Occurrence of pituitary hormone deficits in relation to both pituitary and hypothalamic doses after radiotherapy for skull base meningioma.

Context: Little accurate information is available regarding the risk of hypopituitarism after irradiation of skull base meningiomas.

Design: Retrospective study in a single centre.

Patients: 48 patients with a skull base meningioma and normal pituitary function at diagnosis, treated with radiotherapy (RXT) between 1998 and 2017 (median follow-up of 90 months).

[Traumatic ruptures of the peroneal tendons treated by free autologous tendon graft].

The authors report a case of traumatic rupture of both peroneal tendons following a varus injury of the ankle. The lesion was diagnosed late and was successfully treated by a free autologous tendon graft using the distal end of the peroneus brevis tendon to restore the peroneus longus, which was also reinforced by a plantaris tendon graft. The authors stress the interest of suspecting the lesion after acute varus trauma and in cases of chronic instability of the ankle.

[Osteoid osteoma of the distal end of the radius. Review of the literature in light of a case].

A case of osteoid osteoma in the distal extremity of the radius is reported. Clinical examination, treatment and clinical course are described and previous publications are reviewed.

Carpal tunnel syndrome in childhood: report of five new cases.

Carpal tunnel syndrome is a condition rarely encountered during the growth period. We describe five new cases in two large Belgian university hospitals. One case concerned a 2-year-old child suffering from disseminated angiomatosis, an association not previously reported.

[Current emergency treatment of lesions of the flexor tendons: anatomical, biomechanical and cicatricial aspects].

Emergency treatment of flexor tendon lesion in 1988: anatomic biomechanical and healing characteristics. Flexor tendon surgery in 1988 must take into account detailed anatomic knowledge as well as healing and biomechanical properties of flexor tendons. Application of standardised surgical technics allows reliable treatment when the surgeon is familiar with these technics and the basic knowledge they suppose.

[Current treatment of fresh lesions of the flexor tendons].

Different aspects of primary treatment of flexor tendon lesions are reviewed. Of outstanding importance are: adequate setting and instruments plus meticulous repair with fine material, avoidance of traumatic manipulation of structures and anatomical repair, use of dynamic mobilisation of reconstructed tendons within a team of well informed and motivated therapists.