Endoprosthetic reconstruction for metastatic phaeochromocytoma in the distal femur: A case report.

Metastatic spread of malignant phaeochromocytoma is known to involve multiple organs including the axial skeleton. Its presentation as a solitary lesion in the long bones of the extremities is extremely rare. We report a unique case of solitary metastatic phaeochromocytoma presenting in the distal femur, 16 years after excision of primary abdominal tumor.

Management of posttraumatic proximal interphalangeal joint contracture.

Chronic flexion contracture of the proximal interphalangeal (PIP) joint presents a common yet challenging problem to hand surgeons. Over the years, multiple treatment modalities have been described for this problem, producing limited results. Nonoperative treatment using serial casting and splints should be tried before attempting open surgical release, which should be done in selected patients.

Distraction correction of chronic flexion contractures of PIP joint: comparison between two distraction rates.

Purpose: The surgical correction of chronic flexion contractures of the proximal interphalangeal (PIP) joints is quite challenging because the extensive soft-tissue surgery needed is demanding, and the results often are discouraging. Gradual joint distraction recently was shown to be effective in the correction of PIP joint contractures. We performed this study to determine the optimum rate and amount of daily distraction and the optimum duration for which the external fixator should be left in situ after correction.