aggressive tumor.Elastofibroma is a rare benign tumor soft tissues that deserve to be known, for a better adapted therapeutic attitude, its typical location and radiological studies characteristics should evoke the diagnostic. Surgical excision allows histological diagnosis and constitutes the treatment of these tumors.

We report the case of a 35 year old man who was assaulted by knife landing on the posterior aspect of the left shoulder causing a transfixing wound and imprisonment of a large metallic blade under the scapular region has gone unnoticed and migrated in the shoulder while sparing the axillary vessels and the left brachial plexus. careful dissection after exploration of the axillary nerve vessel bundle allowed the extraction of the knife, which measured 10 cm in length

Arthroscopy is a surgical procedure. Complications are rare, but they exist and require specific treatment. Knowledge, prevention and management of complications are part of the mastery of a surgical technique.

The use of the gracilis and semitendinosus tendons (STG) is emerging as a method of choice for reconstruction of the anterior cruciate ligament (ACL) ,to restore knee stability and the results are shown. This retrospective comparative study involves two groups operated in Clinque Judge Marseille in France between January 2011 to December 20, 2012 by four senior surgeons for instability with an ACL injury: Group 1 with 30 patients undergoing extra-articular and Intra-articular ligament with STG. Group 2 with 30 patients undergoing intra-articular ACL reconstruction with STG. The mean IKDC subjective score of the last follow-up was 75.9 (± 9.1) in Group 1 and 67 (± 6.6) in the group 2. The purpose of this study was to compare the results of a series of isolated ACL reconstruction with STG to those of a series of ACL reconstruction with an external reinforcing.

The authors bring back a case of ostéoïd ostéoma of the ulnar styloide. It was about a 26-year-old, military young man, who appeared in consultation for pain of the left wrist of inflammatory speed feigning monoarthritis. The diagnosis of the ostéoïd ostéoma was evoked to the standard radiography and the scanning, and confirmed by the anatomopathologique examination. The treatment was surgical by percutaneous resection under control scopique with good result.

The calcaneo navicular coalition is congenital fusion of the two bones of the tarsus, the calcaneus and the navicular bone. With the talocalcaneal coalition, it constitutes the most common form of tarsal coalitions. Often asymptomatic, the calcaneo navicular coalition, generally easy at radiological diagnosis when it comes to oblic foot exercise, requires in case of intense pain, a surgical operation. Several surgical methods are proposed by the authors, including the double arthrodesis and resection of the coalition with the interposition of the extensor brevis muscle or fat tissue. The interest of this study is to shed light on the interest of the pedal muscle interposition after resection of the tarsal coalition at the talocalcaneal articulation achieved before the end of the growth for the prevention of recurrence and total disappearance of symptoms in children. As sample, we propose the observation of a girl aged ten years old, with symptomatic form of calcaneo navicular coalition treated surgically by resection with pedal muscle interposition. Clinical results, valued at an average of twelve months after surgery, were satisfactory.

Mucoid cysts tibiofibular joint top (TFS) is a rare cause of nerve compression at the knee. We report the observation of a soldier of 46 years, who presented with painful swelling sitting at the top of the anterolateral aspect of the left leg third with peroneal neuralgia, lasting for four months. Clinical examination revealed an oval mass, deep, sensitive, poorly demarcated sitting on top of the anterolateral compartment of the right leg third. Ultrasound and magnetic resonance imaging (MRI) of the knee revealed an intramuscular myxoid cyst Depond joint superior tibiofibular. Electromyogram (EMG) was in favor of an invasion of the superficial peroneal nerve. A biopsy excision of the lesion was performed. Pathological examination confirmed the diagnosis of a mucoid cyst. The evolution is marked by the complete disappearance of pain, recovery of normal sensitivity and lack of recurrence after a year of decline.

The authors report two cases of rare lesional associations on the samelimb segment. Two patients victims of violent trauma showed a dislocation of the shoulder associated with fracture on the same member (the diaphysis and the humeral, diaphysis and distal radius). They were treated in emergency First Direct fractures but without touching the shoulder to reduce the dislocation. The decline was 9 months to one and 6 months for the other. The functional result is satisfactory.