Bora Goksan

Congenital constriction ring syndrome with foot deformity: two case reports

IntroductionCongenital peripheral constriction ring originating from soft tissues of the leg that is characterized with compression in the soft tissue usually involving the deep fascia surrounding the leg at the time of birth is occasionally observed in lower extremity. At the region of the constriction, fractures of tibia and fibula and foot deformities like clubfoot can be observed.Case presentationIn our report, 6-month and 8-month old infants with congenital constriction band and ipsilateral clubfoot were presented. They were treated with multiple Z plasties for their constricting bands and Ponseti method of serial casting for their clubfoot deformities.ConclusionCongenital-constricting bands can be effectively released with multiple Z plasties. Ponseti method of correcting club foots of various causes can be applied to club foot deformities accompanying constricting bands.

Total knee and hip arthroplasty in a patient with dwarfism: a report of a patient with a spondylo-epiphyseal dysplasia

In patients with spondylo-epiphyseal dysplasia, coxa vara and genu valgum deformities cause malalignment, which lead to early degenerative changes in hip and knee. It is mandatory to give them a functional replacement for their deformed, painful knees and hips to lead a normal life. We report a patient with inherited dwarfism on whom a replacement of knee and hip was performed.RésuméChez les patients présentant une dysplasie spondylo-épiphysaire, la coxa vara et les genu valga sont responsables de malalignements, qui mènent aux changements dégénératifs précoces de la hanche et du genou. Il est obligatoire de leur offrir une arthroplastie pour que, malgré leurs genoux et hanches déformés et douloureux, ils puissent mener une vie normale. Nous rapportons le cas d’un patient atteint de nanisme héréditaire chez lequel un remplacement de genou et de hanche a été réalisé.

Cystic transphyseal bone tuberculosis: a report of two cases

We present two cases of tuberculosis osteomyelitis mimicking subacute osteomyelitis and treated without extensive debridement. Tuberculous osteomyelitis should be considered in the differential diagnosis of proximal tibial infections in children and early diagnosis and treatment is possible without extensive debridement.

Chronic acquired radial head dislocations associated with ulnar bowing in children. Report of three cases

The most common cause of chronic radial head dislocations is Monteggia lesions. Although acute, Monteggia fractures in children are easy to treat; complex reconstruction techniques may be required to reduce and stabilize chronic radial head dislocations. Early, accurate diagnosis and appropriate treatment remain the key factors for successful results in Monteggia or equivalent lesions in children.RésuméLa cause la plus commune des luxations chroniques de la tête radiale sont les lésions de Monteggia. Bien qu’il soit facile de traiter les fractures fraîches de Monteggia chez les enfants, des techniques complexes de reconstruction peuvent être exigées pour réduire et stabiliser des luxations chroniques de la tête radiale. Le diagnostic précoce et précis et le traitement approprié demeurent les facteurs principaux de succès dans les fractures de Monteggia ou dans les lésions équivalentes chez les enfants.

A previously unreported etiology of trigger toe.

Trigger toe is a rare entity, with only a few cases reported in the literature. It is usually seen in ballet dancers as a result of compression of the flexor hallucis longus tendon in the tarsal tunnel beneath the medial malleolus. We report a case of trigger toe due to a constricting lesion on the extensor hallucis longus tendon.