Congenital radial head dislocation is a rare condition which is, however, the most common of all congenital pathologies of the elbow joint. This paper is a case report on a patient presenting with moderate pain and discomfort in one of his elbow joints, both of which were found to be affected by this condition. He was treated by surgery which consisted of resection of the proximal radius and partial anterior capsulectomy of the elbow joint. This treatment led to a significant improvement in pain and elbow function compared to the preoperative status.
A case of posttraumatic checkrein deformity of the hallux is presented. This deformity is most often caused by scarring of the muscle belly or tethering of the tendon. A 22-year old woman developed a hallux checkrein deformity after a bimaleolar fracture. Intraoperatively, a linear scar tethering the muscle belly to the posterior tibia was observed. Resection of the scar allowed for full flexor hallucis longus mobility. Full hallux range of motion as well as foot function was restored. The cause of the checkrein deformity in our patient was a scar tethering the flexor hallucis belly to the posterior tibia.
The article presents a case of an adolescent patient suffering from osteochondritis of the humeral capitellum. Early symptoms of this disease appeared at an age typically associated with the onset of both Panner's disease and Osteochondritis Dissecans (OCD) of the humeral capitellum. About two years after the onset of the early symptoms, the patient reported to a specialised clinic. He was followed up for almost two years and was hospitalised and underwent surgical treatment during that period. Both diseases bear multiple similarities, which may entail diagnostic errors. The paper presents differences between these two similar clinical entities, in particular in terms of treatment and prognosis. Essential details potentially allowing for early diagnosis and classification of both conditions are described and discussed. Resolving the discussion may significantly contribute to improving performance and quality of life of patients suffering from necrosis of the humeral capitellum.
Kli ni ka Chi rur gii Ura zo wej Na rzą du Ru chu i Or to pe dii CMKP, Sa mo dziel ny Pu blicz ny Szpi tal Kli nicz ny im. prof. A. Gru cy, Otwock De part ment of Trau ma to lo gy and Or tho pa edics The Me di cal Cen tre of Post gra du ate Edu ca tion, Prof. Adam Gru ca Cli ni cal Ho spi tal, Otwock, Po land STRESZ CZE nIECe lem pra cy jest ana li za na przy kła dach kli nicz nych cha rak te ry stycz nych cech zła mań zmę cze nio wych ko ści udo wej wy stę pu ją cych w prze bie gu te ra pii bis fos fo nia na mi. Przed sta wia my dwa przy pad ki (2 pa cjent ki) zła mań zmę cze nio wych ko ści udo wej u pa cjen tek przyj mu ją cych bis fos fo nia ny, ilu stru ją ce cha rak te ry stycz ne cechy ra dio lo gicz ne i kli nicz ne tych zła mań. U przed sta wio nych pa cjen tek do szło do zła mań o nie ob ser wo wa nej do tych czas cha rak te ry sty ce. Są to zła ma nia ni sko ener ge tycz ne lub spon ta nicz ne, do ty czą oko li cy pod krę ta rzowej lub trzo nu ko ści udo wej, u czę ści pa cjen tów są za po wia da ne przez pro dro mal ne do le gli wo ści bó lo we. W obra zie ra dio lo gicz nym zwra ca uwa gę po sze rze nie bocz nej war stwy ko ro wej z jej elip so idal nym zgru bie niem oraz po przecz ny lub sko śny prze bieg szcze li ny zła ma nia. Do nie sie nia wie lu au to rów łą czą ich po wsta wa nie ze sto sowa niem bis fos fo nia nów. U pa cjen tów dłu go trwa le sto su ją cych bis fos fo nia ny ob ser wu je się cha rak te ry stycz ne zła ma nia ko ści udo wej. Zła ma nia te są bar dzo rzad kie i nie wpły wa ją na bi lans ry zy ka i ko rzy ści ze sto so wania tej gru py le ków.Sło wa klu czo we: zła ma nia ko ści udo wej, bis fos fo nia ny, dzia ła nia nie po żą da ne SUMMARYThe aim of this pa per is to ana ly ze on cli ni cal ca ses spe ci fic fe atu res of fe mo ral in suf fi cien cy frac tu res during bi spho spho na tes the ra py. We are pre sen ting two in suf fi cien cy fe mo ral frac tu res (2 pa tients) in pa tients rece iving bi spho spho na te the ra py. The se two ca ses re pre sent new ty pe of fe mo ral frac tu res. The se are low energy or spon ta ne ous frac tu res of dia phy sis and sub tro chan te ric re gion. Pro dro mal pa in is often ob se rved. On x --rays thick la te ral cor tex, its el lip so id thic ke ning and trans ver se or ob li que frac tu re li ne is ob se rved. Ma ny authors link such frac tu res to long -term bi spho spho na te the ra py. Pa tients on long term bi spho spho na te the ra py pre sent with new and spe ci fic frac tu re pat tern of fe mo ral bo ne. Frac tu res of this pat tern are extre me ly ra re. The risk be ne fit ra tio of bi spho spho na tes the ra py is not chan ged.Key words: fe mo ral frac tu res, bi spho spho na tes, ad ver se ef fects This copy is for personal use only -distribution prohibited.O r r t t o o p p e e d d i i a a- WSTĘPBis fos fo nia ny są le ka mi sze ro ko sto so wa ny mi w le cze niu oste opo ro zy. Po po da niu, bis fos fo nia ny wbu do wu ją się w no wo two rzo ną tkan kę kost ną. Hamu ją one ak tyw ność oste okla stów zmniej sza jąc na...
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