scholarly journals Pain Around Elbow: Not Always Tennis Elbow!

2021 ◽  
Vol 38 (2) ◽  
pp. 121-124
Author(s):  
Hüseyin Sina COŞKUN ◽  
Nevzat DABAK ◽  
Ferhat SAY ◽  
Hasan GÖÇER

Elbow is a well-known body part of muscular strains and overuse syndromes. Patients presented to the orthopedic department with elbow pain or swelling often diagnosed with benign conditions such as tennis elbow, golfer’s elbow, or olecranon bursitis. It must be kept in mind that several tumoral conditions can be seen around the elbow and the patient must be carefully evaluated. In this study, we aimed to demonstrate rare cases of bone or soft tissue tumors around the elbow. Between 2004 and 2017, patients with a symptom of elbow pain or swelling are included in the study. Finally, the study consists of 53 patients. 20 patients were male and 33 were female. The mean age of the patients was 42.94 ± 15.3. There were 9 bone tumors, 16 soft tissue tumors, 9 non-classified benign cystic lesions, 3 metastasis, and 16 cases were non-tumoral conditions. 7 of 9 bone tumors were benign. The solitary bone cyst was the most common bone tumor seen around the elbow. 2 malignant bone tumor cases were diagnosed as Ewing Sarcoma and metastatic bone disease. Among the 16 soft tissue tumors, schwannomas are the most presented cases in the tumor council followed by lipoma (6 cases). Even in a multidisciplinary bone and soft tissue tumor council, almost one-third of the elbow pain patients were non-tumoral and the most commonly seen condition was myositis ossificans (6 cases), followed by infection or bursitis (5 cases). Elbow pain is commonly seen and evaluated by every orthopedic surgeon on outpatient’s clinic. It must be kept in mind that tumoral conditions around the elbow are rarely seen but deserve further examination in the presence of chronic pain.

2020 ◽  
Vol 16 (2) ◽  
pp. 81
Author(s):  
Istan Irmansyah Irsan ◽  
Satria Pandu Persada Isma ◽  
Abdul Aziz ◽  
Muhammad Hilman Bimadi ◽  
I Gusti Ngurah Arga Aldrian Oktafandi

Abstract: Musculoskeletal tumors are relatively rare, with 0.2%-0.5% of all malignant tumors in all ages. The geographic distribution of musculoskeletal tumors varies significantly around the world. This study aims to describe the musculoskeletal tumor profile in Saiful Anwar General Hospital. All data were obtained from the department of orthopaedic and traumatology database, Saiful Anwar general hospital. Thus, patients who were diagnosed with either bone tumor or soft tissue tumor between January 2011 to December 2018 were selected for the present study. The clinical-pathological conference (CPC) was carried out to ensure the validity of all the registered data. A total of 577 patients with tumors from January 2011 to December 2018 was obtained. Out of all the cases, 439 (76%) cases are bone tumors, and the remaining 138 (24%) cases are soft tissue tumors. The most frequent locations of the musculoskeletal tumors are the long bones of the thigh and lower leg. This study shows an increasing trend in musculoskeletal tumors incidence, despite decreasing numbers in several years. This result goes along with a rising trend in malignancy cases with a higher amount compared to the benign one. Moreover, MBD and osteosarcoma were found to be the most common tumor and primary bone tumors, respectively. However, the fact that there is some data loss in the study limited the study for a more accurate result.   Keywords: Musculoskeletal tumor; Bone tumor; Osteosarcoma; Malang; East Java


2020 ◽  
Vol 13 (1) ◽  
pp. 105-108
Author(s):  
David Kalim ◽  
Andriandi

Objective- To assess osteosarcoma epidemiology in Haji Adam Malik General Hospital. Material and Methods- This study is a retrospective descriptive study with a crosssectional approach. Patient with musculoskeletal tumour (especially osteosarcoma) in Haji Adam Malik Hospital from January 2012 to Desember 2017 period, got their age, gender, musculoskeletal tumour type, biopsy result, tumour sites, treatment completion, metastasis and amputation status recorded from their medical record. Result-Primary bone tumors is the most cases and found in 50% of musculoskeletal tumors followed by soft tissue tumors and metastatic bone disease. Male (60%) have slightly higher prevalence than female in (40%). The incidence of primary bone tumors shows osteosarcoma, GCT, and osteochondroma are in the top three with 63%, 13%, and 6% respectively. Specifically for osteosarcoma, male and female have 1.9 : 1 prevalence ratio. The most common sites for osteosarcoma is distal the femur (45%) and proximal tibia (29%). About 63% of patients undergo complete treatment and with 55% recorded with metastasis in the first diagnosis and amputation was performed in 89% of patients. Conclusion- Primary bone tumors dominate the data with 50% for musculoskeletal tumors followed by 31% soft tissue tumors and 19% metastatic bone disease. The incidence of musculoskeletal tumors shows that men are slightly higher than women in 60% and 40%. The incidence of primary bone tumors shows osteosarcoma, giant cell tumor, and osteochondroma are in the top three with 63%, 13%, and 6% respectively.


Author(s):  
Karen Walker-Bone

The elbow joint is a complex synovial joint allowing flexion, extension, and forearm rotation with movements facilitated by ligamentous insertions. Although less common than pain at some other regional sites, epidemiological surveys suggest that elbow pain affects around 12% of adults at any point in time and occurs at equal rates among men and women. The differential diagnosis of elbow pain must always consider the possibility of: a multisystem inflammatory arthropathy such as rheumatoid arthritis or gout; a chronic widespread pain condition such as fibromyalgia syndrome; referred pain; or a more unusual disease such as bone metastasis from a distant primary. However, the most common causes of elbow symptoms are soft tissue periarticular conditions such as lateral and medial epicondylitis and olecranon bursitis and ulnar neuropathy. Although widely diagnosed and widely treated, there remain few convincing data from high-quality randomized controlled trials as to the long-term safety and efficacy of most ’standard’ treatments for these soft tissue conditions.


2018 ◽  
Vol 64 (4) ◽  
pp. 490-492
Author(s):  
Mikhail Blank ◽  
Olga Blank

There are presented the main principles and possibilities of simultaneous chemoradiotherapy, including intra-tumoral administration of antitumor drugs in combination with irradiation of primary bone tumors with soft tissue components, metastatic damage of bones, soft tissue tumors as well as superficial tumors and metastases. On the example of 23 patients the high efficiency of synchronous combined therapy is showed. The possibility of using low total doses of ionizing radiation in order to significantly increase the local cytotoxicity of antitumor drugs directly in the tumor focus is substantiated. The proposed variant of synchronous combined therapy makes it possible to obtain a pronounced local effect with minimal systemic toxicity.


2012 ◽  
Vol 53 (8) ◽  
pp. 1244-1252 ◽  
Author(s):  
C. Buchbender ◽  
T. A. Heusner ◽  
T. C. Lauenstein ◽  
A. Bockisch ◽  
G. Antoch

Author(s):  
Nihad Salih Rahmatullah ◽  
Hanan Hussein Muhammad ◽  
Nazar Abdulhassan Alwakeel

Background: Solid tumors are most common cause of death in the first fifteen years. In developed countries cancer is the leading cause of death from disease in children more than six month of age. The aim of this study was to assess: the relative frequency of the childhood tumor, the distribution of solid tumors of childhood in relation to age, sex of the patient, and histological types of the tumors over period (1992 -2015).Methods: Two thousand four hundreds and three cases of solid tumors of infancy and childhood has been studiedfor period from (1992-2015), 170 was a prospective cases where 2233 cases a retrospective. The study was carried out through histopathological examination of biopsies of patients attending major medical centres in Baghdad, Iraq.Results: Malignant neoplasms in descending order of frequency were, lymphoma (29.5%), central nervous system tumors (24.5%), soft tissue tumors (9.4%), Neuroblastoma (9.1%), wilms’ tumors, (7.4%), Bone tumors, (7.3%), Retinoblastoma (5.1%), Germ cell tumors, (3.5%), Liver tumors (0.2%), others (4.6). Males were more frequently affected with central nervous tumors (59.6%), Malignant lymphoma (69.5%), neuroblastoma (62%), Soft tissue tumors (60.3%), nephroblastoma (51.5%), retinoblastma (58.8%), liver tumor 81 and other miscellaneous tumors (59.6%) while females were more frequently effected with germ cell tumors 70.5% and bone tumors (53.9%). Central nervous system tumors reach a peak between (5-9) years whereas neuroblastoma, nephroblastoma, retinoblastoma germ cell tumors, liver tumors reach a peak between (0-4) years and malignant lymphoma, bone tumors and other – Miscellaneous – tumors reach a peak between (10-15 )years. Non Hodgkins lymphoma were the predominating lymphoma (62%), astrocytoma formed the majority of central nervous system tumors (44.6%) While rhabdomyosarcoma was the commonest histologic subtype of soft tissue tumors (76%) Ewing’s sarcoma was the commonest type of bone tumors (56%).Conclusions: A steady increase in the incidence rate of childhood tumors is noticed with a change in pattern from malignant lymphoma to CNS. tumors in the study period. A diagnostically important relationship exists between a particular type of pediatric tumors with age, sex and site.


2020 ◽  
Vol 27 (2) ◽  
pp. E202021
Author(s):  
Reda Badaoui ◽  
Amine Elmaqrout ◽  
Mohamed Boussaidan ◽  
Jalal Mekaoui ◽  
Jalal Boukhriss ◽  
...  

Chondroblastoma is a primary bone tumor in children, adolescents and young adults, which accounts for 1% of all bone tumors. Epiphyseal or epiphysometaphyseal localization, this lesion usually develops from secondary ossification centers close to the knee, shoulder and hip. Although chondroblastoma is a nonaggressive benign tumor, it can very rarely show a locally aggressive character or a malignant transformation or even metastases. We describe a histologically proven case of an aggressive, primary chondroblastoma of the tibia invading soft tissue in a 22-year-old girl.


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