1/5. Mosaicplasty for the treatment of femoral head defect after incorrect resorbable screw insertion.Articular cartilage lesions and osteochondral defects remain a difficult problem for the patient and physician. A variety of procedures and treatments have been proposed to lessen symptoms and restore the articular surface. The knee joint has been the focus of the vast majority of these cartilage restoration procedures. Osteochondral defects of the proximal femur are significantly less common, and their management remains poorly defined. This article reports the case of a young man with a deep osteochondral defect of the femoral head caused by penetrated resorbable screw after internal fixation of a displaced large single fragment of the posterior acetabular rim and subsequent treatment using mosaicplasty.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/5. Team physician #8. osteochondritis dissecans of the patella in a competitive fencer. A case report and review of the literature.osteochondritis dissecans of the patella, a rare condition producing knee pain in the athlete, is considered to be the result of repeated shear forces producing microtrauma. We present the case of a fencer who developed this injury. The confirmation of the diagnosis by magnetic resonance imaging scan is demonstrated, and the literature is reviewed with an emphasis on treatment. The physician treating athletes with anterior knee pain must consider this entity in making the differential diagnosis.- - - - - - - - - - ranking = 5keywords = physician (Clic here for more details about this article) |
3/5. Costochondritis of the costal arch.Costochondritis is a rare and symptom-poor affliction which often remains unrecognized for a long time. The diagnosis depends upon the patient's history and the physician's acquaintance with the disease. body temperature, X-ray examination including sinography, WBC count and bacterial examination may be non-informative. Local resection of the affected cartilage, excochleation, cauterisation, irrigation and antibiotic treatment most often lead only to recurrence of the ailment. The definitive treatment consists of total resection of one or both costal cartilaginous arches. The cases of two patients are described.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/5. osteochondrosis of the tarsal navicular in a female high school distance runner.A case of osteochondrosis of the tarsal navicular in an adult is presented. The patient was not fully compliant with the recommendations of the physicians involved and, as a result, full recovery has not been accomplished. Left untreated or undertreated, Mueller-Weiss syndrome can result in severe permanent osteoarthritis of the midtarsal joint (talonavicular joint). This may result in permanent deformity and disability. Properly treated with rest and supportive therapy, the condition is self-limiting and should heal without any sequela.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/5. Human immunodeficiency virus--associated non-Hodgkin's lymphoma presenting as an auricular perichondritis.AIDS-related NHL is an aggressive neoplasm, usually of high or intermediate grade, frequently extranodal at initial treatment, and often the first manifestation of AIDS. Although complete remissions have been reported, they occur in only a minority of patients. We describe a patient with NHL of the external ear that masqueraded as an auricular perichondritis. This is the first case reported in which AIDS-related NHL first appeared in the ear, and this should alert physicians who treat patient with AIDS to be aware of the protean manifestations of this disease.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |