Orthopedics

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.

Primary lymphoma of the prostate is rare. It represents 0.09% of prostate neoplasms. The authors report the case of a 76-year old patient presenting urinary obstruction and renal failure due to primary lymphoma of the prostate. we present a case of non-Hodgkin lymphoma of the prostate managed with six cycles of rituximab-based chemotherapy, and review the related literature.

The high-energy trauma has become frequent cause of traffic accidents. We oftensee multiple lesions, fractures, dislocations, soft tissue damage in the same patient on the same members or different members .We report the case of a rare combination of lesion streated in our department.

Patellar tendon rupture is a rare disease. It is often confused with lesions of the quadriceps tendon, fins and patellar fractures parcel of the patella. We report ten cases of rupture of the patellar tendon which eight were new and two neglected. Treatment was always surgical. In recent lesions (8 cases) by a simple suture nonabsorbable suture was performed, it was reinforced by a steel strapping over. Plasty further by the semitendinosus tendon was necessary in one case. In both cases neglected plasty was necessary. It was conducted by the aponeurosis of the quadriceps in one case, the tendon of the semitendinosus in the other cases. The results are satisfactory. They are good in eight cases of recent lesion and two lesions in ways neglected. Early diagnosis is easy. It allows access to the best results in the treatment of fresh lesions. The treatment of neglected injuries, despite the various techniques, gives results fair or poor.

Dislocation of the tibiotalar joint without fracture or diastasis isa rare injury. We report a case of a close poster medialankle dislocation, without fracture in a 18 old soccer player, with good resultsafter an orthopedic treatment.

Distal tibia fractures are complex injuries with a high complication rate. In this retrospective, study, we attempted to detail complications and outcomes of this type of injury in order to determine predictive factors of poor results. Between 2015 and 2017 10patients were admitted for distal tibia fractures. Internal fixation, external fixation, limited internal fixation (K-wires or screws), intramedullary nailing and conservative treatment were the different mode of treatment..The complications occurred in 3 patients. Predictive factors of poor results were fracture severity, complications, malunion severe skin and soft tissue injury. We believe that external fixation must be reserved for trauma with severe skin and soft tissue injury, as a temporary solution in a one/two-staged protocol. For other cases, we recommend ORIF with early mobilization.

Simultaneous rupture of the two patellartendons are exceptional in sports young people without predisposing systemic disease. Diagnosis is essentially clinical help with radiography. Surgical treatment gives good result. We report a case of a 35 years old young sport with a subcutaneousbilateral rupture of the patellar tendon.