A case of a femoral neck tumor: painless osteoid osteoma?

We report herein a unique, previously unreported, successful outcome for a patient untreated for a tumor affecting a femoral neck considered as painless osteoid osteoma. The lesion was detected by chance at examination for groin injury. Diagnosis was based on the plain radiography, bone scan, and computed tomography. The results of the full blood examination were normal. Neither pharmacomedical nor surgical treatments were given. Two years later, radiological resolution of the lesion was revealed. The patient was observed between 1995 and 2002. We conclude that painless osteoid osteoma should be included in the differential diagnosis of asymptomatic femoral neck lesions. Our case suggests that osteoid osteoma has a tendency to regress over time and that conservative management appears to be a reliable option.</p

Kniest dysplasia: patient's growth progress and development--evolution of abnormalities, 30 year follow up

A case of a male patient with Kniest dysplasia is reported. The patient's growth and the development and evolution of the patient's abnormalities were tracked for a 30 year period, starting at the patient's birth. The clinical and radiographic features during this period, along with the differential diagnosis of Kniest dysplasia, are discussed. Femoral capital epiphyses and the presence of a cataract in one eye were noted from the early stages of the patient's life. The patient's final height was 165 cm. We believe this to be the first long-term follow up of this condition.</p

Osteoarthritis of the hip: An overview

Osteoarthritis, as the most common form of arthritis, affects predominantly middle-aged and elderly population worldwide. This chronic, degenerative, progressive and multifactorial joint disease can affect different joints in the body. One of the most commonly affected joints with osteoarthritis is the hip joint. Hip osteoarthritis is characterized by the presence of pain, stiffness, and limping which ultimately results with inability to perform activities of daily living. Thus, hip osteoarthritis significantly affects patients’ quality of life and represents a major public health problem. Because of its high incidence, prevalence and significant medical, social, and economic impact on society as a whole, in this review article we will describe and discuss terminology, classification, epidemiology, etiopathogenesis, clinical presentation, diagnosis, treatment, and prevention of hip osteoarthritis

Bone allograft provides bone healing in the medial opening high tibial osteotomy

Various materials are used to fill osteotomy defects created in the medial opening wedge high tibial osteotomy (MOWHTO). Our hypothesis was that a bone allograft would provide the osteotomy site bone healing within the expected time. We performed the MOWHTO using a cancellous bone allograft in 310 knees in 284 patients between 2000 and 2005. Internal fixation was achieved with a T-profile AO plate. Preoperative and postoperative radiographic measurements were taken and statistically processed. All patients were followed up for a period ranging from three to eight years, or 5.9 years on average. Implanted cancellous bone allografts ≤9 mm healed within 12 weeks in 90% of cases. With the properly selected patient and surgical technique, use of a cancellous bone allograft in MOWHTO represents a satisfactory choice in providing bone healing

The “Cello Technique”: A New Technique for Ultrasound-Assisted Calcaneoplasty

The “cello technique” is a new calcaneoplasty technique for the treatment of Haglund disease. It is an ultrasound-assisted technique for resection of the posterosuperior part of the calcaneus. It is possible to resect the posterosuperior part of the calcaneus under direct ultrasound control with the patient in the prone position, with a dorsally positioned ultrasound probe, in line with the Achilles tendon fibers (sagittal line), and with the abrader in the posteromedial working portal. We describe in detail the technique for this new procedure in foot and ankle surgery. This innovative technique offers the possibility of expanding the indications for ultrasound-guided surgery in other fields of orthopaedic surgery