We describe one case of forearm deformity in a patient affected by multiple cartilaginous exostoses - also known as the forearm 'candy stick deformity'. Surgical treatment usually focuses on the correction of the wrist deformity without correcting the forearm shortening, the latter not being given the same consideration as lower limb shortening. In the presented case, radius and ulna corticotomies were performed and distal forearm deformity and shortening were corrected by two independent monoaxial external fixators, with full pronosupination. It is our belief that simultaneous treatment of forearm shortening and deformity not only results in an improved clinical and functional result but also provides significant psychological benefit. We recommend a long-term follow-up.
We describe a unique case of a bilateral osteochondrosis of the femoral heads, similar to Perthes disease, in a boy affected by Alagille syndrome. This is a rare genetic syndrome, caused by vascular anomalies, and characterized by five main features: hepatic, cardiovascular, ophthalmological, skeletal malformations, and characteristic facial appearance. The most frequent skeletal finding is the 'butterfly vertebra'. We have followed the patient from the age of 5 years to the age of 20 years. We performed two bilateral valgus osteotomies when he was 10 years old to limit the progression of the deformity. We believe that the association of a bilateral osteochondrosis of the femoral heads with Alagille syndrome, a disease characterized by a vascular etiology, supports the hypothesis of angiogenic pathogenesis of Perthes disease.
BackgroundDorsal wrist ganglions are mucinous benign tumors that arise at the level of the dorsal scapholunate ligament (SLL). Sometimes these are easily visible and palpable under the skin, close to the extensor carpi radialis brevis (ECRB) distal tendon insertion. Even in those cases, their origin is at the SLL level. Sometimes the ganglion is not visible under the skin and it is difficult to palpate, so-called occult dorsal ganglia. Surgical AnatomyDorsal SLL reaches the midcarpal joint (Fig. 112.1) and is in contact with the Dorsal Intercarpal Ligament (DIC) that connects the dorsal aspect of the scaphoid and the triquetrum (Fig. 112.2). The dorsal capsuloligamentous scapholunate septum (DCSS) attaches the dorsal wrist capsule to the dorsal SLL and the DIC. The DCSS separates the dorsal radiocarpal and the dorsal midcarpal joint spaces (Fig. 112.3). The SLL, DIC, and the DCSS have a biomechanical role in scapholunate joint stabilization. Preserving all of them during dorsal ganglions excision may be beneficial.All ganglions are mucinous collections secondary to a lesion of proper ligament or Sharpey fibers. In order to treat them, both the ganglion stump and the underlying degenerative ligament tissue and fibers must be excised. The risk of this tissue excision is an iatrogenic lesion of the dorsal SLL. The main advantage of arthroscopic ganglion excision technique is that the ganglion and its stump origin can clearly be seen and debrided while avoiding unnecessary sacrifice of healthy tissue.Partial SLL ligament lesions associated with dorsal ganglion development may lead to SLL dynamic dysfunction. The advantage of arthroscopic dorsal ganglion excision technique is the opportunity to be able to directly check M. Esplugas (*)
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.