Revue médicale de Bruxelles
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Fibular intraneural cysts are a rare cause of fibular neuropathy. Echography and MRI are helpful in the detection of cysts of the knee. Surgical ablation of the cyst arising from the superior tibio-fibular joint is necessary for a good recovery.
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Carpal perilunate dislocations are rare and underdiagnosed because of an ignorance of the pathology and an inappropriate incidence of radiography. The carpus is composed of two rows of bones and 33 ligaments. These ligaments are fundamental for wrist stability. ⋯ The Witvoët and Allieu classification of the perilunate dislocations is the most used. This classification is composed of three grades. The treatment is usually surgical and has to be realised in a short delay to minimize the important complications.
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Kyphoplasty, the newest of the tools treating vertebral osteoporotic compression fractures (VOCF) is the evolution of vertebroplasty, allowing not only pain control and strengthening of the fractured vertebra, but also offering the possibility to restore vertebral height with a lower risk of complications. We present our series of 41 consecutive VOCF treated by kyphoplasty in 30 patients between October 2003 and March 2006. Systematic spinal X rays and CT scan have be performed, occasionally followed by bone scintigraphy or spinal MRI. ⋯ The mean postoperative stay was 2.5 days. We found kyphoplasty to be a safe technique allowing immediate pain control after VOCF, with minimal risks of cement leakage or pulmonary embolism. Vertebral height and deformity correction are best achieved with early surgery, but pain control is always excellent even with a delayed procedure.