We studied the natural history of Perthes' disease in 62 children in whom the onset of symptoms was in adolescence. Three patterns of disease were noted, namely, late-onset pattern, segmental collapse, or destructive with failure of revascularisation. In the late-onset pattern, the disease followed the sequence of healing seen in younger children, but adequate epiphyseal remodelling did not occ...

The management of pain, stiffness and weakness of the wrist following unsuccessful conservative treatment of fractures of the scaphoid or of Kienb#{246}ck’s disease is a difficult problem. The result of excision of the affected bone is unpredictable and arthrodesis is a major procedure which leaves a disability. To avoid these disadvantages Stamm (1944) suggested arthroplasty of the wrist by ex...

The distal radioulnar joint (DRUJ) is a complex structure that contributes to full, painless forearm rotation and weight bearing. Stability requires adequate bony architecture and robust soft-tissue support. Arthritis of the DRUJ between the sigmoid notch of the distal radius and the ulnar head can be caused by traumatic, inflammatory, congenital, and degenerative processes. Initial management ...

Recent years have seen an increasing awareness of the anatomical and biomechanical significance of the distal radioulnar joint (DRUJ). With this has come a more critical approach to surgical management of DRUJ disorders and a realization that all forms of "excision arthroplasty" can only restore forearm rotation at the expense of forearm stability. This, in turn, has led to renewed interest in ...

Purpose. We present an extremely rare anatomical variation of unilateral flexor carpi radialis (FCR) absence. This rare anatomical variation posed a clinical dilemma to us and we highlight the importance of the surgeon being aware of this anatomical variation of an important structure both as a reconstruction tool and as an anatomical landmark. Methods. This anatomical variation of the unilater...

The results of 140 total hip revision procedures for "non-septic" loosening, dislocation, and fracture of the femoral stem or shaft have been personally reviewed and rated by the Harris method. The minimum follow-up period was six months: thirty-three (24 per cent) showed excellent or good results, seventy-two (51 per cent) showed fair or poor results. Subsequent excision arthroplasty was perfo...

synovial chondromatosis affecting the glenohumeral joint is rare. treatment primarily consists of arthroscopic loose body removal and synovectomy. shoulder arthroplasty has been mentioned in the literature as a treatment option for patients with coexisting arthritis, although the results have been underreported. the case of an 84-year-old man with long standing synovial chondromatosis of the sh...

background gigantomastia is a rare condition characterized by excessive breast growth and can be physically and psychosocially disabling for the patient. regarding management of gigantomastia, this study evaluates the outcomes of superomedial pedicle with vertical scar or wise pattern skin excision. methods a total of 425 patients who underwent reduction mammoplasty in our institution were revi...

background: replacement of the lost tissue is the major concerns of the plastic surgeons. expanded area should be coherent with the surrounding tissue. tissue expansion technique is the reforming methods the skin tissue scarcities. several methods for tissue expansion are available; including usage of silicon balloon and injecting fluid into the tissue expander. materials and methods: in a clin...

rhinophyma is a severe late complication of rosacea, which is characterized by progressive hyperplasia of sebaceous glands and connective tissue involving the lower two-thirds of the nose. it can be an emotionally devastating disorder, and serve as a medium for occult cancers and other health problems. many surgical treatments have been advocated, as well as dermabrasion and laser therapy. in l...