A variety of osteotomies have been proposed to correct post-traumatic cubitus varus deformity. Each one of them has advantages and disadvantages or limitations. A new technique for correcting post-traumatic cubitus varus with closed wedge counter shift osteotomy of the distal humerus is described and the preliminary results in six cases are reported. Five patients showed excellent results and one patient showed good result. We believe that the described technique is an alternative to the other procedures for the treatment of post-traumatic cubitus varus with minimal internal rotation and hyperextension deformities. It has the advantages of being a simple, safe, inherently stable, technically sound procedure, and yields an excellent cosmetic outcome.
BackgroundPyomyositis is a rare condition in immune competent patients and is usually seen in tropical countries. Pyomyositis of obturator muscles in particular is an extremely rare condition, which causes hip pain and mimics septic arthritis.Case Report:This is a case report of a 9-year-old boy without an underlying disease or a compromised immune system, who presented with knee pain that progressed to hip pain and inability to bear weight. He was diagnosed initially with septic arthritis of the hip and underwent unnecessary hip exploration surgery. Magnetic resonance imaging scan was performed postoperatively and showed pyomyositis of obturator internus and obturator externus muscles. He was managed medically and had a good outcome.Conclusions:A greater awareness of this emergency condition is necessary to prevent misdiagnosis, unnecessary surgical intervention, and to avoid the devastating possible complications of delayed diagnosis.
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.