1/34. Iselin's disease: a case presentation of nonunion and review of the differential diagnosis.The confusing pathology of the proximal fifth metatarsal can make Iselin's disease difficult to distinguish from Jones', avulsion, or stress fractures, or os vesalianum. While lselin's disease appears to be rare due to the scarcity of cases in the medical literature, this may be due to misdiagnosis. The case report discusses the course of treatment for a young male with Iselin's disease that developed into a nonunion. The differentiating factors of the above-mentioned fractures are discussed.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
2/34. Vascularized metacarpal bone graft for scaphoid non-union and Kienbock's disease.A new vascularized bone graft from the base of the second metacarpal was used to treat scaphoid non-union and Kienbock's disease. In two patients with scaphoid non-union, the procedure promoted healing, even when the proximal segment was poorly vascularized. In one patient with Kienbock's disease, the graft held stable and wrist pain was markedly reduced. Further clinical experience may establish this procedure as an option for carpal bone fractures or disease.- - - - - - - - - - ranking = 0.5keywords = fracture (Clic here for more details about this article) |
3/34. Multiple osteochondroses of bilateral knee joints.We experienced a patient with a combination of multiple osteochondroses: Blount's disease, bipartite patella, and Sinding-Larsen-Johansson disease in the left knee, and a combination of bipartite patella and Osgood-Schlatter disease in the right knee. The patient was a healthy, active 12-year-old boy with bilateral knee pain. He had been diagnosed with Blount's disease of the left tibia at 2 years of age, and had been treated with open wedge osteotomy. He was diagnosed with bilateral bipartite patellae at the age of 9 years, and was diagnosed with Osgood-Schlatter disease in the right knee and Sinding-Larsen-Johansson disease in the left knee at 10 years of age. The second growth spurt was observed during this period. At 11 years of age, he was diagnosed with an osteochondral fracture of the left lateral femoral condyle and was observed without surgery. This patient showed the sequential appearance of an ossification disorder, probably due to the abnormal response of enchondral ossification to mechanical stress. Overuse in this growth period may have played a role in the development of these osteochondroses. The osteochondral fracture was probably caused by a disruption at one of the weakest parts of the developing skeleton, between the ossification center and the overlying cartilage in the background of an ossification disorder.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
4/34. Lesions of the trochlea tali. Osteochondral fractures and osteochondritis dissecans of the trochlea tali.Osteochondral fracture of the trochlea tali, which can result in osteochondritis dissecans of this trochlea, is often not recognized as such and therefore not adequately treated. The nonrecognition is mainly due to the fact that the fracture can either remain asymptomatic or produce symptoms of inversion-distortion; to a lesser degree it is also due to the fact that the lesion is not identified in the radiograph. In view of these facts it would seem necessary in all cases of distorsion to make an X-ray examination of the ankle, ascertaining that the trochlea tali is adequately visualized. Unless the symptoms abate within a week, radiological examination should be repeated. The same applies to patients whose initial recovery is followed by a relapse of symptoms. Surgical treatment of choice for osteochondral fractures. The symptomatology and therapeutic results in 46 osteochondral fractures studied were in agreement with data from the literature. Therapeutic results can be improved by earlier diagnosis and more adequate treatment of the condition.- - - - - - - - - - ranking = 4keywords = fracture (Clic here for more details about this article) |
5/34. rehabilitation of avulsion fracture of the tibial tuberosity following Osgood-Schlatter disease.A sixteen-year-old boy suffered from sharp pain in the knee during a jump while playing basketball. He had a positive history of Osgood Schlatter disease. Radiographic evaluation demonstrated an avulsion fracture of the tibial tuberosity Type III according to the classification of Watson-Jones. rehabilitation after avulsion fracture of the tibial tuberosity is an important consideration for this relatively uncommon adolescent injury. In such avulsion fractures, landing on the ground with the knee fully extended after a jump is the most likely cause. This case report reviews the rehabilitation program, and selected functional outcome measures after rehabilitation are reported. The patient returned to sporting activity after 12 months.- - - - - - - - - - ranking = 3.5keywords = fracture (Clic here for more details about this article) |
6/34. MRI abnormalities of the ischiopubic synchondrosis in children: a case report.The authors report the case of a five and a half year-old-boy with symptomatic MRI abnormalities of the ischiopubic synchondrosis. The concept of "ischiopubic osteochondritis" is reviewed in the light of modern imaging, and the importance of its differentiation from different pathological entities such as osteomyelitis, tumour, fracture or other pathologic entities is recalled.- - - - - - - - - - ranking = 0.5keywords = fracture (Clic here for more details about this article) |
7/34. Type III fracture of the tibial tubercle with avulsion of the tibialis anterior muscle in the adolescent male athlete.INTRODUCTION: Type III fracture of the tibial tubercle by Watson-Jones, or type IIIa injury according to John Ogden's classification has been well described and its management is now well codified in standard orthopaedic textbooks. MATERIALS AND methods: The authors present a case of type III fracture of the tibial tubercle associated with an avulsion of the tibialis anterior muscle. RESULTS: We demonstrated the effectiveness of bioabsorbable material for fixing the fracture preventing the need for removal of metalware, and that the anterior tibialis muscle had been stripped by the injury. CONCLUSION: A displaced type III fracture of the tibial tubercle may have an associated with avulsion of the tibialis anterior muscle, particularly in adolescent athletes. Prompt recognition and appropriate surgical treatment can give an excellent outcome.- - - - - - - - - - ranking = 4keywords = fracture (Clic here for more details about this article) |
8/34. Multiple osteochondroses and avulsion fracture of anterior superior iliac spine in a soccer player.Apophysitis describes a chronic traction injury at the insertion site of a tendon. There is a gradual onset of pain with no clear history of injury. Without adequate preventive methods, an avulsion fracture may result. The case is here reported of an apophyseal avulsion fracture of the anterior superior iliac spine in an adolescent caused by playing football before the end of treatment for apophysitis. An open reduction and internal fixation was performed followed by a rehabilitation programme. No complications occurred, and the patient had returned to his previous level of sporting activity after six weeks.- - - - - - - - - - ranking = 3keywords = fracture (Clic here for more details about this article) |
9/34. Pathologic patellar fracture at the site of an old Sinding-Larsen-Johansson lesion: a case report of a 33-year-old male.A Sinding-Larsen-Johansson lesion is considered to be a self-limited process. Delayed sequelae of this disease have not previously been discussed. We present a case of a pathologic patellar fracture through a site of an old Sinding-Larsen-Johansson lesion.- - - - - - - - - - ranking = 2.5keywords = fracture (Clic here for more details about this article) |
10/34. Freiberg's infraction of the second metatarsal head with formation of multiple loose bodies.Freiberg's infraction is an osteonecrotic disease process that most often involves the head of the second metatarsal. Establishing a diagnosis can be difficult early in the disease course, mimicking such pathologic processes as stress fracture, septic joint infection, tumors, metatarsalgia, various arthritic diseases, etc. A review of the literature reveals many treatment options and many theories of its etiology. The clinical signs and symptoms, review of the etiologies, radiographic presentation, and conservative and surgical treatments of this disease are presented. A case history and treatment summary of a patient afflicted with Freiberg's infarction involving the second metatarsophalangeal joint of the right foot is presented. Treatment consisted of evacuation of multiple loose bodies from the joint, resection arthroplasty of the diseased joint, and insertion of a total joint prosthesis.- - - - - - - - - - ranking = 0.5keywords = fracture (Clic here for more details about this article) |
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