Bilateral Proximal Tibiofibular Synostosis Caused by Osteochondroma in a 21-Year-Old Highly Active Male—First in Literature

Background and Objectives: Up until now, only one case of unilateral proximal tibiofibular synostosis caused by osteochondroma has been reported. This report is the first well-documented bilateral case of proximal tibiofibular synostosis caused by an osteochondroma. Case Report: A 21-year-old, highly active male patient with bilateral proximal tibiofibular synostosis caused by an osteochondroma suffering from persistent knee pain is presented. As conservative methods had failed, the patient was treated by bilateral open resection of the connecting bone. Histopathological findings confirmed the preoperative diagnosis. The patient returned to sports three weeks after surgery and continued soccer training six weeks after surgery. Discussion: The case report presents the successful treatment of a bilateral proximal tibiofibular synostosis caused by an osteochondroma by bilateral open resection of the connecting bone.

The Percutaneous Technique for the Treatment of Metatarsalgia with Metatarsophalangeal Dislocation of the Lesser Toes: Preliminary Results

Category: Lesser Toes Introduction/Purpose: Minimally invasive surgery through percutaneous technique has developed significantly in recent years, increasing its indication for correction of foot deformities, especially in the forefoot region. The treatment of severe metatarsalgia remains a challenge for surgeons, especially in techniques requiring larger incisions. Methods: We prospectively evaluated 16 patients diagnosed with metatarsalgia with plantar keratosis associated with metatarsophalangeal dislocation of the lesser toes submitted to surgical correction by the distal metatarsal metaphyseal osteotomy (DMMO) technique. Clinical (AOFAS, FFI and VAS) and radiographic scores were used, as well as personal satisfaction criteria. Statistical analysis was performed using the Mann-Whitney U test and Fisher’s Exact Test with the R software ‘Stats’ package. Results: One participant was lost to follow-up, totaling a sample of 15 patients and 16 feet (a bilateral case). The mean follow-up was 14 months (6 - 23) and the mean age of the sample was 73.53 (62 - 85). There was a significant reduction in postoperative status with a reduction in VAS of 5.47 (p <0.001) and a difference in metatarsalgia after the procedure, ranging from 100% of cases to 13% (p <0.001). All patients stated that they would do the procedure again if necessary and most (73%) defined it as satisfied with the procedure (Coughlin Score). Conclusion: The DMMO technique for the treatment of metatarsalgia in patients with metatarsophalangeal dislocation of the lesser toes has shown good results, reducing pain and high satisfaction index, demonstrated by preliminary results.

Seminoma in Undecended Testis Presenting as an Abdominal Mass: A Case Report

We report a case in which a 28-year-old infertile bilateral cryptorchoid man with decreased performance status presented to the department of urology with a mildly tender mass in right inguinal region. Both ultrasonography and Computerized axial tomography scan (CT Scan) suggested that the mass arose from right sided undescended testis and left sided testis was normal-sized intrabdominal. His serum á-fetoprotein and LDH were within normal range and only â-hCG was raised 3-fold. He was found azoospermic, his serum LH and FSH were increased but serum testosterone was reduced. The mass was removed by inguinal exploration and histopathology confirmed seminoma of testis. Orchidopexy was done on contralateral side one month after the first operation. A mass in the lower abdomen in a sexually active man with cryptorchoid testis strongly points towards the diagnosis of malignancy in the abdominal testis1. The clinician should aware of it and the urologist should do prompt removal of the tumor and orchidopexy in contralateral side in bilateral case irrespective of age. Bangladesh Journal of Urology, Vol. 17, No. 2, July 2014 p.101-105

PENGARUH TERAPI LATIHAN DAN PEMASANGAN BANDAGE PADA CONGENITAL TALIPES EQUINO VARUS BILATERAL DI YPAC SEMARANG : LAPORAN KASUS

Background : Congenital Talipes Equino Varus (CTEV) or commonly called Clubfoot is a general term used to describe a general deformity which is foot changes from its normal position. Problems that occur in the Congenital Talipes Equino Varus Bilateral case are the limited range of motion on both ankles, the presence of contractures in the posterior tibialis muscle. Physiotherapy role by providing modalities such as bandage usage, stretching, wall bars exercise, parallel bars exrcise and easy standing exercise.Case Presentation : Patients in this case were 9-year-old women using interventions in the form of bandage usage, wall bars exercise, parallel bars exrcise and easy standing exercise for 6 sessions.Method : This case report assesses the patient's joint motion range by measuring differences between pre-test and post-test.Results: Patients do not improved in the ankle range of motion.Conclusion : In this case, it was shown that exercise therapy given and bandage usage on 9-year-old patients with CTEV conditions could not change the patient's ankle range of motions.

Bilateral peripapillary staphyloma: a case report

Background: The peripapillary staphyloma (PS) is a rare non-hereditary congenital optic disc dysplasia, which is generally unilateral and is likely to occur with poor vision. Fundus uncovered a large deeply excavated optic nerve head, retinal pigment epithelium changes at its edges and normal disc and retinal blood vessels in size and features. Case presentation: This literature present a bilateral case of an especially congential peripaillary staphyloma (CPS), which the patient with esotropia and nystagmus was exposed to abnormality when she was only 5-month-old. Several interesting features are present in this patient. Conclusions: Usually they have a large extent on visual loss. Thus, although extreme rare, an early detection, treatment and follow ups are necessary. Keywords: Staphyloma; optic nerve; congenital