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Short-term outcomes of gradual ulnar lengthening in multiple hereditary osteochondromas of the forearm with monolateral external fixator.
J Pediatr Orthop B
January 2025
Trauma Research Center, Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Hereditary multiple exostoses is an autosomal dominant genetic condition primarily affecting long bones. Forearm deformities, including wrist ulnar deviation, ulnar shortening, radial or ulnar bowing, and radial head dislocation, are common manifestations. Gradual ulnar lengthening is suggested as a viable treatment option for managing these deformities.
View Article and Find Full Text PDFCervical spinal cord injury following osteophyte excision for respiratory distress caused by diffuse idiopathic skeletal hyperostosis associated with ossification of posterior longitudinal ligament: a case report and literature review.
BMC Musculoskelet Disord
December 2024
Department of Orthopedic Surgery, Nara Medical University, 840 Shijo-cho Kashihara City, Nara, 6348522, Japan.
Background: Diffuse idiopathic skeletal hyperostosis (DISH) is a systemic non-inflammatory disorder characterized by enthesopathy and osteophyte formation. DISH can also cause several other symptoms. Limited range of motion (ROM) is the most common symptom; however, dysphagia and respiratory distress are clinically important symptoms.
View Article and Find Full Text PDFA Case of Subungual Exostosis With Early Postoperative Recurrence and Rapid Growth.
Cureus
November 2024
Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, JPN.
Subungual exostosis is a relatively rare benign bone tumor that occurs near the distal phalanges of the fingers and toes. Though it is similar to osteochondroma, it can be distinguished by its specific location and lack of communication with the medullary cavity. Although recurrence after surgical excision has been reported, no studies have examined the timing or progression of recurrence, nor have there been reports detailing the chronological imaging findings of recurrent cases.
View Article and Find Full Text PDFAn Unusual Presentation of Costal Intraspinal Osteochondroma Causing Compressive Myelopathy in a Patient With Hereditary Multiple Exostoses: A Case Report and Literature Review.
Cureus
October 2024
Department of Orthopaedics, St. John's Medical College and Hospital, Bangalore, IND.
A 22-year-old man presented to us with back pain for four months, inability to walk, and weakness in both lower limbs. Clinical examination revealed multiple swellings in the body, motor weakness, paresthesia, and upper motor neuron signs. Both magnetic resonance imaging (MRI) and computed tomography (CT) revealed an abnormal bone mass protruding into the spinal canal from the posterior aspect of the ninth rib through the D9-D10 neural foramen.
View Article and Find Full Text PDFOpen Dorsal Closing-Wedge Calcaneal Osteotomy for Haglund Exostosis-Related Heel Pain.
Foot Ankle Int
December 2024
Department of Teaching, Research and Development, Schulthess Klinik, Zürich, Switzerland.
Article Synopsis
- Dorsal closing-wedge calcaneal osteotomy (DCWCO) is a surgical treatment for persistent heel pain due to Haglund exostosis after conservative treatments have failed, but its impact on everyday foot function is not fully understood.* -
- A study involving 120 patients (ages 17-77) showed significant reductions in heel pain and disability scores at 6, 12, and 24 months following surgery, although there were also reported adverse events.* -
- Despite improvements in pain and function, no significant correlation was found between changes in foot biomechanics (like the Achilles tendon moment arm) and patient-reported foot function scores.*
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