Orthopedics

Sport accidents are very common for children and adolescents. They are among the most frequent traumas that occur in domestic and road accidents. They mainly concern the growth plate and the epiphyseal detachments. Among the avulsion fractures of the apophyses of the pelvis, it is very important to cite those of the anterior inferior iliac spine. Although they are rare, they occur most often for adolescents during sport activities. However, they are quite exceptional for adults. In the case of a 14-year-old adolescent with recent basal trauma happening during a soccer game, there was an inguinal pain and functional impairment of the lower limb. The clinical examination found a pain in the mobilization of the right hip in extension. The standard radiograph of the pelvis showed an avulsion fracture of the anterior inferior iliac spine. The patient was treated orthopedically with a rest and discharged from the traumatized lower limb. It has been noticed the disappearance of the pain in a few weeks later and then resumption of the sport activity for six months. During the observation, all attention of the team was centered on this type of specific fracture of the child and the adolescent athlete both diagnosed and how an early and adapted treatment of growth apophysitis helps prevent its occurrence.

Several surgical methods have been described for the treatment of fresh ruptures of the Achilles tendon. We operated 20 patients for a ruptured Achilles tendon. This study concerns 14 men and 6 women with a mean age of 32 years, all operated by the technique Chigot. We regretted having 12 minor complications advanced favorably. One patient broke a second time his tendon two months after surgery. In 75% of patients, previous sports activity was found. Several studies confirm the low complication rate of this technique particularly recurrent rupture compared to conservative treatment. The technique allows Chigot strengthening the Achilles tendon ruptured without resorting to the fascia of the triceps with a low morbidity.

Osteoblastoma is a rare benign bone tumor, occurring during the second and third decade with a male predominance of spinal preferential seat secondarily the long bones of the limbs, rarely ends Its diagnosis is based on a set of arguments; clinical dominated by doctors located, the imaging objective lyric picture surrounded by sclerotic bone reaction and can invade soft tissues, and especially the pathological examination confirmed the diagnosis highlighting a significant proliferation of osteoblastic cells with the presence of osteoid tissue bathed in a lush and richly vascularised connective tissue. Treatment is exclusively surgical resection is complete and guarantee the prevention of recurrence. We report the case of an osteoblastoma of the ankle in a young adult revealed by localized pain and functional impairment. Standard radiography made was considered completely normal and the persistence of complaints CT was performed but was misleading suggestive of osteochondrosis. This is a pathological examination performed on specimens which helped rectify the diagnosis. The suites in this patient were simple, very satisfactory functional outcome osteoblastoma tumor is easily diagnosed if you think, easy treatment if done right.