Radiation-induced periosteal osteosarcoma
by J. Dhaliwala, V.P. Sumathib and R.J. Grimer
Radiation-induced sarcomas are a well-recognized late complication of radiation therapy. We present a rare case of a periosteal osteosarcoma of the femur developing 10 years after radiation treatment for a soft tissue sarcoma to highlight the clinical and radiological features of this rare complication of therapy and to describe its management. (Specialties Othopaedics; Radiology: 16 Feb 2010) More...
Late recurrence of pelvic osteosarcoma: a case report and review of the literature
by B.G.I. Spiegelberg, K. Gokaraju, M.T. Parratt, A.M. Flanagan, S.R. Cannon and T.W.R. Briggs
A rare case of local recurrence of a high-grade osteosarcoma of the pelvis is described, 19 years after initial presentation, highlighting the need for continued long-term follow-up of patients with osteosarcoma. We review the literature concerning osteosarcoma of the pelvis, local recurrence and treatment with custom-made hemipelvic replacements. (Specialties Oncology; Orthopaedics: 16 Feb 2010) More...
Spontaneous resolution of an intramuscular supraspinatous cyst: a case report and literature review
by Jagwinder Dhaliwal and Butt Sohail
Intramuscular supraspinatous cysts are rare and usually related to partial supraspinatous tendon tears. Conventional magnetic resonance imaging (MRI) and MRI arthrography are the most commonly used modalities for imaging such rotator cuff pathology. Treatment and follow-up of such cysts is not well documented in the literature. We report the successful conservative management and follow-up of a patient with a supraspinatous cyst. A patient presented with a 2-month history of right shoulder pain following painting and decorating. An MRI scan showed a supraspinatous cyst and thinning of the supraspinatous tendon. The patient was treated conservatively and at 6 months follow-up was found to be asymptomatic. A repeat MRI scan confirmed complete resolution of the supraspinatous cyst. (Specialties Orthopaedic surgery, Radiology: 17 Nov 2009) More...
Spontaneous spinal haematoma: a case report and literature review
by Jagwinder Dhaliwal, Mushtaq Ahmed and Sam Horriat
Spontaneous spinal epidural haematoma is a rare condition that may lead to spinal cord or cauda equina compression resulting in severe neurologic impairment. Predisposing factors include anticoagulation, vascular malformation, disc herniation. Both surgical and more recently conservative modes of treatment have been described in the literature. This is the first reported case of a successful conservative management and follow-up of a spontaneous spinal epidural haematoma in a 90-year-old patient. The patient presented with acute onset of back pain and weakness of the legs. The patient was treated conservatively and made a complete recovery. Haematoma resolution was confirmed with a repeat magnetic resonance imaging scan. (Specialties Neurosurgery, Orthopaedic surgery: 17 Nov 2009) More...
Dominant inheritance of primary glenoid dysplasia: report of two cases
by Stuart N. Andrews, Tim D. Bunker and Sarah F. Smithson
Primary glenoid dysplasia, although a relatively rare diagnosis, has been well described clinically and published in the orthopaedic literature. However, very few cases of familial occurrence of the disease have been reported. We present two cases of the condition in a father and son. Both presented in childhood with recurrent shoulder pain and radiologically display primary glenoid dysplasia. Our cases would strongly suggest autosomal inheritance may occur in this dominant condition. (Orthopaedic surgery, Paediatrics; 20th February 2007) More...
Bilateral scapular fractures following low voltage electrocution
Musculoskeletal injuries following low voltage electrocution are extremely rare. We present the case of a 54-year-old gentleman who had an accident while working with 240-volt live wires. The absence of any associated trauma should not rule out the presence of scapular fractures in such cases.(May 2004) More...
Squamous cell carcinoma complicating chronic osteomyelitis
The internal fixation of fractures is associated with a risk of infection. Open fractures in particular are susceptible to such infection. Treatment is difficult and patients can develop a chronic osteomyelitis. We present the case of a patient who developed chronic osteomyelitis with a persistent discharging sinus following internal fixation of an open fracture of tibia. (March 2004) More...
Closed Total Talar Dislocation - A Case Report
Total dislocation of the talus with dislocation of the talonavicular, subtalar and ankle joint is an extremely rare injury. This report discusses the case of a 17-year old man who was presented to Accident & Emergency department complaining of pain below the right ankle and the medial aspect of the talonavicular joint of the right foot. (May 2002) More...
Osteoid Osteoma of Left Pars Inter-Articularis of Fourth Lumbar Vertebra
A 19-year old boy presented with a 3-month duration of intermittent low back pain. SPECT imaging and CT scan confirmed the diagnosis of osteoid osteoma in the left pars inter-articularis of the L4 vertebra. (May 2002) More...
Primary Leomyosarcoma of the Femur and Bony Metastases from the Breast in the Same Patient
Primary leomyosarcoma is a very rare tumour involving long bones in adults; only a few cases have been reported in world literature. In this case a breast tumour gave rise to a bony metastasis 22 years after it was 'cured' by a total mastectomy and without local recurrence. Such a combination is previously unreported. (March 2002) More...
