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
Abstractcontext: Prosthetic joint infection due to Mycobacterium tuberculosis (MTB) with no previous history of pulmonary or extra pulmonary tuberculosis is a rare complication.Aims: To report the case of a patient with tuberculous mycobacterial prosthetic hip infection, 14 years after surgery for post traumatic osteoarthritis, with no previous history of tuberculosis.methods: A 46-year-old male presented with acetabular loosening of a cemented total hip arthroplasty with normal biologic parameters. A one stage revision surgery was planned. Intraoperative findings suggested mycobacterial tuberculous infection with presence of periacetabular yellowish rice-shaped granules.results: A one-stage prosthesis exchange was performed; Culture on Löwenstein-Jensen medium grew MTB days after inoculation and histological examination confirmed tuberculous infection. Patient was treated with antituberculous agents for 12 months with optimal clinical and biological response and no prosthetic loosening signs at two year follow up.conclusions: Total hip arthroplasty loosening due to mycobacterium tuberculosis is a rare entity, which should be considered even when no inflammatory signs are shown. Discovery of yellowish riceshaped granules is suggestive of periprosthetic tuberculosis. Management of prosthetic joint infection due to M.tuberculosis must involve both medical and surgical therapy.
Le diagnostic tardif du carcinome épidermoïde de l'hallux a nécessité une amputation trans phalangienne proximale chez un patient âgée pris en charge en seconde main. C'est une lésion rare aux orteils qui peut mettre en jeu le pronostic fonctionnel du pied. Nous rapportons ce cas clinique dans le but de mettre en évidence les difficultés du diagnostic et les bases de l'amputation avec une revue de la littérature.
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