No abstract

A 57-year-old patient diagnosed with panhypopituitarism, chronically managed with steroids, developed a dorsal lipomatosis combined with multiple vertebral fractures, leading to progressive dorsal myelopathy. Surgical management was necessary, and the follow-up showed significant improvements in symptoms and quality of life. Conclusion: Spinal epidural lipomatosis is a condition resulting from excessive fat deposit in epidural space. Patients can be asymptomatic or complain from myelopathic or radicular symptoms. Many etiologies are possible and exogenous steroids excess is one of the most frequent, having a predilection for male sex and thoracic spine. Surgical management is frequently necessary and may provide good results.

Introduction: About 20% of all fractures in the human skeleton involves the hand, affecting primarily the young and active population. A Bennett’s fracture (BF) is a fracture of the base of the first metacarpal and surgical management is generally needed, with the K-wire fixation being the most preferred option. Among the most common complications with K-wires, we find infection and soft-tissues damages like tendon ruptures. Case Report: Here, we report a case of iatrogenic rupture of the Little Finger’s Flexor Profundus Tendon after K-wire fixation of a BF that was diagnosed 4 weeks after the lesion. Different surgical strategies were proposed for managing chronic flexor tendon’s ruptures; however, no consensus exist around what option would be the best. Here, we describe a flexor transfer from the 5th to the 4th finger that resulted in a great improvement in patient’s DASH score and general quality of life. Conclusion: It is important to remember that percutaneous fixations with K wires in the hand can have disastrous complications, patients should be evaluated for possible tendon ruptures after the surgery, no matter how impossible they may seem, as even unexpected complications can have easier solutions in the acute setting. Keywords: Bennett’s Fracture, Complications, Tendon rupture, Tendon Repair, Tendon Transfer.

The concept of localized and diffuse tenosynovial giant cell tumors (TSGCT) is recent and may still cause some confusion among surgeons. This disorder constitutes a family of proliferative lesions characterized by their origin in the articular synovium, tendon sheaths, or bursa. It is not always easy to diagnose this pathology, especially due to its multitude of presentation. We describe an incidentally found localized TSGCT intra-articularly located in the shoulder. The localized lesions are considered a more benign form that usually present not with specific symptoms but rather a manifestation of the disturbance in the affected joint or the surrounding soft tissues. MRI is indispensable for its diagnosis, and the standard treatment is complete surgical resection. Due to its low incidence, it is difficult to find literature that goes beyond clinical reports or small case series. With this report, we intend to call readers’ attention for the variable presentations, the different diagnostic and treatment strategies, and the expected outcomes.

Case: We present a case of muscular cysticercosis incidentally diagnosed in a patient admitted for a femoral neck fracture and submitted to total hip arthroplasty. Conclusion: Human cysticercosis is a parasitic infection representing a major health concern in developing countries. The clinical features are variable and depend on the anatomic location, cyst burden, cysticerci stage, and host inflammatory response. Diagnosis is commonly incidental, and prompt pattern recognition is key to diagnosis, adequate referral, and treatment. This is one of the first reports of hip arthroplasty in a patient with a history of parasitic infection (without the need for directed pathogen treatment).