orthopedikos

Osteoid osteoma (OO) most commonly affects the cortices of long bones and rarely involves the toes, where it typically presents with swelling and pain. Radiological evaluation can often pose a diagnostic challenge. We report the case of a boy with a painless swelling of the middle phalanx of the third toe. Radiographic assessment using plain [...]

Introduction: Congenital distal tibiofibular diastasis is an extremely rare disorder. The main feature at presentation is a clubfoot deformity with leg length discrepancy (LLD) due to a short tibia. Limb lengthening and reconstruction techniques today can correct the deformity, ending with a plantigrade and functional limb. Case report: We report a patient with congenital tibiofibular [...]

Perivascular epithelioid cell tumors (PEComas) are rare mesenchymal tumors composed of cells with epithelioid and spindle morphology, which grow around blood vessels. PEComas of soft tissue are usually reported in adults, with a rare incidence in the pediatric population, especially in young children and in the soft tissue of the limb. We report a case [...]

A rare clinical presence of Salter-Harris type II fracture of the distal femur in a newborn. The crucial role of imaging in depicting urgent anatomical alterations.   Figure 1 X‐ray of the right femur. The black arrow indicates the fracture and the detached osseous part Figure 2 MRI of the right femur [...]

Localized pain in the absence of local lesion may represent referred pain from the spine, in a child, arising from a benign spinal schwannoma. It can be diagnosed by MRI. Surgical excision of the tumor relieves the symptoms.   Figure 1 A‐B: Initial MRI and CT scan with an area of lucency with edema [...]

Fetuses with prenatal diagnosis of reduced mobility and malformation are at increased risk to sustain neonatal femoral fractures. Labor difficulties even after an elective cesarean section may trigger the fractures of the long bones. Figure 2 X‐ray showing bilateral femoral fractures. Casts were applied for fixed equinovarus feet Figure 3 X‐ray showing [...]

Introduction: Residual orthopedic deformities after meningococcal infection in infancy, including severe angular deformities and leg length discrepancy (LLD), affect patient quality of life. Case presentation: We report the case of an adolescent female with severe varus deformity and LLD of her right femur. We applied a preconstructed Ilizarov frame and initially corrected the varus deviation [...]

A calcified mass located in the subcutaneous area above the Achilles tendon of a child poses difficulty for a correct diagnosis. Differential diagnosis includes tumoral calcinosis, calcified fibroma, calcified tendinitis, and myositis ossificans. A fibro-osseous pseudotumor is a rare benign lesion that usually affects the digits. Histologically, it consists of fibrous tissue with areas of [...]

Myossitis ossificans (MO) is a benign disorder characterized by heterotopic bone formation in skeletal muscle. It is divided in three types, fibrodysplasia ossificans progressive (FOP), myositis ossificans circumscripta or traumatica (MOT) and myositis ossificans without a history of trauma (non traumatic or pseudomalignant MO). Myositis ossificans is extremely rare in children younger than 10 years. [...]