Diagnosis and treatment of osteo-articular tuberculosis of the foot and ankle (a five case series).

Introduction: Osteo-articular tuberculosis is a rare manifestation of this disease, often posing diagnostic challenges that necessitate additional diagnostic imaging modalities such as radiography, CT, and MRI. This article presents a series of five cases involving tuberculosis affecting the bones of the foot and ankle, diagnosed at various stages. The patients received appropriate anti-tuberculosis medical treatment following national protocols, along with surgical interventions when necessary.

[Compression of the superficial branch of the radial nerve by a synovial ganglion of the elbow (about one case and literature review)].

Compression of the radial nerve at the elbow is quite rare; entrapment of its superficial branch is exceptional. Extrinsic compression is the most frequent etiology. Magnetic resonance imaging plays a major role in the diagnosis, and early surgical excision or echoguided drainage - in case of synovial ganglion - allows a total recovery.

[Madura foot: a rare pathology in Morocco (about 15 cases)].

Mycetoma is a rare disease in Morocco. The purpose of this work is to increase the awareness of this infection that is still not diagnosed in our context by Moroccan practitioners, as well as to show the medical treatment limits in Madura foot disease. This is a retrospective study of 15 patients with an average age of 34 years.

[Pseudo-tumor digital tuberculosis: A case report and review of the literature].

We report a case of a 66-year-old woman, who was treated for a circumferential tumefaction of the middle phalanx of the third finger, evolving for one year. The excision-biopsy of the phalanx led to the diagnosis of an osseous tuberculosis. Through this exceptional case, the authors made a review of the literature on the clinical, radiological and evolutionary aspects of the digital osseous tuberculosis.

[Giant cell tumors of the distal radius: resection: reconstruction by long avascular fibular graft (a case report)].

Giant cell tumors (GCT) are locally aggressive tumors with a preference for epiphyses and metaphyses of long bones. They represent 5%-10% of all primary bone tumors. They affect mostly young adults between 20 and 40.

[Hemangioma of the clavicle: report of one case].

We present a case of intraclavicular hemangioma with a description of its clinical, radiological and histological features and its differential diagnosis regarding other bony tumors.

[Intramuscular hemangioma of the forearm: seven cases].

The authors reexamined the files of seven patients dealt with for intramuscular hemangioma of forearm. It concerns five women and two men, between 16 and 39 years old. The average time of consultation was 13 months.

[Hibernoma of the thigh].

Hibernoma is a rare benign tumour of brown fat. It presents as a voluminous slow-growing mass in the regions where remnants of brown fat can remain in adults. We report a case of a hibernoma on the thigh and present the diagnostic and therapeutic elements of this type of tumour, whose differential diagnosis of liposarcoma.

[Giant lipoma of the hand: case report and literature review].

Giant lipoma of the hand is rare. The diagnosis is based on a clinical tumor and acroparesthesia from compression of the median and ulnar nerves. The MRI is the best exam to study local extension.

Patella tuberculosis: a case report.

A rare case of patella tuberculosis is reported. Clinical signs comprised chronic inflammatory pain, knee swelling and joint stiffness, with two years' evolution. Standard X-ray showed focal osteolysis with intact joint line.

[Surgical treatment in De Quervain's tenosynovitis. About 20 cases].

Introduction: The De Quervain's tenosynovitis is an inadequacy into the first extensor compartment between the osteo-fibrous tunnel and the tendons. This mechanical conflict generates a tenosynovitis of the extensor pollicis brevis and the abductor pollicis longus tendons in first dorsal extensor compartment of the wrist.

Patients And Methods: The authors report a retrospective study of 20 patients who have been treated by a longitudinal surgical approach.

[Myositis ossificans circumscripta of the forearm].

Myositis ossificans circumscripta is a benign lesion characterized by focal heterotopic soft tissue ossification and occurring in young people generally after localized trauma. The location of this case in the forearm is rare. The clinical signs, radiological appearance and the histological features can be confused with osseous or soft tissue sarcoma, as was the case in our patient.

[Aneurysmal bone cyst of the ulna].

Aneurysmal bone cyst (ABC) accounts for 1 to 4 percent of primary bone tumours. There is a distinct predominance in the 10- to 20-year age group, and it is rare after age 50. Despite its benign character, it is sometimes locally aggressive, and can attain significant size.

[Bilateral dorsal elastofibroma].

Elastofibroma dorsi is a slowly-growing benign tumor which usually occurs at the inferior angle of the scapula. It may be more of a degenerative process than a neoplasia. We seek, through our observations and a review of the literature, to clarify the characteristics of this tumor and its modes of management.

[Giant cell tumor of the thumb proximal phalanx: resection-iliac graft and double arthrodesis].

Giant cell tumours (GCT) of bone are frequent, with variable behaviour, high risk of recurrence and an often benign histological appearance. Their location in the hand is uncommon, and there are few publications on the subject. Surgical treatment as described in the literature is very variable.

[Two osteoid osteomas in the same lunate].

Osteoid osteoma is a small tumour, always benign, consisting of a small focus of osteoblastic hyperactivity surrounded by a zone of sclerosis. Located preferentially on the long bones, femur and tibia, carpal localisation is rare but if present it usually affects the scaphoid. We present a case of double localization of an osteoid osteoma in the lunate bone, presenting as gradually increasing pain in the wrist over the course of 18 months.

[Giant cell tumors of the tendon sheath of the hand: 32 cases].

Giant cell tumors of tendon sheath (GCTTS) represent a localised form of pigmented villonodular synovitis. They are usually found in the hand (80% of cases) where it represents the second most common tumor of the soft parts after the ganglion cyst. Its surgical treatment is sometimes difficult because of local extension and the invasion of vital digital structures.

[The Foucher's "kite-flap" (12 cases)].

The "kite-flap" is a cutaneous island flap containing a triple pedicle. It is harvested from the dorsum of the index and is intended to cover skin-loss on the thumb. The purpose of our study was to evaluate 12 "kite-flaps" performed over the course of 11 years.

[Pigmented villonodular synovitis of the wrist invading bone. Case report].

Pigmented villonodular synovitis of the wrist is a rare and benign lesion. The bone involovement means an agressive form, but adequate treatment permit to avoid the recurrences. The authors analyse a case with good evolution after synovectomy and bone debridement, with review of literature.

[Snake bite poisoning and compartment syndrome. A report of two cases].

Snakebite poisonings are frequent In Morocco, because of the delay in treatment, they can be very serious even lethal. Treatment has two components: firstly correction of the systemic hemodynamic, respiratory and haematological disturbances and secondly administration of specific antivenom. Envenomation of a limb can lead to cutaneous necrosis, compartment syndrome and even necrotising fascitis.

[Soft-tissue chondroma of the hand. A new case].

The authors report the case of a multilocular tumour of the soft tissues of the hand and wrist which was removed by excision biopsy and which proved to be a chondroma arising from the soft tissues. Soft tissue chondromas consist of islands of heterotopic cartilaginous tissue and can equally affect the viscera as well as the limbs. The hypothesis that microtrauma is involved in the aetiology of this condition has yet to find any factual support.

[Results of primary median nerve repair at the wrist: report of 24 cases].

Introduction: Nerve injuries of the upper limb can cause serious damage: primary repair has improved the results but the prognosis for recovery remains uncertain. We present the results of primary repair of 24 median nerve injuries at the level of the wrist.

Materials And Methods: Between 1990-1998, we repaired 57 median nerve injuries at the wrist.

[Tuberculous infection after dynamic-hip screw osteosynthesis: a case report].

We report the case of a 72-year-old woman who developed osteoarticular tuberculosis after dynamic hip screw osteosynthesis for a pertrocanteric fracture. Necrosis of the head and disassembly of the prosthetic material ensued. This patient had no history of pulmonary or extra-pulmonary tuberculosis.

[Complete brachial plexus paralysis in anterior shoulder dislocation: a case report].

Brachial plexus paralysis secondary to anterior dislocation of the shoulder is a rare injury. The authors report a case of traumatic anterior dislocation of the shoulder complicated by brachial plexus palsy. Recovery took a whole year and the patient was left with residual shoulder stiffness.