RESUMEN
We report the case of a Brodie abscess of the femoral capital epiphysis from which Kingella kingae was isolated. This is to the best of our knowledge the first report of a Brodie abscess of the femoral capital epiphysis from which K. kingae was isolated.
Asunto(s)
Epífisis/microbiología , Fémur/microbiología , Kingella kingae/aislamiento & purificación , Infecciones por Neisseriaceae/diagnóstico por imagen , Absceso/microbiología , Absceso/cirugía , Preescolar , Epífisis/diagnóstico por imagen , Fémur/diagnóstico por imagen , Fémur/cirugía , Humanos , Imagen por Resonancia Magnética , Masculino , Infecciones por Neisseriaceae/cirugía , Resultado del TratamientoRESUMEN
We report the case of an 83-year-old man who presented with swelling of his left lower leg. Subsequent investigations revealed that the swelling was due to a Mycobacterium tuberculosis abscess in the tibialis anterior muscle.
Asunto(s)
Absceso/microbiología , Edema/microbiología , Pierna/microbiología , Músculo Esquelético/microbiología , Mycobacterium tuberculosis , Tuberculosis/diagnóstico , Absceso/diagnóstico por imagen , Absceso/tratamiento farmacológico , Anciano de 80 o más Años , Antibióticos Antituberculosos/uso terapéutico , Antituberculosos/uso terapéutico , Diagnóstico Diferencial , Diagnóstico por Imagen , Edema/diagnóstico por imagen , Edema/tratamiento farmacológico , Humanos , Isoniazida/uso terapéutico , Pierna/diagnóstico por imagen , Masculino , Músculo Esquelético/diagnóstico por imagen , Recurrencia , Rifampin/uso terapéutico , Tuberculosis/tratamiento farmacológicoRESUMEN
We present the case of a 5-year-old boy with hereditary multiple exostoses who presented with left-sided pleuritic chest pain. A CT scan of the chest revealed an intrathoracic exostosis in close association with the heart.
Asunto(s)
Dolor en el Pecho/etiología , Exostosis Múltiple Hereditaria/complicaciones , Preescolar , Humanos , MasculinoRESUMEN
We report the case of an 11-year-old boy presenting with a type III tibial eminence fracture. The fracture fragment was reduced arthroscopically. Two 1.6â mm retrograde K-wires were inserted from the tibial metaphysis across the physis and into the fracture fragment using a standard anterior cruciate ligament tibial tunnel guide. Once the wires were clearly visible within the joint the tips were bent over by â¼120°. The wires were then tensioned around a single small fragment screw inserted into the tibial metaphysis. An exceptionally strong fixation was achieved. The boy was mobilised without a brace. The wires were removed at 12â weeks and he returned to full activity at 14â weeks.
Asunto(s)
Hilos Ortopédicos , Fijación Interna de Fracturas/instrumentación , Fracturas de la Tibia/cirugía , Niño , Fijación Interna de Fracturas/métodos , Humanos , Masculino , Fracturas de la Tibia/diagnóstico por imagenRESUMEN
Perthes disease represents a transient interruption of the blood supply to the femoral head followed by collapse and subsequent remodelling. The majority of cases present between the ages of 4 and 10â years. We report the case of a child who developed a painful right-sided limp some days after his second birthday. The limp was initially interpreted as a transient synovitis of the hip. However, when the limp persisted, further investigations revealed that he had Perthes disease.
Asunto(s)
Enfermedad de Legg-Calve-Perthes/diagnóstico , Edad de Inicio , Preescolar , Diagnóstico Diferencial , Humanos , Enfermedad de Legg-Calve-Perthes/terapia , Imagen por Resonancia Magnética , Masculino , Ejercicios de Estiramiento Muscular , Pelvis/diagnóstico por imagen , Pelvis/patología , RadiografíaRESUMEN
Osgood-Schlatter disease is a common cause of anterior knee pain in adolescents. In a good proportion of cases the pain is relieved through stopping sport alone, or by doing so in conjunction with undertaking physiotherapy. However, resolution of symptoms may take several years. A proportion of teenagers are prevented from participating in sport for a prolonged period as a result of the condition, and some have persisting knee pain into adulthood. We report the use of a new surgical treatment for this disease. We describe the case of a 12-year-old boy who was unable to play rugby for a year due to this pain. Following percutaneous fixation of the tibial tuberosity his symptoms entirely resolved and he returned to competitive sport 6â weeks after surgery. A year later the screw was removed. As soon as he resumed sport his symptoms immediately returned and he requested that the screw be replaced. Following replacement his symptoms once more resolved.
Asunto(s)
Tornillos Óseos , Articulación de la Rodilla/cirugía , Procedimientos Ortopédicos/métodos , Osteocondrosis/cirugía , Tibia/cirugía , Niño , Humanos , Inestabilidad de la Articulación/cirugía , Masculino , Osteocondrosis/diagnóstico por imagen , Radiografía , Resultado del TratamientoRESUMEN
We report the rare case of a 15-year-old boy who sustained sequential bilateral lesser trochanter avulsion fractures over a 6-month period while playing football. No malignancy or associated metabolic bone disease was found. He subsequently made a full recovery with non-operative treatment.