[Nonosteogenic fibroma of the lower extremity of the tibia in children and adolescents: 5 cases and review of the literature].
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Biomedical subjects
Publications and source records attributed to P Rigault.
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The authors have operated on 12 children with solitary unicameral bone cysts of the upper femoral extremity. They opened the cysts widely, resecting one third of the bone circumference, reinforcing the bone solidity by a nail plate and filling the cavity with autogenous bone grafts. 11 cysts healed, 1 recurred. Some residual deformities were noted (coxa valga or vara).
The authors have observed 29 cases of osteoid osteoma in children aged from 1 to 15 years. 10 cases involved the femur, 9 the tibia, 4 vertebrae. All cases were operated on. 3 recurrences were noted but the nidus had been removed in these cases. 2 cases were complicated by post-operative fractures and 5 by bone growth disturbances.
The authors have treated 27 cases of congenital elevation of the scapula in children. 21 were operated on. They describe 3 types of the deformity which was often associated with other congenital lesions local (spine, ribs) or general. Two types of operations were performed: Schrock's procedure (partial excision of the scapula) and Woodward's procedure (dissection and re-insertion of muscles). The second one was followed by better results. Operations must be cautiously decided for they may be the cause of severe complications.
Hemimelica Epiphysialis Dysplasia is a rare osteochondrodystrophy producing cartilaginous epiphysial hypertrophy with hemimelic topography involving preferentialy the lower limb. Lesions are generally medialy situated (medial condyle of the femur, medial malleolus talus, tarsal scaphoid and first metatarsal bone). 8 cases of patients are discussed with a follow up of 4 years. The evolution is to a massive ossification of the hypertrophic cartilaginous areas. The issue is a fast arthrosic degeneration of the involved joints (mainly the ankle, more rarely the knee). The surgical procedures are often unsuccessful.