Pediatric Leukemia From an Orthopedic Perspective: A Case of Acute Lymphoblastic Leukemia Initially Managed as Septic Hip With Osteomyelitis.

Acute lymphoblastic leukemia (ALL) represents the most common pediatric cancer accounting for about one-third of all malignancies in childhood. The differential diagnosis for a pediatric patient manifesting with joint pain and refusal to bear weight is wide and includes trauma, transient synovitis, septic arthritis, rheumatologic disorders, and malignancy. Overt complaints from the musculoskeletal system as the initial manifestation of ALL may present in up to 30% of cases with normal laboratory tests and without hepatosplenomegaly or lymphadenopathy, perplexing the establishment of a definite diagnosis.

Posterior Tibialis Tendon Dislocation: Case Report and Review of Literature.

Posterior tibialis tendon (PTT) dislocation is an extremely rare yet significant finding in cases with recalcitrant pain over the medial malleolus, usually as a consequence of trauma. The diagnosis is frequently delayed, as the patient's initial clinical presentation generally resembles benign musculoskeletal pathology of the ankle joint. Herein, we report the case of a female patient diagnosed with PTT dislocation after four weeks of conservative management for an ankle sprain.

Limbus Vertebrae as Incidental Finding in a Patient With Acute Lower Back Pain.

Limbus vertebra (LV) represents a marginal interosseous herniation of the nucleus pulposus, usually in the midlumbar region. It is generally diagnosed as an incidental radiological finding during investigation of a case presenting low back pain or lumbar radiculopathy symptomatology. In this article, we report a case of a 37-year-old male patient complaining of acute low back pain.