Surgical management of thoracic multiple exostoses

We present a case of a 25 year old with HME who was referred for thoracic surgery assessment due to severe right sided chest pain. Computer tomography (CT) scan allowed pre-operative planning of the lesion. Under general anaesthesia, right video assisted thorascopic surgery (VATS) was performed through a cosmetic retro-mammary incision. Complete removal of the tumour resolved symptoms and she was subsequently discharged two days later.We show that VATS surgery with cosmetically placed muscle sparing incision allowed accurate resection with faster recovery.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research

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Publication date: Available online 9 November 2019Source: Arthroscopy TechniquesAuthor(s): Takehiko Sugita, Nobuyuki Itaya, Toshimi Aizawa, Masayuki Kamimura, Atsushi Takahashi, Naohisa MiyatakeAbstractWe orthopaedic surgeons are not familiar with the popliteus bursa. It is defined as the expansion in the synovial membrane of the posterolateral part of the knee that lies between the lateral meniscus and the tendon of the popliteus muscle. The popliteus bursa extends approximately 1 cm distal to the joint line and has 4 borders; the medial border is the peripheral margin of the lateral meniscus, the lateral border is t...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
CONCLUSION: Talus localized osteochondromas are often symptomatic and more common in adults. Also, they are more common in females. The ideal treatment approach is resection of the tumor. When rigorous surgical excision is performed, recurrence rates are low with satisfactory outcomes. PMID: 31650930 [PubMed - in process]
Source: Eklem Hastaliklari ve Cerrahisi - Category: Orthopaedics Tags: Eklem Hastalik Cerrahisi Source Type: research
Osteochondromas are a common type of benign bone tumor that occur during childhood. Osteochondromas can be solitary or multifocal as a part of a syndrome, known as multiple hereditary exostoses (MHE). This differentiation was first discovered in 1786 by John Hunter, a famous Scottish surgeon. In 1814, MHE was found to have a familial association. Later, in the 1900s, MHE was differentiated from other disorders, such as Ollier disease (multiple enchondromatosis) and Trevor disease (dysplasia epiphysealis hemimelica). MHE is known by other names including hereditary multiple osteochondromas, diaphyseal aclasis, hereditary de...
Source: Contemporary Diagnostic Radiology - Category: Radiology Tags: ARTICLE Source Type: research
We present a case of a 25 year old with HME who was referred for thoracic surgery assessment due to severe right sided chest pain. Computer tomography (CT) scan allowed pre-operative planning of the lesion. Under general anaesthesia, right video assisted thorascopic surgery (VATS) was performed through a cosmetic retro-mammary incision. Complete removal of the tumour resolved symptoms and she was subsequently discharged two days later. We show that VATS surgery with cosmetically placed muscle sparing incision allowed accurate resection with faster recovery. PMID: 31589851 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
CONCLUSION: Osteochondromas are rarely symptomatic in skeletally mature patients. While most are benign with a very low risk of malignant transformation, surgical excision can yield excellent results and significant pain relief in symptomatic patients. PMID: 31572670 [PubMed]
Source: World Journal of Orthopaedics - Category: Orthopaedics Tags: World J Orthop Source Type: research
Publication date: Available online 25 September 2019Source: Orthopaedics &Traumatology: Surgery &ResearchAuthor(s): Hubert Lenoir, Yacine Carlier, Matthieu Ferrand, Anne Vidil, Pierre Desmoineaux, Francophone Arthroscopy Society (SFA)AbstractIntroductionThe primary symptoms of elbow osteoarthritis are the progressive development of stiffness along with pain at the end range of motion due to osteophyte impingement. Surgical treatment involves resecting these “bone stops”. In the literature, these osteophytic lesions are more common than cartilage lesions, which suggests they may occur beforehand. The aim...
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
We present an exceptionally rare case of tarsal navicular dorsal osteochondroma diagnosed in an 11-year-old female child affected by chronic foot pain. Radiographs, MRI, and computed tomography scan revealed bony excrescences extending outward from the navicular bone. After conservative treatment failed, the navicular dorsal exostosis was excised in open surgery with complete resolution of symptoms. Navicular–cuneiform impingement was diagnosed by instrumental and intraoperative techniques. Histological analysis confirmed the diagnosis of navicular dorsal osteochondroma. This case report illustrates the necessity of ...
Source: Journal of Pediatric Orthopaedics B - Category: Orthopaedics Tags: Foot & Ankle Source Type: research
ConclusionLack of pain, progressive pain and bump, activity-independent pain, a bump size larger than 5  cm2 at presentation, and age fewer than ten years could be considered in favour of tumours and against OSD.
Source: International Orthopaedics - Category: Orthopaedics Source Type: research
ConclusionGood clinical outcome is expected with surgical excision of symptomatic scapula osteochondromas especially using muscle-sparing technique which offers a quick functional rehabilitation of patients.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Rationale: Total knee arthroplasty (TKA) is a globally well-accepted surgery because of its good outcome and safety. Although TKA-associated arterial injuries occur, postoperative anterior tibial artery (ATA) occlusion has not been reported yet. Herein, we present a case of ATA occlusion after TKA. Patient concerns: A 42-year-old man with a 6-year history of right knee pain after right patella fracture treated with open reduction was referred to our clinic. Valgus and contracture deformities were detected in the right knee. Severe osteoarthritis (OA) in the right knee and multiple osteochondromas were observed on radi...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
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