Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
-
Rev Chir Orthop Reparatrice Appar Mot · Jan 1992
Case Reports[Rupture of the pectoralis major muscle: diagnosis and treatment. Apropos of 3 cases].
Rupture of pectoralis major tendon is a rare lesion, often undiagnosed. We present 2 cases of complete rupture and one case of partial rupture. ⋯ We recommend surgical repair of pectoralis major rupture, a lesion that remains symptomatic in the long term. Surgery should be done early, late repairs being technically more difficult and esthetic result less convincing.
-
Rev Chir Orthop Reparatrice Appar Mot · Jan 1992
Case Reports[Stress fractures of the tarsal navicular. Apropos of 20 cases].
Twenty cases of tarsal navicular stress fractures were observed in 17 patients. These fractures are rare, often go unrecognized, and are reputed to unite with difficulty. A clue to diagnosis was given by the description (young athletic person in sports involving sudden starts and stops). ⋯ Thirteen patients were able to practice their sport without a loss of performance after a period ranging from 3 to 14 months. Treatment varied given the risk of spontaneous non union: incomplete fractures discovered early often responded to orthopedic treatment; fractures associated with large intra-osseous lytic lesions required addition of bone grafting. These fractures can be prevented through the use of inner arch supports especially if a predisposing factor exists such as a short first metatarsal bone.
-
Rev Chir Orthop Reparatrice Appar Mot · Jan 1992
Review Case Reports[Atlanto-axial instability in children with trisomy 21: atlanto-axial (C1-C2) or occipito-axial (O-C2) arthrodesis?].
A retrospective study involving seven cases of operated atlantoaxial (C1-C2) instability in patients with Down Syndrome prompted the authors to raise the following question: which kind of arthrodesis is to be performed for these patients? The possibility of an occipito-atlantal (O-C1) instability, is in fact relatively frequent in this condition, as the authors have observed themselves and in a literature survey; this is an argument for performing an occipito-axial (O-C2) arthrodesis. The difficulties met to reduce the C1-C2 luxation, the frequent pseudarthroses (3 cases in our series) and a tetraplegia following a re-operation for non-union are as many other arguments to perform a O-C2 arthrodesis rather than a C1-C2 arthrodesis.
-
Rev Chir Orthop Reparatrice Appar Mot · Jan 1992
Review Case Reports[Dislocation of the tibialis posterior tendon].
The authors report a case of traumatic dislocation of the tibialis posterior tendon on the medial malleolus. They describe the treatment applied and made a review of the literature about this rare pathology.
-
Rev Chir Orthop Reparatrice Appar Mot · Jan 1992
[Cotrel-Dubousset instrumentation in the treatment of thoracolumbar and lumbar spine fractures].
Thirty-three thoracolumbar and lumbar spine fractures have been operated on using Cotrel-Dubousset instrumentation. Most were thoracolumbar burst fractures. Regional kyphosis at follow-up was 4 degrees, vertebral kyphosis was 8 degrees. ⋯ This construct with screws varies according to the level (thoraco-lumbar or lumbar); it seems reliable, as compared with other kinds of internal fixation. Restoring the height of the vertebral body is essential and is the key to a good final result. Addition of a postero-lateral fusion and or a brace did not improve the results.