We report our experience with the use of a vascularized ulnar periosteal pedicled flap to treat forearm nonunion in children. Seven children underwent surgical treatment radial diaphysis this technique. The mean duration prior was 9 months. Significant postoperative improvements were observed pain severity (mean visual analogue scale score 0.6), Quick Disabilities Arm, Shoulder, and Hand 7.1) grip strength (89% higher than preoperative status). Union achieved all patients, time union 3 One...

An intratendinous ganglion cyst is a very rare benign lesion with an unknown etiology. The clinical diagnosis can be difficult as patients may have mild symptoms or impaired hand functionality. Ultrasound and magnetic resonance imaging differentiate from other soft-tissue tumors tumor-like lesions provide excellent information on the location of to schedule surgical treatment. We present case report 50-year-old female diagnosed extensor indicis. She complained right-hand swelling for three...

Case: A 37-year-old man presented after a sudden snap followed by pain in the medial side of ankle while playing football. Physical examination showed edema and posteriorly to malleolus, longitudinal structure was palpable anteriorly. Ultrasound confirmed dislocated tibialis posterior tendon (TPT). The patient underwent surgery, flexor retinaculum repaired. Six months he asymptomatic had resumed his usual physical activity, with an AOFAS score 100. Conclusion: TPT dislocation is rare...

PurposeThe purpose of this study was to compare clinical and radiologic outcomes biological ligament reconstruction (BLR) versus nonbiological (NBLR) for chronic injuries involving the ulnar collateral thumb's metacarpophalangeal joint.MethodsForty-two patients who underwent static BLR (n = 24) or NBLR 18) were included in retrospective analysis. Preoperative, postoperative, contralateral thumb measurements (clinical evaluation, radiographs, subjective outcome questionnaires) compared over a...

<p>The authors present two isolated chaput-tillaux fractures in an adult skeleton. A high level of suspicion is required to prevent diagnostic failure. Computerized tomography scan detects hidden and enables a more detailed preoperative assessment each case. Most the cases reported literature are associated with other ankle lesions. This typical juvenile pattern rare adults ideal treatment yet be determined.</p><p><strong> </strong></p>

Hip fractures are very common in adults, but rare entities children, comprising less than 1% of all pediatric fractures. The authors present a clinical case 6-year-old girl with an intertrochanteric hip fracture — displaced Delbet’s type IV treated sliding screw. osteosynthesis material was removed 10 months later.
 Delbet corresponds to 12% This children older 3 years old should be internal fixation screw or proximal femur locking plate. Preferably the reduction done within 24 hours....

Case: A 13-year-old girl presented with paresthesia of the fourth and fifth fingers dorsal ulnar surface left hand that had started 3 months prior. Physical examination showed loss sensation at side a positive Froment sign. Electromyography severe motor conduction block in nerve elbow. Eighteen later, patient similar symptoms right hand. The diagnosis hereditary neuropathy liability to pressure palsies (HNPP) was considered confirmed genetic testing. Conclusion: HNPP is rare disease should...

A rutura bilateral do tendão quadricipital é uma lesão rara, não sendo muitas vezes diagnosticada na apresentação inicial.Apresenta-se o caso de um doente 41 anos, género masculino, sem antecedentes médico-cirúrgicos ou medicação habitual, com diagnóstico tardio (3 meses evolução) após traumatismo baixa intensidade. Foi submetido a reparação sutura transrotuliana e ancoragens à rótula bilateralmente. O pós-operatório decorreu intercorrências, tendo iniciado programa reabilitação funcional...

<p>Thoracic outlet syndrome (TOS) is an uncommon disorder, without a clear clinical presentation or fully accepted definition. The patients usually present set of symptoms arising from compression the brachial plexus subclavian vessels during their passage through thorax, between base cervical region and axilla. authors case 20 years old woman with sporadic paresthesia in territory C7-T1 nerve root. At physical examination she had positive Wright's test. imaging studies revealed...

<p>A 73 years old female diagnosed with rheumatoid arthritis for over 30 an end-stage right elbow (stage V of Larsen’s classification) a major instability. The patient presented gross deformity and severe pain critical limitation limb function. was treated total arthroplasty intraoperative olecranon fracture. At six months follow up, the presents excellent active range motion painless joint, without daily activities limitation.</p>

Abstract Introduction Free nonvascularized toe phalangeal transfer is an established surgical option for the reconstruction of hypoplastic digits. The purpose present study was to evaluate our experience with this procedure and assess bone growth digit function as well foot morbidity. Material Methods We retrospectively evaluated clinical records all children symbrachydactyly submitted free between 2002 2017. A total 8 patients were included. summoned appointment clinically range motion,...

<p class="abstract">An osteochondroma is a type of cartilaginous tumour, that frequently affects long bones. In the scapula, although rare, this benign tumour most encountered. The symptoms at location are usually related to mass effect it can produce. Surgery recommended when compression, pain or an increase in size noticed. authors present case 11 year-old-boy with on ventral surface cause pseudo winging bone and pain, indication for surgical excision. Pseudo scapula alata should be...

Pediatric traumatic hip dislocations (PTHD) are rare and represent around 5% of all pediatric dislocations. Associated bony or soft tissue injury can occur as often 17%-25% the time. We report a case an 8-year-old boy presenting posterior dislocation after low-energy trauma, which was initially managed with closed reduction bed rest for 1 week. Two days hospital discharge, he suffered recurrent dislocation. He now 4 weeks lower limb skin traction followed by week no weight-bearing on...