Search

The association of contiguous or ‘collision´ tumours in the same biopsy sample is not rare and is often reported in the literature. The association of basal cell carcinoma (BCC) and naevus is very difficult to diagnose clinically. We report the case of a 63 years old man who presented with an asymmetric heterochromatic plaque of the shoulder. Pathology found a melanocytic naevus with a basal cell carcinoma.

Secondary surgery of the flexor tendons of the hand is a very common entity in traumatology and carries significant risks up to total functional impotence. This justifies the importance of the quality of this surgical repair which must be carried out under better conditions, with good anatomical knowledge. Our work is a retrospective study of 11 patients who underwent secondary hand flexor tendon repair during the period of 8 years. The age of the patients varies between 18 and 61 years, with an average of 40 years and a notable male predominance (9 men and 2 women). Assault with a sharp object was the predominant etiology. The right side was the most common in our patients (9 patients). The average time taken to treat (heal) patients was 7 months; with a delay between the two operating times of one month on average. All patients had received a two-fold hand flexor tendon repair. According to Hunter, the tendon spacer that was used in for all our patients was a Redon drain or naso-gastric tube. The small palmar muscle was the tendon graft used in 8 patients. As for the small plantar muscle, it was used in a single patient because of the absence of the small palmar muscle. Moreover, in 2 patients the small palmar muscle was used in association with the superficial common flexor tendon. The functional results of our series were evaluated according to the La Salle and Strickland score, with 20% excellent results, 30% good results, 40% average results and only 10% poor results. Among the rare complications noted in our patients, there was a single case of digital stiffness noted in a single patient, a case of blockage of the graft in a patient and a case of bow string effect. Flexor tendon reconstruction using two stage tendon reconstructions is an effective way to restore digital tendon function in delayed zone II flexor tendon injuries.

The hydatid echinococcosis is preferentially localized in the liver. Muscle localization is very rare, representing less than 1% of the locations of human hydatid echinococcosis. The clinical symptomatology is insidious and not very suggestive, causing a frequent diagnostic delay. the diagnosis is confirmed by imaging: ultrasonography and/or magnetic resonance imaging. The curative treatment remains however surgical. We report a retrospective study over a period of 3 years including 4 cases of primary hydatid cysts of the thigh at the Service of Traumatology-Orthopedics B4 of Hassan II CHU all treated surgically.

Le recours aux prothèses articulaires est de plus en plus fréquent dans notre pratique courante. Une des complications les plus redoutées est l'infection, le plus souvent due à des germes de la flore cutanée. Listeria monocytogenes étant rarement à l'origine d'une telle infection, nous rapportons le cas d'un patient porteur d'une prothèse de hanche infectée par ce germe: l'évolution a été favorable après antibiothérapie et changement de prothèse en un seul temps.

Le conflit fémoro-acétabulaire (CFA) est une des causes de douleur de hanche chez les sujets jeunes et sportifs. Son diagnostic est basé sur des arguments cliniques et radiologiques. La prise en charge chirurgicale peut être conventionnelle ou arthroscopique. L'arthroscopie s'avère être une technique fiable dans les CFA, efficace sur la douleur, permettant d'améliorer la fonction de ces patients sportifs afin de reprendre leurs activités précocement. Nous rapportons l'expérience de notre service dans la prise en charge arthroscopique des CFA à travers deux observations. Le score de Harris modifié était nettement amélioré au dernier recul (24 et 18 mois).