Canadian journal of surgery. Journal canadien de chirurgie
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Case Reports
Tarsal tunnel syndrome: an unusual case resulting from an intraneural degenerative cyst.
Multiple local and systemic entities have been implicated as causes of tarsal tunnel syndrome. In this report, a 31-year-old man presented with medial plantar nerve compression caused by an intraneural degenerative cyst of the posterior tibial nerve. Removal of the cyst and decompression of the nerve relieved his symptoms. This is the first time that such an entity has been reported as a cause of tarsal tunnel syndrome.
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Societal, technologic, organizational and educational developments during the past 10 years have brought about increasing promises for change in the graduate medical education of cardiac and thoracic surgeons. These changes effectively lengthened training to 8'years and created a double standard for the education of a thoracic surgeon. A task force mandated by the Royal College of Physicians and Surgeons of Canada nucleus committees in both cardiac and thoracic surgery and with the support of the Canadian Society of Cardiovascular and Thoracic Surgeons studied the problem and made the following recommendation: cardiac surgery and thoracic surgery should each become a primary specialty with its own nucleus committee. ⋯ Each specialty could also be entered after completion of full training in general surgery. The task force also urged the development of a curriculum to guide educational objectives in each specialty. These changes will produce a flexible, shorter, more focused program for cardiac and thoracic surgeons for both university and community settings.
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Editorial Comment Historical Article
Plus ça change, plus c'est la même chose: Canadian medical officers in Bosnia and the Second World War.