Paralysis of the femoral nerve secondary to iliopsoas haematoma is a rare post-traumatic complication. Because of the large differential diagnosis, a high level of suspicion is required for its early recognition. Treatment modalities are controversial due to the rarity of this entity. An 18-year-old student presented with complete paralysis of the knee extensors and a sensory deficit on the anterior side of the thigh 5 weeks after a sport accident. MRI of the lesser pelvis showed an iliopsoas haematoma. Surgical decompression was performed and recovery was complete at 6 months of follow-up.

Management of bone metastases from renal cell carcinoma (RCC) has significantly changed after the era of targeted therapy that improved the overall survival (OS). Surgical decision‐making remains a subject of controversy. We report a case of pelvic bone metastasis from RCC, 2 months after nephrectomy and surgery of a revealing clavicular metastasis.

L'ostéochondrome est la tumeur osseuse bénigne la plus fréquente. Elle touche habituellement les métaphyses des os longs, particulièrement autour du genou et de l'humérus proximal. Il touche très rarement la symphyse pubienne avec fréquemment une symptomatologie atypique. Nous rapportons le cas d'un ostéochondrome de la symphyse pubienne empiétant sur la branche osseuse ilio-pubienne chez un homme de 35 ans, de découverte fortuite. Les explorations radiologiques, l'examen macroscopique et histologique confirment le diagnostic ainsi que l'absence de signe de malignité.

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Management of bone metastases from renal cell carcinoma (RCC) has significantly changed after the era of targeted therapy that improved the overall survival (OS).Surgical decision-making remains a subject of controversy.We report a case of pelvic bone metastasis from RCC, 2 months after nephrectomy and surgery of a revealing clavicular metastasis

Femoroacetabular impingement (FAI) is an often unrecognized hip disorder in young adults that can lead to early hip osteoarthritis and a decrease in sports performance. The diagnosis and treatment of this entity have rapidly evolved in recent years. Hip arthroscopy finds its place in the treatment of this conflict, and its indications are more and more frequent. The technical challenge of this operation involves a relatively long learning curve and a good knowledge of the hip anatomy in order to minimize the risk of complications and iatrogenic lesions. In addition to intra-articular structures of the hip joint, the anatomical structures that may be affected by the main and accessory arthroscopic approach are primarily the lateral femorocutaneous nerve, the lateral circumflex femoral artery, the medial circumflex femoral artery, and the circumflex superior iliac artery. A little further, 3-5 cm from the main portals, we must pay attention to the femoral nerve, the sciatic nerve, the superior gluteal nerve, the profunda femoris artery, the superficial femoral artery, and the common femoral artery. The pathogenesis of femoroacetabular impingement is not fully understood. The multifactorial origin is still relevant today. We have divided factors incriminated in the genesis of FAI into three groups.

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Background: New generation of all-inside meniscal repair devices are now the preferred repairing method for most orthopedic surgeons. The economic considerations in low-income countries make routine use of these devices very difficult. The inside-out technique described by Charles Henning in the 1980s, which is considered as the gold standard by many expert surgeons, can solve this problem with equal results. Indications: Indications are large and unstable tears localized in the middle and posterior thirds of both menisci. Surgical Technique: We introduced a slight modification to the original technique, allowing the use of a resorbable suture thread. After a good exposition of the lesion and debridement of the margins, a canulated needle with curved tip (Menghini needle) is introduced through the opposite portal to the repaired meniscus. The first passage of the needle is done on the peripheric side of the tear to protect neurovascular structures; posteromedial or posterolateral security approaches are made to control the capsular exit of the needle. A popliteal retractor is placed to keep the articular capsule exposed. A polydioxanone (PDS) suture thread is passed through the needle and retrieved by the assistant. The needle is then pulled out in the joint and reintroduced on the inner part of the tears producing a vertical mattress suture. The second limb of the PDS is retrieved by the assistant, and a knot is tied on the capsular side of the knee. Sutures are placed on the femoral and the tibial side of the meniscus to produce a good reduction and a stable fixation of the lesion. Full range of motion of the knee is allowed at 6 weeks postoperatively. Results: Between January 2017 and June 2020, 33 bucket-handle meniscal tears were repaired. Associated anterior cruciate ligament reconstruction was done in 17 cases. The average International Knee Documentation Committee (IKDC) score jumped from 49.6 to 86.2. We had a short-term success rate of 91%. Recent literature review showed equivalent results with new all-inside repairing devices. Conclusion: Despite some disadvantages as being time-consuming, the need of security approaches, and the need of a trained assistant, inside-out meniscal repair remains a reliable technique offering good results.