A very late onset urethral fistula coexisting with skin bridge after neonatal circumcision: a case report.

Complications of neonatal circumcision are generally minor and occur early; a few reports exist on the late or serious kind. The authors describe a case of urethrocutaneous fistula occurring 13 years postcircumcision. The patient also had a skin bridge, another late complication of circumcision.

Ebstein's anomaly in siblings: an original observation.

Siblings, a 26-year old male and a 31-year old female, were found do have Ebstein's anomaly. Ebstein's anomaly is characterized by a downward displacement of the tricuspid valve into the right ventricle due to anomalous attachment of the tricuspid leaflets. Echocardiography is the method of choice to diagnose Ebstein's anomaly on its own or in association with other heart defects.

Paroxysmal ventricular tachycardia due to interventricular hydatid cyst.

A 35-year-old male patient with palpitations and mild lightheadedness was admitted to our clinic. Short-lasting paroxysmal ventricular tachycardia was diagnosed following 12-lead electrocardiography (ECG). A mass that included two-thirds of the interventricular septum and the left ventricular cavity was seen by two-dimensional echocardiography and magnetic resonance imaging (MRI).

Atlantoaxial rotatory fixation-subluxation revisited: a computed tomographic analysis of acute torticollis in pediatric patients.

Study Design: Cross-sectional clinical and radiologic study with a normal control group.

Objectives: To compare the range of motion of the atlantoaxial joint in patients with acute torticollis with those of normals as measured from computed tomography scans, to look for the existence of atlantoaxial rotatory fixation in any position (subluxation or normal range of motion) in this group of patients, and to clarify the definition of atlantoaxial rotatory subluxation by measuring the atlantodental interval and analyzing the location of the center of rotation in patients as well as normal controls.

Summary Of Background Data: Although acute acquired torticollis is usually termed atlantoaxial rotatory subluxation or atlantoaxial rotatory fixation, the radiologic definition of these conditions is not clear.

Morphology of the knee in adult patients with neglected developmental dysplasia of the hip.

Background: Although there have been numerous studies on the treatment of developmental dysplasia of the hip, few have focused on its natural history into adulthood. We observed valgus deformity of the knee in a group of adult patients with developmental dysplasia of the hip. To the best of our knowledge, there has been no detailed study of that condition.

Mucinous cystadenoma: a rare abdominal mass in childhood.

Ovarian masses are uncommon in children. Only 10 - 17 % of them are epithelial tumours. Mucinous cystadenoma in children is a benign cystic ovarian neoplasm, and it is met very rarely in the medical literature.

Lumbar pedicle morphology in the immature spine: a three-dimensional study using spiral computed tomography.

Study Design: A cross-sectional study was conducted.

Objective: To investigate the pediatric pedicle morphology with the help of modern computed tomography technology.

Summary Of Background Data: The use of pedicular screws recently has gained popularity because of their ability to provide three-dimensional correction of spinal deformity.

Reliability and necessity of dynamic computerized tomography in diagnosis of atlantoaxial rotatory subluxation.

Dynamic computerized tomography (DCT) has been accepted to be the standard diagnostic method of atlantoaxial rotatory subluxation (AARS) although its reliability and reproducibility has not been shown yet. The purpose of this study was to evaluate the intraobserver reproducibility and interobserver reliability of DCT. Standard DCT scans of 18 patients with acute torticollis and 12 normal subjects were examined two times in between a time interval of 1 month by three specialists and a last-year resident to define any existing AARS.

Nontraumatic myositis ossificans with an unusual location: case report.

Myositis ossificans is a pathologic entity rarely met, but still it must be kept in mind in differential diagnosis of a tender soft tissue swelling. The authors present an 8-year old boy with nontraumatic myositis ossificans circumscripta in the left paravertebral muscle. In diagnostic workup, ultrasonography and computed tomography (CT)-scan showed a well marginated, regular, ossified mass in the paravertebral muscle, but we were not able to exclude malignancy on the clinical grounds.

Bipositional MR imaging vs arthrography for the evaluation of femoral head sphericity and containment in Legg-Calvé-Perthes disease.

Eleven hips of 10 patients with Legg-Calvé-Perthes disease (LCPD) were examined by arthrography and magnetic resonance (MR) imaging. Arthrogram and MR images were obtained with the hips in neutral position and in 20 degrees flexion-abduction and internal rotation. Modified arthrographic index (AI) was used for the evaluation of sphericity and acetabulum head index (AHI) was used for the assessment of containment.

The effect of Valsalva maneuver on P wave in 12-lead surface electrocardiography in patients with paroxysmal atrial fibrillation.

The previous studies relating to the effect of the Valsalva maneuver on P wave do not provide detailed information. In those studies, the parameters related to P wave duration during the release phase of the Valsalva maneuver were evaluated. The authors evaluated P wave amplitude as well as P wave duration during the strain phase of the Valsalva maneuver.

Three-dimensional evolution of scoliotic curve during instrumentation without fusion in young children.

This study respectively evaluated 12 young children with progressive curves who underwent subcutaneous rod instrumentation (SCRI) without fusion and were followed until definitive surgery. The mean curve Cobb angle was 58 degrees at the time of SCRI. The mean apical vertebral rotation at the time of presentation was 20 degrees.

Transfusion-transmitted virus prevalence in subjects at high risk of sexually transmitted infection in Turkey.

Objective: To assess the possible sexual transmission of virus and to identify the prevalence of TTV viremia in Turkey and its association with other hepatotropic viruses.

Methods: Serum samples were collected from 81 subjects (74 prostitutes and seven homosexual men) at high risk of sexually transmitted infection and from 81 healthy controls (74 females and seven males). Sera of patients and controls were tested for TTV, hepatitis A virus, hepatitis B virus, hepatitis C virus, and human immunodeficiency virus.

Treatment of developmental dysplasia of the hip before walking: results of closed reduction and immobilization in hip spica cast.

We retrospectively evaluated 200 hips of 129 patients with the diagnosis of developmental dysplasia of the hip treated with closed reduction and hip spica cast. There were 153 female and 47 male hips in the group. The mean age of the patients at the time of the reduction were six (range.

The effect of transpedicular intracorporeal grafting in the treatment of thoracolumbar burst fractures on canal remodeling.

Short-segment posterior instrumentation for the treatment of thoracolumbar burst fractures has been reported with a high rate of failure. Transpedicular intracorporeal grafting in combination with short-segment instrumentation has been offered as an alternative to prevent failure. However, concern still remains about the potential complication of further canal narrowing or failure of remodeling with this technique.

Paradoxical embolism in Ebstein's anomaly.

A 26-year-old man with Ebstein's anomaly had cerebellar infarction due to paradoxical embolism. Ebstein's anomaly is characterized by a downward displacement of the tricuspid valve into the right ventricle due to anomalous attachment of the tricuspid leaflets. Echocardiography is the method of choice to diagnose Ebstein's anomaly on its own or in association with other heart defects.

Unilateral late-onset tibia vara associated with bilateral proximal femoral growth disturbance in monozygotic twins: case report.

Clinical and histopathological similarities and rare association of Blount's disease with various proximal femoral physeal affections (i.e. adolescent coxa vara and slipped capital femoral epiphysis) are well known.

Does transverse apex coincide with coronal apex levels (regional or global) in adolescent idiopathic scoliosis?

Study Design: Cross-sectional.

Objectives: To identify the regional and global apexes of curves in adolescent idiopathic scoliosis and to compare the levels of those with the most rotated vertebral levels on computed tomography scans.

Summary Of Background Data: The terminology regarding the terms and definitions had been arbitrary until being refined and standardized by the Scoliosis Research Society Working Group on Three-Dimensional Terminology of Spinal Deformity.

Possible asymptomatic carrier of salmonella typhimurium in the preputium: a case report.

Salmonella infections lead to several clinical syndromes such as acute gastroenteritis and bacteremia. Less frequent manifestations are extraintestinal focal infections, including urinary tract infections. A 10-month-old boy was admitted to the hospital with recurrent urinary tract infections treated with antibiotics.

Measurement of vertebral rotation in standing versus supine position in adolescent idiopathic scoliosis.

Thirty-three structural curves of 25 patients with adolescent idiopathic scoliosis were evaluated using computed tomography (CT) scans and plain radiography. The average Cobb angle on standing radiographs was 55.72 degrees and was observed to be corrected spontaneously to 39.

Short-segment pedicle instrumentation of thoracolumbar burst fractures: does transpedicular intracorporeal grafting prevent early failure?

Study Design: A prospective, randomized study comparing two treatment methods for thoracolumbar burst fractures: short-segment instrumentation with transpedicular grafting and the same procedure without transpedicular grafting.

Objective: To evaluate the efficacy of transpedicular grafting in preventing failure of short-segment fixation for the treatment of thoracolumbar burst fractures.

Summary Of Background Data: Short-segment pedicle instrumentation for thoracolumbar burst fractures is known to fail early because of the absence of anterior support.

The safety and efficacy of Isola-Galveston instrumentation and arthrodesis in the treatment of neuromuscular spinal deformities.

Background: Implant systems that realign and stabilize a deformed spine continue to evolve. The purpose of the study of this case series was to determine the safety and effectiveness of a system designed to integrate hook, wire, screw, and post anchors for the treatment of a wide spectrum of neuromuscular disorders associated with pelvic deformity or the potential for deformity.

Methods: Forty-seven consecutive patients who had a spinal deformity that was due to cerebral palsy or an upper motor-neuron cerebral palsy-like disease (thirty-one patients), myelomeningocele (nine), Duchenne muscular dystrophy (four), or other disorders (three) were managed with Isola-Galveston instrumentation and arthrodesis.