Metacarpal chondrosarcoma, from negligence to rareness : a case report and review of the literature

Ollero, Pauline; Dungen, Sophie Vanden; Cermak, Katerina; Kinnen, L

doi:10.52628/87.3.21

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…Microorganisms isolated from the lesion are used to confirm the diagnosis. Gulia et al described a case of pubic symphysis tuberculosis with a draining inguinal fistula that was successfully treated with antitubercular chemotherapy without the need for surgery [15]. The isolation of the organism determines the condition's diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Report of a Rare Case of Pubic Symphysis Tuberculosis in an Eight-Year-Old Child: An Unusual Presentation of the Disease

Singh¹,

Seth²,

Aiyappan³

et al. 2023

Cureus

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Tuberculosis is a well-known and ancient disease with a wide range of clinical presentations. Although tuberculosis is a well-known infectious disease, involvement of the symphysis pubis is rare, with only a few documented cases in the medical literature. Distinguishing it from other more common conditions, such as osteomyelitis of the pubic symphysis and osteitis pubis, is essential to avoid delay in diagnosis and to minimize morbidity, mortality, and complications. We present a rare case of tuberculosis of the symphysis pubis in an eight-year-old female from India who was initially misdiagnosed with osteomyelitis. Following the correct diagnosis and commencement of anti-tuberculosis chemotherapy, the patient demonstrated improvement in symptoms and hematological parameters at the three-month follow-up. This case emphasizes the importance of considering tuberculosis as a differential diagnosis in cases of symphysis pubis involvement, especially in areas with a high incidence of tuberculosis. Early diagnosis and appropriate treatment can prevent further complications and improve clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

Report of a Rare Case of Pubic Symphysis Tuberculosis in an Eight-Year-Old Child: An Unusual Presentation of the Disease

Singh¹,

Seth²,

Aiyappan³

et al. 2023

Cureus

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“…Osteitis pubis is an inflammatory condition of the pubic symphysis and surrounding structures, often related to overuse or trauma. This presentation can be very similar to pubic symphysis diastasis, and diagnostic imaging with computed tomography (CT) and ultrasound may be helpful in distinguishing these diagnoses 23 …”

Section: Differential Diagnosismentioning

confidence: 95%

“…This presentation can be very similar to pubic symphysis diastasis, and diagnostic imaging with computed tomography (CT) and ultrasound may be helpful in distinguishing these diagnoses. 23…”

Section: Differential Diagnosismentioning

confidence: 99%

Peripartum Pubic Symphysis Diastasis

Anastasio¹,

Anastasio²,

Kuller

2023

Obstetrical &Amp; Gynecological Survey

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ImportancePeripartum separation of the pubic symphysis is a rare but potentially severe complication of childbirth, which may lead to prolonged immobilization. Thus, prompt diagnosis and treatment are paramount.ObjectiveThe purpose of this review is to define peripartum separation of the pubic symphysis and provide a thorough review of its etiology, clinical manifestations, diagnostic imaging techniques, management, and prognosis.Evidence AcquisitionThis was a literature review using PubMed and Google Scholar.ResultsPeripartum pubic symphysis separation is defined as disruption of the pubic symphysis joint and ligamentous structures with greater than 1 cm of separation during delivery. Risk factors include fetal macrosomia, nulliparity, and precipitous labor. Patients often present with a sensation of something “giving way” in the pubic symphysis area at the time of delivery, or with severe pain in the pubic symphysis region with attempted mobilization postpartum. In severe cases, associated hematomas, pelvic fractures, sacroiliac joint disruption, and urinary tract injury may be seen. Imaging such as x-ray or ultrasound may be used to confirm the diagnosis. Although most patients recover well with conservative management, orthopedic surgical intervention may be indicated in more severe or unresolved cases.Conclusions and RelevancePubic symphysis separation is increasingly identified peripartum due enhanced accessibility and utilization of imaging modalities. It can be debilitating and lead to prolonged immobility postpartum. Therefore, early recognition and diagnosis are important, as this can guide decision-making for management. A multidisciplinary team approach, including coordination with obstetrics, orthopedic surgery, physical therapy, and occupational therapy should be used for early detection and treatment to ensure optimal patient outcomes.Target AudienceObstetricians and gynecologists, family physicians.Learning ObjectivesAfter completing this activity, learners should be better able to define peripartum separation of the pubic symphysis and discuss the relevant anatomy involved; identify risk factors associated with peripartum separation of the pubic symphysis; describe the typical presentation of a patient with separation of the pubic symphysis and next steps in making the diagnosis; and explain both conservative and orthopedic surgical intervention methods for treatment of peripartum separation of the pubic symphysis.

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“…Small tears of the adductor muscles may also be visualized on MRI. In chronic osteitis pubis, subchondral hypointensity may be seen 46 …”

Section: Musculoskeletalmentioning

confidence: 99%

Multimodality Multisystem Imaging of Pregnancy-Related Changes: Featuring Neurologic, Cardiothoracic, Breast, Gynecologic, and Musculoskeletal Issues

Dishuck

Bass²,

Allen³

et al. 2022

J Comput Assist Tomogr

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Pregnancy and the puerperium are a time of significant physiologic change, and with an average of 4 million births in the United States yearly, radiologists encounter pregnancy-related imaging findings regularly. While many of these findings represent physiologic changes, a significant number represent pathology, making it paramount for radiologists to distinguish between the two. This case-based article reviews imaging findings within the nervous, cardiovascular, pulmonary, breast, gynecologic, musculoskeletal, digestive, hematologic, and integumentary systems throughout pregnancy and the postpartum period.

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Metacarpal chondrosarcoma, from negligence to rareness : a case report and review of the literature

Cited by 4 publications

References 7 publications

Report of a Rare Case of Pubic Symphysis Tuberculosis in an Eight-Year-Old Child: An Unusual Presentation of the Disease

Report of a Rare Case of Pubic Symphysis Tuberculosis in an Eight-Year-Old Child: An Unusual Presentation of the Disease

Peripartum Pubic Symphysis Diastasis

Multimodality Multisystem Imaging of Pregnancy-Related Changes: Featuring Neurologic, Cardiothoracic, Breast, Gynecologic, and Musculoskeletal Issues

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