Re: a radiostereometric analysis of the movements of the sacroiliac joints in the reciprocal straddle position.
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The surgical treatment of tumors close to the sacro-iliac joint is made uneasy due to the thinness of the posterior skin cover and the proximity of anterior vascular and nerve elements. A complete, pre-operative appreciation of the extent of the lesion is necessary. 12 patients were operated on and reviewed after a 34 months average follow-up. Complications were frequent, particularly on the cutaneous and neurological standpoint. The surgical technique varied according to a greater extension of the lesion toward the iliac or sacral bone. Extension to the acetabulum was particularly distressing. The functional results depended on extent of muscular resection nerve resections, volume of resected bone. However the surgical treatment is the only one possible in some tumors non-sensible to conservative treatments.
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Septic arthritis and osteomyelitis in children is seldom accompanied by calf vein thrombosis and rarely by atrial thrombosis. We report the case of an 11-year, 5-month-old boy with septic arthritis and osteomyelitis of the sacroiliac region who developed deep venous thrombosis, in addition to life-threatening right atrial thrombosis. After an intensive hematologic investigation, a hereditary protein C deficiency was revealed. The association of venous thrombosis with septic arthritis or osteomyelitis should raise the possibility of the presence of protein C deficiency.
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