Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · May 1979
Case ReportsCoccidioidomycosis of the spine: unusual roentgenographic presentation.
Vertebral osteomyelitis is a frequent consequence of disseminated coccidioidomycosis. In a 25-year-old man, the sequela was a single level unilateral osseous bridge between the second and third lumbar vertebra. A review of previous cases has disclosed one case with a similar roentgenographic picture. The occurrence of a single level unilateral reactive process should arouse suspicion of a localized chronic bone infection.
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Clin. Orthop. Relat. Res. · May 1979
Case ReportsThe use of the Vidal-Adrey external fixation system. Part 2: The treatment of infected and previously infected pseudarthrosis.
A total of 23 infected or previously infected non-unions were treated by the Vidal-Adrey modification of the Hoffmann apparatus. The external fixators were applied after decortication and bone grafting either immediately in cases with no evidence of infection or later in cases of draining, infected wounds. ⋯ Union occurred in 21, although union did not necessarily mean a good result overall when all other factors (shortening, etc.) were considered. This fixation device, when correctly applied and in conjuction with adequate debridement and bone grafting is an excellent method for the treatment of severe non-unions where infection is or was a problem.
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Seventy-one cases of ankle fractures in children were studied. An analysis of the fracture lines involving the distal tibial and fibular epiphyses were done. A new classification is proposed based on the position of the foot at the moment of trauma and the direction of the abnormal force. ⋯ A correlation with the physeal injury classification of Salter and Harris is imperative, since complications such as varus deformity of the ankle are common when a Salter-Harris III or IV injury is present. The proposed classification has an important practical use. It facilitates closed reduction, because once the mechanism of injury is known, reduction is obtained by reversing the direction of abnormal force and immobilizing the foot in the opposite position given by the mechanism.
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Clin. Orthop. Relat. Res. · Oct 1978
Case ReportsA calcified fibrocartilagenous nodule in the ligamentum nuchae. Presenting as a tumor.
Nodules of fibrocartilage, calcified fibrocartilage, or bone may be found in the adult ligamentum nuchae. These are generally asymptomatic but may mimic fractures or, as in the case presented here, tumors.
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Valgus slip of the capital femoral epiphysis, a rare entity which may be acute or chronic, occurred in a 12-year-old boy. The displacement may be associated with a pre-existing coxa valga. ⋯ A review of the English literature reveals only 8 previously reported cases of valgus slipping of the capital femoral epiphysis. Either valgus or lateral slips are unusual.