[Congenital synostosis of the semilunar and cuneiform bones].
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A 19-year-old collegiate football player with progressive ankle syndesmosis ossification developed acute localized fibular tenderness. Roentgenograms demonstrated a fibular stress fracture proximal to the superior extent of the ossific mass. Surgical resection of the mass resulted in uneventful fibular healing, with resolution of acute and chronic symptoms.
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We resected eight calcaneus-navicular bars in six children. The average age at the surgery was fifteen years, and the average follow up period was four years. In all cases the extensor digitorum brevis was interposed into the gap created by an excision of the bar. On the follow up three feet were painfree and four were occasionally painful. In one case a coalition recurred, and the pain did not improve. The ankle range of motion was normal in all cases, whereas the subtalar motion was limited in three feet, and normal in the remaining five.
Tarsal coalition is an entity with a great number of reported variants and with many unsolved questions, from its physiopathology to its treatment. Because of its exceedingly low frequency, we report a case of cubonavicular coalition. The symptoms cleared with conventional analgesic therapy, and no other therapeutic measures were required.
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Two cases of a rare congenital deformity, humeroradial aplasia are reported in the article. In the first case the deformity was unilateral, in the second case a bilateral aplasia was associated to hip dislocation and aplasia of the os ischii.
The author reports a case of S.R.U.P.C. that was relieved by a Nigrisoli operation. There is a good function after two years. The author thought it worth publishing this cae because of its rarity: in the last twenty years only one article appeared on this problem in the Rumanian medical literature that reported 5 cases.
The purpose of this case report was to describe the radiological features by computed tomography and a modification in the fixation of the rotation after the usual transverse osteotomy: an external fixation was used; it allows post-operative vascular assessment with the possibility to derotate the correction in case of circulatory or neural impairment.
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