Tetra-oligodactyly with bilateral aplasia and hypoplasia of long bones of upper and lower limbs: A variable manifestation of the syndrome of ectrodactyly with tibial aplasia

1990 ◽  
Vol 21 (1) ◽  
pp. 57-61 ◽  
Author(s):  
R. N. Sener ◽  
B. S. Sayli ◽  
U. E. Isikan ◽  
A. R. Ormeci ◽  
M. Unsal ◽  
...  

2015 ◽  
Vol 69 (6) ◽  
pp. 405 ◽  
Author(s):  
Ali Yeganeh ◽  
Babak Otoukesh ◽  
Peyman Kaghazian ◽  
Nima Yeganeh ◽  
Bahram Boddohi ◽  
...  
Keyword(s):  


Author(s):  
Hrishikesh Pande ◽  
Chander Mohan Singh ◽  
Anjan Prabhakara ◽  
Vivek Mathew Philip ◽  
Mohd Shezan Iqbal ◽  
...  

<p class="abstract"><strong>Background:</strong> Nonunion of long bone fractures is a common condition treated by an orthopaedic surgeon. Many nonunions can be treated effectively by internal fixation with or without bone grafting but, an infected nonunion can prove to be a tough challenge. The Ilizarov method is effective in managing infected nonunion of long bones. This study aims to assess the outcome of management of infected nonunions of long bones of lower limb with Ilizarov Ring fixator using bone and functional results as per Association for the Study and Application of Methods of Ilizarov (ASAMI) Scoring System.</p><p class="abstract"><strong>Methods:</strong> We retrospectively analysed 18 patients (16 Male: 2 Female; Mean age 43.2 years) managed with Ilizarov technique for an infected tibial or femoral nonunion between 01 January 2013 and 31 December 2014. They were followed up for an average of 25.4 months after removal of fixator. They were assessed for functional and Bone (radiological) outcomes using the Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> 17 limbs were salvaged and union could be achieved. One limb required amputation due to severe persistent intractable infection. None required any additional skeletal stabilisation after removal of fixator frame except casting in a few patients for a period of 6 weeks. Mean time to union was 211.83 days (range 136 - 320days/median 184) or 7.01 months. As per the ASAMI score, Bone results were excellent in 10, good in 5, fair in 2 and poor in 1. Functionally 7 were graded as excellent, 6 as good, 3 as fair and 1 as poor and 1 patient underwent amputation.</p><p><strong>Conclusions:</strong> The Ilizarov’s method remains one of the most versatile and successful means of achieving bone healing in infected nonunions of long bones of lower limbs with additional benefits of correcting bone defects, deformities and limb length inequalities. </p>



(1.) The object of this paper is to show, by the use of a special case as illustration, the true limits within which it is possible to reconstruct the parts of an extinct race from a knowledge of the size of a few organs or bones, when complete measurements have been or can be made for an allied and still extant race. The illustration I have taken is one of considerable interest in itself, and has been considered from a variety of standpoints by a long series of investigators. But I wish it to be considered purely as an illustration of a general method. What is here done for stature from long bones is equally applicable to other organs in Man. We might reconstruct in the same manner the dimensions of the hand from a knowledge of any of the finger bones, or the bones of the upper limbs from a knowledge of the bones of the lower limbs. Further, we need not confine our attention to Man, but can predict, with what often amounts to a remarkable degree of accuracy, the dimensions of the organs of one local race of any species from a knowledge of a considerable number of organs in a second local race, and of only one or two organs of the first. The importance of this result for the reconstruction of fossil or prehistoric races will be obvious. What we need for any such reconstruction are the following data:— ( a .) The mean sizes, the variabilities (standard-deviations), and the correlations of as many organs in an extant allied race as it is possible conveniently to measure. When the correlations of the organs under consideration are high ( e. g. , the long bones in Man), fifty to a hundred individuals may be sufficient; in other cases it is desirable that several hundred at least should be measured.



1987 ◽  
Vol 111 (4) ◽  
pp. 538-543 ◽  
Author(s):  
H. Eugene Hoyme ◽  
Kenneth Lyons Jones ◽  
William L. Nyhan ◽  
Richard M. Paul ◽  
Meinhard Robinow


2019 ◽  
Vol 08 (02) ◽  
pp. 077-081 ◽  
Author(s):  
Ajay Parmar ◽  
Pankaj Maheria ◽  
Kanan Shah

Abstract Background and Aim Nutrient foramina form important landmarks on human bones as they form portal of entry for nutrient artery. Nutrient artery is an important source of blood supply for a growing bone. Different parameters of nutrient foramina are important in various procedures such as vascularized bone grafting, tumor resections, fracture repair, and other surgical procedures in orthopedics. The objective of the present study was to report the number, position, direction, size, and foraminal index of nutrient foramen in the femur, tibia, and fibula. Materials and Methods The present study analyzed the location, direction, size, and the number of nutrient foramina in the diaphysis of 180 long bones of the lower limbs of adults: 60 femurs, 60 tibiae, and 60 fibulae. Result The location of the nutrient foramina is predominant on the posterior aspect of the lower limb long bones. Single nutrient foramen found in the tibia (100%), femur (48.3%), and fibula (60%) may represent as a single source of blood supply. The majority of the femur (50%) and few fibulae (5%) had a double nutrient foramen. The mean foraminal index for the lower limb bones was 40.5% for the left and 38.2% for the right side of the femur, 31.69% for the left and 32.3% for the right side of the tibia, and 32.7% for the left and 31.7% for the right side of the fibula. Conclusion The present study provides information on the number, size, position, and direction of nutrient foramina of the femur, tibia, and fibula bones.



2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Jordi Font Segura ◽  
Sergi Barrera-Ochoa ◽  
Albert Gargallo-Margarit ◽  
Eva Correa-Vázquez ◽  
Anna Isart-Torruella ◽  
...  

Osteoid osteoma (OO) is a small and painful benign osteoblastic tumour located preferentially in the shaft of long bones near the metaphyseal junctions, with a predilection for the lower limbs. Juxta- and intra-articular OOs are rare and even though hip, elbow, and talus are the most commonly reported locations, they may be found in any joint accounting for approximately 13% of all osteoid osteomas. There is usually a significant time delay between symptom initiation and diagnosis when the lesion is present in an uncommon location due to the diagnostic challenge it presents due to the lack of classical clinical signs and/or radiographic features found in the extra-articular lesions. A case of a distal humerus OO of a 15-year-old girl is presented to point out that a confounding factor, such as a previous paediatric supracondylar fracture, may further delay the already difficult diagnosis of a juxta- or intra-articular osteoid osteoma and also to emphasize the possibility of arthroscopic treatment of such lesions.



2021 ◽  
Vol 70 (3) ◽  
pp. 177-180
Author(s):  
Katarína Pilarčíková ◽  
Katarína Sláviková ◽  
Lukáš Plank ◽  
Magdaléna Puchertová ◽  
Martin Babinec ◽  
...  

Summary Erdheim-Chester disease (ECD) belongs to the malignant polyostotic sclerotic forms of non-Langerhans histiocytosis. During abnormal prolipheration of pathologic histiocytes (foam cells), involved structures become hypertrophic with increased density followed by scarring. Mostly the diaphysis and metaphysis of long bones of lower limbs with typical pain are involved. According to the WHO, the disease is classified as histiocytic neoplasia. We refer on a 74-year-old female patient with expansive process in the region of upper clivus and sphenoidal bone on the right side. Histological testing confirmed this very rare disease that affects about 600 patients over the world. Key words Erdheim-Chester – foamy histiocytes – sclerosis – fibrosis



2010 ◽  
Vol 43 (5) ◽  
pp. 826-835 ◽  
Author(s):  
Luca Cristofolini ◽  
Giorgia Conti ◽  
Mateusz Juszczyk ◽  
Sara Cremonini ◽  
Serge Van Sint Jan ◽  
...  


1999 ◽  
Vol 24 (4) ◽  
pp. 482-485 ◽  
Author(s):  
D. H. BORG ◽  
P. M. VAN ROERMUND ◽  
M. KON

We report a sporadic case of tetramelic mirror-image polydactyly in combination with unilateral tibial aplasia. No chromosomal or other associated abnormalities were found. The appearance and function of the upper and lower limbs were improved by surgery.



2018 ◽  
Vol 15 (2) ◽  
pp. 69-74
Author(s):  
Mihaela Anton ◽  
Theodora Militaru ◽  
Denise-Ani Mardale ◽  
Roxana Diaconu ◽  
Camelia Maximeasa ◽  
...  

AbstractErdheim-Chester syndrome, a non-Langerhans histiocytosis, is a very rare disease, in the present approximately 500 cases being reported in literature. It is characterized by the histiocytic infiltration of various organs and systems, therefore clinical signs and symptoms are miscellaneous. Despite that, there are a few patognomonic elements that help recognizing the disease: symmetrical involvement in the long bones of the lower limbs, bilateral perirenal infiltration (“hairy kidneys”) and circumferential aortic infiltration (“coated aorta”). However, in order to confirm the diagnosis, biopsy is required, histopathologic examination revealing “foamy” histiocytes. Currently, interferon alpha serves as the first line of treatment, most literature data showing that it might improve survival rate in patients diagnosed with Erdheim-Chester syndrome.



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