[Proximal realignment operation in patello-femoral diseases].
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Biomedical subjects
Publications and source records attributed to J O Poulsen.
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Twenty-eight patients with spinal tumours (11 malignant and 17 benign) detected in their first two decades of life have been reviewed. Twenty-six of the 28 patients had neurological disturbances, and a significant difference in the duration of debut symptoms in the benign and malignant groups could be demonstrated. X-ray survey was positive in 11 cases in the benign group and in three cases in the malignant group.
In 34 patients in their two first decades of life with primary bone tumours in the spine and pelvis, the most common benign tumour was histiocytosis X and the most common malignant tumour, Ewing's sarcoma. X-rays were positive in 32 out of 34 cases but of little diagnostic value and primary complaints were without significance. The final diagnosis can only be made after a biopsy.
A case of spontaneously healing histiocytosis X followed over 9 years is presented. The lesion was located in the cervical and dorsal spine and had unusual radiological features such as soft tissue swelling, involvement of the pedicles and recovery with fusion between adjacent vertebra.
Five cases of vertebra plana have been reported, three with spontaneous regeneration and two caused by Ewing's sarcoma. It is emphasized that the diagnosis eosinophilic granuloma must rely on surgical biopsy.
A report is given of 22 patients suffering from synovial chondromatosis. Sixteen patients were operated on. The aetiology and diagnostic criteria are discussed with regard to the literature. The X-ray may be characteristic or may alternatively be normal. The symptoms and the physical signs are outlined. If an indication for treatment is found, removal of all free bodies and excision of the accessible part of the synovial membrane is advised.
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