background : acromegaly, a condition which is associated with an acquired progressive disfigurement mainly involving the face and extremities, is a clinical syndrome which results from excessive production of growth hormone (gh) most commonly due to adenoma of the pituitary gland. acromegaly is a rare disease which due to its slow progression, is mostly diagnosed in late adulthood. bilateral sy...

Closed reduction and cast treatment of distal radius fractures renders satisfactory results in fractures that are reducible and stable and do not re-displace in plaster in the first 2 weeks following reduction. Intra-articular and unstable fractures have a high risk for re-displacement in plaster and therefore represent a contraindication for cast treatment. A fracture that re-displaces in plas...

Scoliosis is defined as lateral curvature of the spine with vertebral rotation, meaning that it is a 3dimensional deformity. Scoliosis leads to thoracic deformity if the spinal alterations occur in that zone (Figure 1). Scoliosis is classified as either idiopathic or secondary, regardless of what part of the spine is affected. Idiopathic scoliosis is currently thought almost certainly to arise ...

Pectus excavatum (PE), the most common skeletal anomaly of chest wall, sometimes requires a surgical correction but recurrent PE is not uncommon. PE usually has a benign course; however, this chest deformity may be associated with symptomatic tachyarrhythmias due to mechanical compression. We report a case of a patient with recurrent PE after surgical correction presenting with palpitation and ...

Patients with severe skeletal deformities are a challenging group to treat. A female, white, 35-year-old presented with right kidney stones located in renal pelvis, lower calyx, and upper ureter. She was affected by severe spinal deformity with restrictive respiratory obstruction, caused by kyphoscoliosis. Percutaneous nephrolithotomy in supine position was performed, achieving complete removal...

Scoliosis is defined as an appreciable lateral deviation with axial rotation in the normally straight vertical line of the spine. Idiopathic scoliosis is a deformity which develops during a period of rapid growth and reduces after skeletal maturity. As a biomechanical approach to scoliosis, this paper presents a computer simulation method to examine the hypothesis that local asymmetric growth i...

The Nail Patella Syndrome (NPS) is an autosomal dominant connective tissue disorder affecting the nails, skeletal system, kidneys and eyes. Here, we report a case of NPS detected at 19 weeks of gestation. The movements of the elbow and knee joints were restricted and there was rotational deformity of the knee joints. To our knowledge, this is the first report of in-utero restriction of limb mov...

A case of nevus comedonicus syndrome with atypical cutaneous presentation (widespread involvement without any particular pattern, midline lesions involving lower abdomen and involvement of bilateral pinna), and some unusual skeletal (adduction deformity involving bilateral metatarsal along with medial deviation at the level of tarsometatarsal joint), central nervous system (agenesis of corpus c...

Anterior open bite (AOB) is a term used if there is localized absence of occlusion anteriorly when the remaining teeth are in occlusion; it is commonly one of the main symptoms of an overall dentofacial deformity. Diagnosis, treatment, and retention can be difficult because this malocclusion has numerous correlated etiologic factors. Clinically, it is grouped into 2 main categories: dental or a...

This review of the literature presents the current understanding of Scheuermann's kyphosis and investigates the controversies concerning conservative and surgical treatment. There is considerable debate regarding the pathogenesis, natural history and treatment of this condition. A benign prognosis with settling of symptoms and stabilisation of the deformity at skeletal maturity is expected in m...