33 results on '"Mustapha Koubaa"'
Search Results
2. Primary giant hydatid cysts of the thigh and the gluteal region: a case report
- Author
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Saber Rabhi, Jacem Saadana, Chaouch Firas, Youssef Othman, Makram Zrig, Mustapha Koubaa, and Abderrazek Abid
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hydatid cyst ,infection ,giant ,case report ,Medicine - Abstract
Primary musculoskeletal echinococcosis is rare and accounts for 2-3% of the patients with hydatid disease. We report a case of giant primary hydatid cysts of the thigh and the gluteal region in an 82-year-old female, who presented with a painful multiple palpable mass. The diagnosis was confirmed by imaging and serology. Total resection was performed through an extended lateral approach of the thigh and intraoperative findings revealed infected giant hydatid cysts. The postoperative outcome was uneventful. Albendazole drug (400mg per day) was given for the next 3 months. At 6 months follow-up, the patient was satisfied with no complications or recurrence.
- Published
- 2021
- Full Text
- View/download PDF
3. The place of the modified palmer technique for articular calcaneal fractures
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Zied Bellaaj, Issam Aloui, Youssef Othman, Mustapha Koubaa, Makram Zrig, and Abderrazek Abid
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bone autograft ,calcaneus ,fixation ,intra-articular fracture ,palmer technique ,Surgery ,RD1-811 - Abstract
Surgical treatment of displaced articular fractures of the calcaneus is currently recommended by most authors. Different surgical procedures are described in literature. The purpose of this study is to evaluate the functional and anatomic results of articular fractures of the calcaneus surgically treated with the modified Palmer method and precise the place, the conditions, and the advantages of this technique for articular fractures of the calcaneus. This is a retrospective study assessing the outcomes of surgical treatment of articular calcaneal fractures surgically treated using the modified Palmer technique. Twenty-two patients underwent this surgery for 6 years. All patients have diabetes and/or smoking history, and physical examination revealed a severe swelling within the hindfoot. Sanders classification Type II was found in 6 cases, whereas 18 cases fell below Type III. The mean preoperative Bohler angle was about −2.7°. An extended lateral approach was performed, and the void caused by elevating the intra-articular surface was filled by an iliac crest graft firmly impacted in all cases. Additional limited fixation was performed in 71% of patients. On follow-up, the functional and anatomic results were analyzed, respectively, by Kitaoka and Babin's quotations, and the radiological assessment was based on Bohler angle. No cutaneous or infectious complications were observed after surgery. The mean postoperative Bohler angle was 21.9°, and it was 19.8° at the last follow-up with a significant difference. At follow-up, the mean functional Kitaoka score was 75; it was considered as excellent in four cases, good in ten, fair in eight, and poor in two patients. The modified Palmer technique is a simple surgical procedure to treat intra-articular calcaneal fractures. It provides encouraging results. This method is recommended in the case of Sander's II and III calcaneal fracture for patients with a high risk of cutaneous complications to avoid infection and cutaneous complications.
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- 2019
- Full Text
- View/download PDF
4. Place des gestes associés à l'ostéotomie de Scarf dans le traitement de l'hallux valgus
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Zied Bellaaj, Skander Ben Dhia, Mohamed Allagui, Issam Aloui, Youssef Othmen, Makram Zrig, Mustapha Koubaa, and Abderrazek Abid
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avant-pied ,hallux valgus ,ostéotomie de scarf ,ostéotomie phalangienne ,ostéotomie weil ,Medicine - Abstract
Devant la multiplicité des techniques proposées pour le traitement de l'hallux valgus, nous proposons d'évaluer l'ostéotomie Scarf associée ou non à une ostéotomie phalangienne et/ou une ostéotomie Weil. Il s'agit d'une étude rétrospective de 29 patients, dont un cas bilatéral, opérés entre 2011 et 2016 par une ostéotomie de Scarf du premier rayon avec un geste associé dans 80% des cas. Les résultats ont été analysés selon la satisfaction des patients, l'indice de Groulier et les mesures radiologiques. Le score global de Groulier donnait une bonne évaluation objective du résultat prenant en compte les données radiologiques et anatomiques qui influencent le résultat final en cas d'insuffisance de correction. Le recul moyen était de 3 ans et 5 moins. Une diminution significative du valgus phalangien (de 34,17% à 16,1%), du métatarsus varus (de 15,13% à 9,93%) et de l'angle articulaire distal métatarsien (de 17,63% à 12,73%) étaient retrouvés. Les patients sont satisfaits et très satisfaits dans 83% des cas. Les complications sont dominées par l'hypo-correction dans 13,3% des cas et nous n'avons noté aucun cas de pseudarthrose ou de nécrose de la tête de M1. Nos résultats sont comparables à ceux de la littérature. Nous insistons sur le caractère surtout fonctionnel de la chirurgie de l'hallux valgus qu'il convient d'intégrer dans une correction globale de l'avant-pied. L'ostéotomie de Scarf nécessite une technique rigoureuse, elle est fiable par ses résultats et présente comme limite les grosses déformations surtout de l'angle articulaire distal métatarsien.
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- 2018
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5. Cystic form of Actinomycotic mycetoma: A new case with a diagnostic challenge
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Manel Njima, Mustapha Koubaa, Seifeddine Ben Hammouda, Ahlem Bellalah, Sarah Ben Khalifa, Nouha Ben Abdeljelil, Abdelfatteh Zakhama, and Rim Hadhri
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medicine.medical_specialty ,Medicine (General) ,Case Report ,Case Reports ,030204 cardiovascular system & hematology ,Eumycetoma ,actinomycosis ,03 medical and health sciences ,0302 clinical medicine ,R5-920 ,Actinomycotic mycetoma ,medicine ,Cyst ,Mycetoma ,skin and connective tissue diseases ,cyst ,integumentary system ,business.industry ,General Medicine ,medicine.disease ,bacterial infections and mycoses ,Dermatology ,030220 oncology & carcinogenesis ,histopathology ,Medicine ,Histopathology ,Actinomycosis ,Presentation (obstetrics) ,business ,Foot (unit) ,mycetoma - Abstract
Mycetoma, commonly known as Madura foot, is a chronic granulomatous infection caused either by fungi (eumycetoma) known as actinomycete. This disease occurs preferentially in young adults, and it affects the foot in particular. We report a Tunisian case of mycetoma occurring in an old patient, particular by its cystic presentation.
- Published
- 2021
6. Primary giant hydatid cysts of the thigh and the gluteal region: a case report
- Author
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Mustapha Koubaa, Saber Rabhi, Abderrazek Abid, Makram Zrig, Firas Chaouch, Jacem Saadana, and Youssef Othman
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medicine.medical_specialty ,business.industry ,General Medicine ,Thigh ,medicine.disease ,Echinococcosis ,infection ,Surgery ,Resection ,Albendazole ,medicine.anatomical_structure ,Hydatid cyst ,parasitic diseases ,giant ,medicine ,Gluteal region ,Postoperative outcome ,case report ,Palpable mass ,business ,Lateral approach ,medicine.drug - Abstract
Primary musculoskeletal echinococcosis is rare and accounts for 2-3% of the patients with hydatid disease. We report a case of giant primary hydatid cysts of the thigh and the gluteal region in an 82-year-old female, who presented with a painful multiple palpable mass. The diagnosis was confirmed by imaging and serology. Total resection was performed through an extended lateral approach of the thigh and intraoperative findings revealed infected giant hydatid cysts. The postoperative outcome was uneventful. Albendazole drug (400mg per day) was given for the next 3 months. At 6 months follow-up, the patient was satisfied with no complications or recurrence.
- Published
- 2021
7. THE DIFFICULTY OF THE DIAGNOSIS OF AN ISOLATED PROXIMAL TIBIOFIBULAR JOINT DISLOCATION: A CASE REPORT AND REVIEW OF LITERATURE
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Zied Bellaaj, Makram Zrig, Issam Aloui, Mustapha Koubaa, and Abderrazek Abid
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Local pain ,medicine.medical_specialty ,TIBIOFIBULAR JOINT DISLOCATION,emergency service ,business.industry ,medicine.medical_treatment ,Radiography ,Proximal tibiofibular joint ,Surgery ,medicine.anatomical_structure ,Dislocation (syntax) ,medicine ,Ankle ,Presentation (obstetrics) ,business ,Range of motion ,Reduction (orthopedic surgery) - Abstract
lntroduction: An isolated dislocation of the proximal tibiofibular joint is uncommon injury.The diagnosis can be easily missed. in this case report, we expose how avoid missing out on thediagnosis and we expose a special maneuverwhich facilitating the open reduction.Case Report: We report the case ofa 31-year-old man presented at emergency aft er right knee duringfootball game. lniti ally ph ysical examination objectives a moderate swelling and a local pain on the lateral side of the right knee. The anteroposte rior and lateral radiograph s was considered normal. The diagno sis o f lateral meniscal injury was admitt ed. After one week, reexami nation objective a tender bony prominence over the antero lateral aspect of the knee. Radiol ogical investigations confirms the diagnosis of a proximal tibiofibular dislocation. An open reduction was performed. At final follow-up, the patie nt don't presents any complaints, with complete range of motion ofthe knee and the ankle.Conclusion: The pro ximal tibiofibular joint dislocation is rare entity. The early diagno sis canbe missed easily if no awareness of thi sinjury is present. The clinical presentation can mimes a lateral meniscal or lateral ligaments injuries. CT cofirm s d iagnosis if X-r ay are insuffisent.Often, early diagnosis allow s a closed reduction without surgery.
- Published
- 2019
8. Coracoid fracture combined with distal clavicle fracture without coracoclavicular ligament rupture: A case report
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Abderrazek Abid, Makram Zrig, M.F. Hamdi, M. Allagui, I. Aloui, and Mustapha Koubaa
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medicine.medical_specialty ,Distal clavicle ,business.industry ,Bony union ,Case Report ,Coracoid process ,Surgery ,Coracoid ,medicine.anatomical_structure ,Clavicle ,medicine ,Fracture (geology) ,Orthopedics and Sports Medicine ,In patient ,business ,Coracoclavicular ligament - Abstract
Distal clavicle fracture accompanied by coracoid process one is a rare injury. Surgical and/or conservative treatments are proposed. We report the case of a 49-year-old woman presenting a distal clavicle fracture associated with a coracoid process one due to a fall on the left shoulder. Both injuries are treated surgically. Per operatively, and through an anterior “strap” approach, the coracoclavicular ligament was seen intact. The distal clavicle fracture was fixed with K-wires and cerclage and the coracoid process was secured by a screw. Active-assisted rehabilitation of the shoulder was initiated 3 weeks after surgery. At the last follow-up of twelve months, the patient had painless full shoulder functions and X-rays show bony union. Early recovery to normal life is possible with surgical treatment in patients with distal clavicle fracture combined with coracoid fracture.
- Published
- 2013
9. Intérêt de la mosaicplasty dans le traitement des pertes de substances cartilagineuses focales : résultats anatomiques d’une série de dix cas
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M. Faouzi Hamdi, Abderrazek Abid, B. Touati, Mohamed Allagui, A. Khelifi, Mustapha Koubaa, and Issam Aloui
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Rehabilitation ,Orthopedics and Sports Medicine ,Surgery - Abstract
Resume Introduction Les pertes de substances cartilagineuses focales du genou ou de la cheville chez le sujet jeune posent essentiellement un probleme therapeutique. La chirurgie s’adresse aux lesions douloureuses instables situees en zones portantes et arthrogenes. La greffe chondrocytaire autologue en mosaique, ou mosaicplasty , est une option therapeutique. But Evaluer les resultats de cette technique a moyen terme. Patients et methodes Notre serie prospective comporte dix cas interessant huit hommes et deux femmes, d’âge moyen 32,5 ans. La gene fonctionnelle evaluee par le score International Cartilage Repair Society (ICRS) etait importante dans tous les cas. Les localisations ont interesse le genou dans huit cas et la cheville dans deux cas (dome astragalien). Les lesions etaient toutes en zone portante (zone 2 : quatre cas, zone 4 et 5 : trois cas) selon la classification de Cahill et Berg et avaient une surface moyenne de 2,04 cm 2 . Des lesions associees etaient presentes dans sept cas. La mosaicplasty a ete realisee en moyenne 29 mois apres le debut de la symptomatologie clinique. Les greffons utilises etaient de 8 ou 10 mm de diametre avec un nombre moyen de 2 (1–4). La couverture globale etait en moyenne de 78 % (65–90 %) avec une stabilisation par frottement dur dans 90 %. Resultats Les resultats ont ete evalues avec un recul moyen de 40 mois. Sur le plan fonctionnel, ils etaient satisfaisants dans 90 % des cas selon le score de Hugston modifie par la societe francaise d’arthroscopie (SFA) et, sur le plan anatomique (controle par arthro-TDM ou imagerie par resonance magnetique [IRM]) ils etaient satisfaisants dans 80 % des cas selon les criteres radiologiques de Hugston. Conclusion Notre etude et la revue de la litterature confirment l’efficacite et la faible morbidite de la technique de mosaicplasty dans le traitement des pertes de substances cartilagineuses focales de 1 a 3 cm 2 .
- Published
- 2012
10. Fracture-avulsion de l’insertion tibiale du ligament croisé postérieur chez un enfant. À propos d’un cas et revue de la littérature
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Makram Zrig, Z. Bellage, Mustapha Koubaa, Abderrazek Abid, S. Bannour, and M. Mhamdi
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Rehabilitation ,Orthopedics and Sports Medicine ,Surgery - Abstract
Resume La lesion isolee du ligament croise posterieur (LCP) et, en particulier, la desinsertion tibiale est une entite rarement decrite chez l’enfant. Nous rapportons un cas de fracture-avulsion isolee de l’insertion tibiale du LCP chez un jeune sportif de 14 ans, traitee chirurgicalement avec de bons resultats fonctionnels apres un recul de deux ans.
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- 2012
11. Historical giant near-circumferential osteochondroma of the proximal humerus
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Issam Aloui, Abderrazek Abid, M. Allagui, M.F. Hamdi, Mustapha Koubaa, and Karim Amara
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Osteochondroma ,medicine.medical_specialty ,Proximal humerus ,Bone Neoplasms ,Bone Nails ,Severity of Illness Index ,Diagnosis, Differential ,X ray computed ,Severity of illness ,medicine ,Humans ,Orthopedic Procedures ,Orthopedics and Sports Medicine ,Humerus ,Child ,business.industry ,Follow up studies ,General Medicine ,medicine.disease ,medicine.anatomical_structure ,Female ,Surgery ,Radiology ,Tomography, X-Ray Computed ,business ,Follow-Up Studies - Published
- 2010
12. Kyste synovial du scaphoïde carpien. À propos d’un cas et revue de la littérature
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Ameur Abid, Makram Zrig, R. Jawahdou, Mustapha Koubaa, H. Mnif, and N. Sahnoun
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Orthopedics and Sports Medicine ,Surgery - Abstract
Resume Le kyste synovial intra-osseux du scaphoide constitue une etiologie tres rare des douleurs du poignet et de la main. La localisation au niveau du scaphoide est exceptionnellement decrite dans la litterature. Nous rapportons une observation d’une femme de 30 ans, droitiere qui s’est presente pour des douleurs du poignet droit evoluant depuis 24 mois, sans notion de traumatisme. Cette douleur etait rebelle aux anti-inflammatoires. L’examen a objective la presence d’une legere tumefaction en regard du scaphoide sans limitation de la mobilite du poignet. La radiographie standard et la tomodensitometrie du poignet ont revele un kyste intra-osseux du scaphoide. Le curetage–comblement par greffon spongieux preleve sur la metaphyse inferieure du radius ipsilateral a permis la guerison avec une bonne recuperation fonctionnelle. Les aspects cliniques, radiologiques et therapeutiques seront discutes par les auteurs.
- Published
- 2010
13. Ganglion cyst of the carpal navicular. A case report and review of the literature
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R. Jawahdou, Mustapha Koubaa, Abderrazek Abid, H. Mnif, Makram Zrig, and N. Sahnoun
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medicine.medical_specialty ,business.industry ,Radiography ,medicine.medical_treatment ,Wrist pain ,Wrist ,medicine.disease ,Curettage ,Surgery ,Ganglion cyst ,medicine.anatomical_structure ,Scaphoid bone ,Scaphoid ,medicine ,Bone graft ,Cyst ,Orthopedics and Sports Medicine ,medicine.symptom ,business ,Cancellous bone - Abstract
SummaryIntraosseous ganglion (IOG) cyst of the scaphoid is an infrequent cause of hand and wrist pain. Intraosseous ganglia located in the scaphoid have rarely been described in the literature. We report the case of a 30-year-old right-handed woman who presented with a more than 24-month history of progressive right-wrist pain. No history of trauma was reported. Conservative treatment with anti-inflammatory medications before referral was unsuccessful. Examination revealed a small palpable mass in the carpal navicular region with no limitation of normal wrist motion. An IOG cyst of the scaphoid was found on standard radiograph and CT-scan of the wrist. Treatment consisted in curettage of the cyst followed by packing of the defect with autologous cancellous bone graft harvested in the distal end of the radial metaphysis. Satisfactory functional recovery was achieved. The clinical, radiographic and therapeutic aspects of this rare condition are discussed by the authors.
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- 2010
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14. Reimplantation of a Totally Extruded Talus: A Case Report
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Hichem Mnif, Mustapha Koubaa, Makram Zrig, Abderrazek Abid, Imed Hammouda, and R. Jawahdou
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Adult ,Male ,musculoskeletal diseases ,medicine.medical_specialty ,Heel ,External Fixators ,medicine.medical_treatment ,Joint Dislocations ,Avascular necrosis ,Osteoarthritis ,Talus ,Fractures, Open ,medicine ,Humans ,Orthopedics and Sports Medicine ,Ankle Injuries ,business.industry ,Osteomyelitis ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Replantation ,Orthopedic surgery ,Osteitis ,Ankle ,business - Abstract
Total extrusion of the talus is an unusual injury, and the obvious risks of reimplantation of the extruded bone include infection and avascular necrosis. In this article, the authors present the case of a 34-year-old man who sustained an open ankle injury with complete extrusion of the talus. The talus was recovered at the scene of the accident, and subsequently reimplanted along with ankle stabilization with pins and an external fixator. At 6 weeks following the osseous surgery, final soft tissue reconstruction with a suralis flap was performed. At 3 years after the injury, radiographs revealed spontaneous fusion of the tibiotalar and subtalar joints, and the clinical examination and history indicated satisfactory weight-bearing function of the involved foot and ankle. The definitive treatment of this serious lower extremity injury remains controversial, and the use of large allogeneic bone grafts, vascularized bone grafts, and tibiocalcaneal fusion, as well as reimplantation of the extruded talus have been recommended.
- Published
- 2010
15. L’ostéomyélite aiguë hématogène de la scapula chez l’enfant : à propos de quatre cas
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Makram Zrig, Abderrazek Abid, H. Mnif, and Mustapha Koubaa
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Orthopedics and Sports Medicine ,Surgery - Abstract
Resume Le but de cette etude etait de rapporter des cas d’osteomyelite scapulaire de l’enfant afin d’etudier leurs specificites cliniques et radiologiques et de proposer une conduite therapeutique adaptee. Cette etude retrospective portait sur quatre patients, avec un âge moyen de huit ans au moment du diagnostic (extremes de cinq et 11 ans). Le tableau clinique non specifique etait fait d’un syndrome douloureux de l’epaule dans un contexte febrile. Le diagnostic de l’osteomyelite de la scapula a ete realise en se basant sur l’imagerie (echographie et tomodensitometrie). Le staphylocoque dore methi-s a ete isole dans les quatre cas. Le traitement a ete medicochirurgical dans les quatre cas permettant d’evacuer la collection purulente et de trepaner la scapula. Nos resultats ont ete analyses avec un recul moyen de 36 mois (16 a 60 mois). Sur le plan fonctionnel, le resultat etait satisfaisant avec une mobilite complete de l’epaule et disparition des douleurs. Sur le plan anatomique, nous n’avons pas note de sequelles.
- Published
- 2009
16. Ostéomyélite de l’ischion à Escherichia coli chez l’adulte : à propos d’une observation
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M. Golli, Amira Hamzaoui, H. Mnif, R. Salem, S. Mahjoub, Mustapha Koubaa, Makram Zrig, and Abderrazek Abid
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Orthopedics and Sports Medicine ,Surgery - Abstract
Resume Les osteomyelites, infections osseuses d’origine hematogene, sont rares au niveau des os du bassin (2,3 %) et sont exceptionnelles au niveau de l’ischion. L’osteomyelite ischiatique se voit surtout chez l’enfant et l’adolescent, elle a ete plus rarement decrite chez l’adulte. Le tableau clinique est variable et le diagnostic repose sur l’imagerie par resonance magnetique nucleaire. Le germe le plus souvent isole est le staphylocoque, exceptionnellement l’Escherichia coli. Nous rapportons un cas d’une osteomyelite a E. coli chez une femme de 46 ans, revelee par une fievre prolongee. Le point de depart de cette septicemie etait digestif, en rapport avec des polypes coliques. Le tableau clinique etait egalement complique d’un syndrome des anticorps antiphospholipides (thrombose de la veine mesenterique superieure et du tronc splenomesaraique). L’evolution etait favorable grâce a une antibiotherapie adaptee et un drainage chirurgical. Niveau de preuve IV.
- Published
- 2009
17. Mortalité et morbidité après fracture trochantérienne chez les personnes âgées. Étude prospective de 100 cas
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H. Mnif, Abderrazek Abid, R. Trabelsi, Makram Zrig, and Mustapha Koubaa
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Orthopedics and Sports Medicine ,Surgery - Abstract
Resume Fondement Les fractures trochanteriennes constituent une cause majeure de mortalite et de morbidite et de perte fonctionnelle chez les sujets âges. Leur morbidite est intimement liee au degre d’instabilite et de comminution fracturaire ainsi qu’a la qualite de la reduction et de l’osteosynthese. L’âge avance et la presence de tares associees sont deux facteurs determinants dans la survenue de deces suite aux fractures trochanteriennes. Objectifs Le but de cette etude prospective etait d’etudier le profil epidemiologique de ces fractures et d’evaluer la mortalite et la morbidite afin d’etablir des criteres pour le choix therapeutique et d’ameliorer les moyens de prevention. Patients et methodes Cette etude prospective evaluait 100 patients dont l’âge moyen etait de 76 ans (60 a 96 ans). Le sexe masculin predominait (60 %). Une ou plusieurs tares etaient presentes dans 68 % des cas. L’accident faisait suite a une chute banale dans 90 % des cas. Les fractures ont ete classees selon les classifications de Ramadier et d’Ender. Elles etaient instables dans 65 % des cas. L’osteosynthese a ete realisee par un materiel a appui cortical externe type DHS dans tous les cas. Resultats Les resultats anatomofonctionnels ont ete analyses pour 82 patients (18 patients sont decedes au cours de la premiere annee). Le recul moyen de la serie etait de 24 mois (12 a 36 mois). La consolidation osseuse a ete obtenue dans 96 % des cas. Les suites operatoires ont ete grevees de nombreuses complications (quatre complications thromboemboliques, 14 complications de decubitus, deux infections, six demontages ou balayage du materiel, quatre pseudarthroses et neuf cals vicieux). Au terme de deux ans, 28 patients etaient decedes. La mortalite etait etroitement liee a l’âge (grands vieillards au-dela de 90 ans), a la presence de tares et aux fractures instables. Les bons resultats fonctionnels (72 %) dependaient de l’âge du patient (gerontins de 60 a 74 ans), de la stabilite de la fracture, de la bonne reduction et d’une osteosynthese stable. Discussion Dans les fractures trochanteriennes stables, l’osteosynthese par vis-plaque dynamique a prouve sa superiorite par rapport aux autres techniques (lame-plaque, clou-plaque, clous d’Ender et meme par rapport au clou trochanterien). Dans les fractures trochanteriennes instables, l’appui doit etre retarde afin d’eviter la survenue de complications mecaniques. Ces fractures instables ou a extension sous-trochanterienne peuvent constituer une bonne indication d’un clou trochanterien offrant une meilleure stabilite, mais parfois au prix d’une reduction insuffisante. L’objectif therapeutique doit etre une reprise de l’appui complet avec le minimum de complications et le plus rapidement possible. La prevention de ces fractures passe par la detection et le traitement de l’osteoporose et l’eradication des causes responsables de chutes chez les sujets âges (renforcement musculaire et correction des troubles neurosensoriels). Type d’etude Niveau III : prospective, etude de cohorte.
- Published
- 2009
18. An unusual combination of floating knee and trifocal articular tibial fracture
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Abderrazek Abid, R. Jawahdou, Makram Zrig, Hichem Mnif, Mustapha Koubaa, and N. Sahnoun
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musculoskeletal diseases ,medicine.medical_specialty ,business.industry ,Femoral shaft ,Femoral fracture ,musculoskeletal system ,medicine.disease ,Surgery ,law.invention ,Intramedullary rod ,law ,medicine ,Fracture (geology) ,Orthopedics and Sports Medicine ,Femur ,Tibial fracture ,Tibia ,business ,Percutaneous screw fixation - Abstract
Fractures of the ipsilateral femur and tibia are a devastating injury complex, usually as the consequence of high-energy traumatisme. We present a case of 42-year-old man, who sustained a simultaneous fracture of the femoral shaft and trifocal tibia. Our management consisted of treating both the femoral and the tibial fractures surgically, by intramedullary nailing and a percutaneous screw fixation of tibial and malleolar fracture. He was evaluated at 4 years of follow-up. With careful attention to some technical points, femoral fracture, ipsilateral tibial plateau, shaft and malleolar fractures can be managed successfully by combining two familiar techniques commonly employed for each injury in isolation.
- Published
- 2009
19. Intramuscular haemangioma and periosteal new bone formation on the adjacent bone: case report and literature review
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Karim Amara, Mustapha Koubaa, Hichem Mnif, Aziz Souguir, Makram Zrig, and Abderrazek Abid
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Periosteal new bone formation ,business.industry ,Periosteal reaction ,Anatomy ,medicine.disease ,Asymptomatic ,Resection ,Lesion ,Medicine ,Orthopedics and Sports Medicine ,Surgery ,Tibia ,Intramuscular haemangioma ,Tibial fracture ,medicine.symptom ,business - Abstract
We present a rare case of intramuscular haemangioma of the tibialis anterior adjacent to bone in a 32-year-old woman with the history suggestive of right tibial fracture. Plain radiographs showed an hypertrophic periosteal reaction and a thickening on the cortical shaft of the tibia. MRI revealed an intramuscular mass adjacent to the bone with inhomogeneous high signal intensity. The lesion was treated by resection of the soft-issue mass. The patient remained asymptomatic 30 months post-operatively with no signs of recurrence. These lesions mimic periosteal or parosteal tumours.
- Published
- 2009
20. Fibroma of the tendon sheath around the knee
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R. Jawahdou, Mustapha Koubaa, Hichem Mnif, Makram Zrig, Abderrazek Abid, and N. Sahnoun
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musculoskeletal diseases ,medicine.diagnostic_test ,business.industry ,Magnetic resonance imaging ,Anatomy ,musculoskeletal system ,medicine.disease ,Tendon ,Benign Soft Tissue Tumor ,stomatognathic diseases ,Tendon sheath ,medicine.anatomical_structure ,Fibroma of tendon sheath ,medicine ,Orthopedics and Sports Medicine ,Surgery ,Fibroma ,business - Abstract
Fibroma of tendon sheath is an uncommon benign soft tissue tumor, intimately associated with tendons or tendon sheaths, with a predilection for the upper extremity. Fibroma of the tendon sheath around the knee is extremely rare. We report a case of a 51-year-old man who presented a tumor involving the posteromedial aspect of the left knee and which progressed in size for 7 years. Magnetic resonance imaging demonstrated a heterogeneous high-signal intensity in the mass on T1 and T2-weighted images. The tumor was excised en bloc. Macroscopically, it was lobulated and measured 13 cm in its largest diameter. Histology led to the diagnosis of fibroma of the tendon sheath. At 6 years’ follow-up, there was no local recurrence. To the best of our knowledge, the location and the size of this fibroma of the tendon sheath have never been described.
- Published
- 2009
21. Osteoid osteoma of the coronoid process tip
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Abderrazek Abid, Mustapha Koubaa, Mohamed Habib Kammoun, Hichem Mnif, and Makram Zrig
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Osteoid osteoma ,Orthodontics ,Adolescent ,business.industry ,Biopsy, Needle ,Osteoma, Osteoid ,Bone Neoplasms ,Recovery of Function ,General Medicine ,medicine.disease ,Arthralgia ,Immunohistochemistry ,Coronoid process ,Treatment Outcome ,Elbow Joint ,Humans ,Medicine ,Orthopedic Procedures ,Orthopedics and Sports Medicine ,Surgery ,Tomography, X-Ray Computed ,business ,Follow-Up Studies ,Neoplasm Staging ,Pain Measurement - Published
- 2009
22. Transverse divergent dislocation of the elbow in adult: a 9-year follow-up
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Hichem Mnif, Zohra ben Salah, Karim Amara, Makram Zrig, Mustapha Koubaa, and Abderrazek Abid
- Subjects
musculoskeletal diseases ,Coronoid process of the ulna ,business.industry ,Ulna ,Elbow ,Adult case ,Anatomy ,musculoskeletal system ,body regions ,Transverse plane ,medicine.anatomical_structure ,Elbow dislocation ,Dislocation (syntax) ,medicine ,Cast immobilization ,Orthopedics and Sports Medicine ,Surgery ,business - Abstract
Transverse divergent dislocation of the elbow, in which the radius and ulna dislocate in diverging directions, is an extremely rare injury (19 cases have been reported in the literature). Usually, this type of elbow dislocation occurs in children, and an adult case is extremely rare. In this report, we present a case of a transverse divergent dislocation of elbow in a 20-year-old woman, treated with conservative method and long-arm cast immobilization. At 9 years, she had no pain in the elbow, returned to full activities and had normal function. The X-ray of the elbow was normal, except for a small nonunited bony fragment adjacent to the coronoid process of the ulna.
- Published
- 2009
23. Isolated anterior fracture–dislocation of the hamate bone: a case report
- Author
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Abderrazzak Abid, Mohamed Faouzi Hamdi, Issam Aloui, Mohamed Allagui, Mustapha Koubaa, and Youcef Othmen
- Subjects
Orthodontics ,medicine.medical_specialty ,Sports medicine ,business.industry ,Public Health, Environmental and Occupational Health ,Scaphoid fracture ,medicine.disease ,Carpal bones ,medicine.anatomical_structure ,Orthopedic surgery ,medicine ,Fracture (geology) ,Carpal tunnel ,Hamate Bone ,Carpal tunnel syndrome ,business - Published
- 2013
24. An unusual Monteggia type I equivalent fracture: a case report
- Author
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Mustapha Koubaa, Abderrazek Abid, Sabeur Bannour, Makram Zrig, Karim Amara, and Hichem Mnif
- Subjects
medicine.medical_specialty ,Elbow ,Risk Assessment ,Monteggia's Fracture ,Lesion ,Injury Severity Score ,Rare Diseases ,Fracture Fixation ,Elbow Joint ,Fracture fixation ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Range of Motion, Articular ,Child ,business.industry ,Radial head ,Recovery of Function ,General Medicine ,Surgery ,Radiography ,Casts, Surgical ,Treatment Outcome ,medicine.anatomical_structure ,Orthopedic surgery ,Fracture (geology) ,Accidental Falls ,Female ,medicine.symptom ,Elbow Injuries ,business ,Follow-Up Studies - Abstract
We report an unusual case of a type I Monteggia equivalent lesion in a 6-year-old girl consisting of fracture of the ulnar diaphysis and fracture of the neck of the radius without dislocation of the radial head. Manual reduction and immobilization in a plaster cast were performed. At 10 years of follow-up, the patient had regained full flexion and extension of the elbow, and nearly full pronation and supination. In the literature, this lesion has been reported only in two paediatric patients indicating that this is an extremely rare trauma.
- Published
- 2011
25. Escherichia coli osteomyelitis of the ischium in an adult
- Author
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Makram Zrig, Randa Salem, Amira Hamzaoui, Mustapha Koubaa, Mondher Golli, Abderazek Abid, Silvia Mahjoub, and Hichem Mnif
- Subjects
Adult ,Pathology ,medicine.medical_specialty ,medicine.drug_class ,Antibiotics ,Severity of Illness Index ,Bone Infection ,Ischium ,Escherichia coli ,medicine ,Humans ,Orthopedics and Sports Medicine ,Superior mesenteric vein ,Escherichia coli Infections ,Pelvis ,Osteomyelitis of the ischium ,business.industry ,Osteomyelitis ,Middle Aged ,medicine.disease ,Combined Modality Therapy ,Magnetic Resonance Imaging ,Thrombosis ,Abscess ,Anti-Bacterial Agents ,Colon polyps ,Surgery ,Treatment Outcome ,medicine.anatomical_structure ,Debridement ,Female ,Tomography, X-Ray Computed ,business ,Follow-Up Studies - Abstract
SummaryOsteomyelites, bone infections of a hematogenous origin, are rare in the pelvis (2.3%) and are extremely rare in the ischium. Ischiatic osteomyelitis is usually found in children and adolescents, but has rarely been described in adults. The clinical presentation varies and the diagnosis is based on magnetic resonance imaging (MRI). The most frequently isolated germ is the staphylococcus, while Escherichia coli has been found in a few cases. We report a case of osteomyelitis from E. coli in a 46-year-old woman revealed by persistent fever. The point of entry was a septicemia from gastrointestinal origin, related to colon polyps. The clinical picture was also complicated by an antiphospholipid antibody syndrome (superior mesenteric vein and splenomesenteric branch thrombosis). The course was favorable thanks to appropriate antibiotic treatment and surgical debridment of the infection.
- Published
- 2009
26. An unusual etiology of osteomyelitis
- Author
-
Hichem Mnif, Mohamed Neji Gueddiche, Abderrazek Abid, Sabeur Hammami, Mustapha Koubaa, Makram Zrig, and Karim Amara
- Subjects
medicine.medical_specialty ,integumentary system ,Streptococcus ,business.industry ,viruses ,Osteomyelitis ,virus diseases ,medicine.disease ,medicine.disease_cause ,Dermatology ,Surgery ,medicine ,Etiology ,Orthopedics and Sports Medicine ,Complication ,business - Abstract
While skin and soft-tissue complication of varicella are well known, osteomyelitis secondary to varicella is rarely reported in the literature. We describe a case of 3-year-child with varicella associated with pandiaphysal osteomyelitis caused by streptococcus type A β hemolytic.
- Published
- 2009
27. Une complication inhabituelle d’une exostose pubienne
- Author
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Makram Zrig, Abderrazek Abid, Mustapha Koubaa, N. Zammel, and H. Mnif
- Subjects
business.industry ,medicine ,Orthopedics and Sports Medicine ,Surgery ,medicine.disease ,business ,Nuclear medicine ,Exostosis - Abstract
Resume Nous rapportons l’observation d’un osteochondrome de la branche iliopubienne gauche survenu chez un homme âge de 29 ans, suivi pour une maladie exostosante, qui s’est revele par une induration douloureuse a gauche de la base du penis. Cette induration augmentant de volume, elle genait le patient au cours des rapports sexuels et en position assise prolongee. La tomodensitometrie etait en faveur d’un osteochondrome pedicule de la branche iliopubienne gauche comprimant l’uretre. La resection chirurgicale de la tumeur a permis de confirmer le diagnostic d’un osteochondrome. Au recul de deux ans, tous les symptomes avaient regresse, sans recidive. Niveau IV : retrospectif ou serie historique.
- Published
- 2009
28. Obturator dislocation of the hip with ipsilateral femoral neck fracture: A case report
- Author
-
B. Touati, M.F. Hamdi, I. Aloui, Mustapha Koubaa, M. Allagui, and Abderrazek Abid
- Subjects
medicine.medical_specialty ,business.industry ,Radiography ,medicine.medical_treatment ,Avascular necrosis ,Case Report ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Fracture (geology) ,Medicine ,Internal fixation ,Orthopedics and Sports Medicine ,Dislocation ,business ,Reduction (orthopedic surgery) ,Femoral neck - Abstract
Obturator dislocation of the hip associated with ipsilateral femoral neck fracture is an unusual injury. We report a case of a 40-year-old man with such a combination of injuries which was treated with an open reduction and internal fixation. He has a good follow-up result. There was no evidence of avascular necrosis on radiographs after 3 years.
- Published
- 2013
29. Traumatic hip dislocation in children
- Author
-
Makram, Zrig, Hichem, Mnif, Mustapha, Koubaa, and Abderrazek, Abid
- Subjects
Male ,Radiography ,Casts, Surgical ,Immobilization ,Adolescent ,Child, Preschool ,Hip Dislocation ,Humans ,Accidental Falls ,Female ,Child ,Retrospective Studies - Abstract
Traumatic hip dislocation is rare in children. The purpose of this study was to investigate the epidemiological features, dislocation types, treatments, and clinical and radiological outcomes. Seven cases of traumatic hip dislocation in children treated between 1996 and 2006 were included in this study. There were six boys and one girl with a mean age of 6.5 years. Six children had a low-energy injury. One child had a road traffic accident. All had a posterior dislocation of the hip without any associated fracture. All children underwent closed reduction of their dislocation. The mean time interval between dislocation and reduction was 4 hours and 50 minutes. Following reduction, they were immobilised for six weeks: skin traction was applied for 3 weeks, followed in six children by a hip spica cast and in one child by non weight bearing mobilization. The mean follow-up was 6.7 years. After clinical examination the hip was classified as normal in 6 children. One child had a stiff hip and a radiograph showed signs of avascular necrosis. The severity of injury was related to the age at the time of injury. Factors predisposing to avascular necrosis were delayed reduction and severity of trauma.
- Published
- 2009
30. Peroneal nerve palsy resulting from fibular head osteochondroma
- Author
-
Nizar Zammel, Hichem Mnif, Mustapha Koubaa, Abderrazek Abid, and Makram Zrig
- Subjects
Osteochondroma ,Male ,medicine.medical_specialty ,Hereditary multiple exostoses ,Physical examination ,Neurological examination ,Bone Neoplasms ,Mononeuropathy ,medicine ,Humans ,Orthopedics and Sports Medicine ,Child ,Peroneal Neuropathies ,Paresis ,Denervation ,medicine.diagnostic_test ,business.industry ,Superficial peroneal nerve ,medicine.disease ,Decompression, Surgical ,Surgery ,Treatment Outcome ,Fibula ,medicine.symptom ,business - Abstract
This article describes a case of a 11-year-old boy with an osteochondroma of the peroneal head causing peroneal nerve palsy. Physical examination disclosed large exostoses palpated at the right fibular head. Neurological examination revealed paresis of the tibialis anterior, lateral peroneal, and extensor digitorum muscles with a muscle strength grade of 2. Electrophysiological studies confirmed denervation of the muscles supplied by the right peroneal nerve. Radiological examination showed an osteochondroma in the head of the right fibula. The patient underwent surgical decompression of the right peroneal nerve after resection of the bone tumor. At 36-month follow-up, there was a complete recovery of the deficits. Peroneal mononeuropathy in children is uncommon. Osteochondroma is a benign tumor consisting of projecting bone capped by cartilage. These tumors may be solitary or multiple and occur in hereditary multiple exostoses syndrome. The conjunction of this lesion with peroneal nerve palsy has been exceptionally reported for children, usually linked to hereditary multiple exostoses syndrome. Most peroneal nerve trauma occurs at the fibular head, where the common nerve has not yet divided into its deep and superficial peroneal nerve and where most peroneal nerve lesions, therefore, involve both branches, although motor deficits are more frequently involved than sensory ones. Surgical treatment should not be delayed because neurological improvement may be achieved if surgery is performed before severe neurological deficits become irreversible.
- Published
- 2009
31. An unusual complication of pubic exostosis
- Author
-
Mustapha Koubaa, Makram Zrig, N. Zammel, Hichem Mnif, and Abderrazek Abid
- Subjects
Osteochondroma ,Adult ,Male ,medicine.medical_specialty ,Left superior pubic ramus ,Bone Neoplasms ,Risk Assessment ,Diagnosis, Differential ,stomatognathic system ,Biopsy ,Superior pubic ramus ,medicine ,Humans ,Orthopedics and Sports Medicine ,Exostosis ,Neoplasm Staging ,Pubic Bone ,Urethral Stricture ,medicine.diagnostic_test ,business.industry ,Urethral compression ,Biopsy, Needle ,medicine.disease ,Immunohistochemistry ,Surgery ,medicine.anatomical_structure ,Urethra ,Dyspareunia ,Treatment Outcome ,Complication ,business ,Tomography, X-Ray Computed ,Penis ,Exostoses, Multiple Hereditary ,Follow-Up Studies - Abstract
SummaryWe report the case of a left superior pubic ramus osteochondroma occurring in a 29-year-old man. The patient consulted for a multiple exostoses disease revealed by a painful induration at the base of his penis. This induration was increasing in volume and causing discomfort during sexual intercourse and when sitting for a prolonged period of time. CT-scan examination showed a pedunculated osteochondroma of the left superior pubic ramus compressing the urethra. Surgical resection of the tumor confirmed the diagnosis of osteochondroma. At a 2-year follow-up delay, all symptoms had regressed with no evidence of recurrence.Level IV: Case report.
- Published
- 2009
32. Prothèse de la tête radiale en pyrocarbone. Résultats à moyen terme
- Author
-
Aymen Saidi, Makram Zrig, Abderrazek Abid, Youssef Othman, Mouhamed Allagui, Zied Bellaaj, Issam Aloui, Mustapha Koubaa, and Lassaad Hassini
- Subjects
Orthopedics and Sports Medicine ,Surgery - Abstract
Introduction Les fractures comminutives de la tete radiale peuvent compromettre la fonction et la stabilite du coude. La tete radiale represente un element de stabilite secondaire apres le ligament lateral medial du coude. La reconstruction du pilier lateral peut resoudre le probleme d’instabilite. L’objectif de ce travail est d’evaluer les resultats cliniques, radiologiques et fonctionnels des protheses de la tete radiale (PTR) en pyrocarbone a moyen terme. Patients et methodes Il s’agit d’une serie prospective de 10 patients traites pour fracture comminutive de la tete radiale et ayant eu une mise en place d’une PTR en pyrocarbone. L’âge moyen etait de 36 ans, le sexe ratio F/H etait de 1/4. Parmi ces 10 fractures, 7 etaient dans le cadre d’une fracture-luxation du coude et 3 etaient isolees. Le delai operatoire etait entre 3 semaines et 5 ans par rapport au traumatisme initial. Les gestes associes a la mise en place de la PTR etaient 4 plasties du ligament annulaire, 2 arthrolyses du coude, 1 osteosynthese de l’olecrane, 1 osteosynthese du processus coronoide et 4 ablations de corps etrangers intra-articulaires. Resultats Au recul moyen de 37 mois, et selon le Mayo Evaluation Prognostic Score, nous avons obtenu 80 % de tres bons et bons resultats et 20 % de resultats moyens. Concernant les complications, nous n’avons note aucun descellement et aucune luxation de la prothese. Nous avons note 2 cas d’osteolyse autour de la tige (stress shilding) et un cas de raideur du coude. Deux patients presentant initialement des lesions osteo-chondrale du capitulum ont eu une usure de celui-ci. Discussion Nos resultats anatomo-fonctionnels sont satisfaisants mais restent legerement au-deca des resultats rapportes dans la litterature. Toutefois, le faible nombre de patients ne permet pas de comparer les populations de chaque etude surtout en termes de lesions associees. A la revue de la litterature, la prothese en pyrocarbone donne de bons resultats. Grace aux proprietes biomecaniques du pyrocarbone, et la bonne congruence articulaire, elle cause beaucoup moins d’usure du capitulum. Dans notre serie, nous rapportons une usure du capitulum dans 2 cas qui seraient plutot en rapport avec des lesions osteo-chondrales prealablement existantes. Conclusion Les PTR figurent actuellement parmi les moyens pertinents dans l’arsenal therapeutique devant une fracture complexe de la tete radiale. Certaines complications decrites peuvent etre evitees par une bonne technique de pose. L’utilisation de pyrocarbone a encore ameliore les resultats.
- Published
- 2014
33. [Traumatic dislocation of distal radio ulnar joint].
- Author
-
Issam A, Faouzi HM, Makram Z, Rafik J, Mohamed A, Hichem M, Mustapha K, and Abderrazek A
- Subjects
- Accidents, Occupational, Adult, Humans, Joint Dislocations therapy, Male, Manipulation, Orthopedic, Radiography, Wrist Injuries therapy, Joint Dislocations diagnosis, Wrist Injuries diagnosis, Wrist Joint diagnostic imaging
- Published
- 2009
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