A glomus tumour is a rare tumour of the hand, which presents with a classic triad of symptoms of temperature sensitivity, pain, and localised tenderness. We report a series of 14 patients with glomus tumours in the subungual region. There were four men and 10 women, whose mean age was 46 years (range 28-65). All patients complained of pain and localised tenderness and six of temperature sensitivity. The bony lesion was seen on radiographs in four patients. We used a transungual approach in all cases. A detailed history and clinical findings are the best way of making the diagnosis. The treatment of glomus tumour consists of complete excision and repair of the nailbed. Inadequate excision of the tumour usually causes local recurrence.

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Cubitus varus and valgus are the most common complications of supracondylar and lateral condylar fractures. Various combinations of osteotomy and fixation have been described to correct these deformities but each is associated with significant complications. In this study, we used distraction osteogenesis and Ilizarov frame fixation to treat 24 elbows in 23 patients with cubitus varus or valgus. Their clinical outcome was evaluated using the protocol of Bellemore et al. The mean time to follow-up was 18.3 months (10 to 36) and the mean time to frame removal was 13.5 weeks (8 to 20). The mean carrying angle was corrected from -18.7 degrees (-10 degrees to -30 degrees ) to 6.1 degrees (2 degrees to 10 degrees ) in patients with cubitus varus and from 36.5 degrees (25 degrees to 45 degrees ) to 9.4 degrees (4 degrees to 15 degrees ) in patients with cubitus valgus. There were 18 excellent and six good results. The Ilizarov method with gradual distraction is a safe, stable, adjustable and versatile method of treating deformities at the elbow without the problems of an unsightly scar or limited range of movement, and gives a good clinical and radiological outcome. Tardy ulnar nerve palsy should be treated first by anterior transposition.

The objective of this study was to present a simple, convenient, and reliable technique for the application of liquid nitrogen and to evaluate the effectiveness of curettage and cryosurgery. Between 1992 and 2002, 24 patients who had benign aggressive and low-grade malignant bone tumors were treated by curettage and cryosurgery. While cryosurgery was applied by the "direct pour" technique in the first seven patients, it was applied by the "pressurized spraying" technique in the others. Functional results were graded according to Enneking. The mean follow-up was 47 (range 9−131) months. There were no local recurrences. Three patients who underwent the direct pour technique developed partial skin necrosis. The functional results were excellent in 14 patients, good in six, and fair in four. When compared with previous reports on cryosurgery and its application techniques, we detected no tumor recurrence or complications, including soft-tissue injury, infection, and late fracture with liquid nitrogen applied by the pressurized spraying technique.Résumé L'objectif de cette étude était présenter une technique simple, pratique et fiable pour l'application d'azote liquide et évaluer l'efficacité du curetage avec cryochirurgie. Entre 1992 et 2002, vingt-quatre malades qui avaient des tumeurs osseuses bénignes agressives ou des tumeurs malignes de bas grade ont été traités par curetage et cryochirurgie. Cette cryochirurgie a été appliquée par versement direct chez les sept premiers malades, et par une technique de vaporisation chez les autres. Les résultats fonctionnels ont été notés d'après Enneking. Le suivi moyen était de 47 mois (9 −131). Il n'y avait pas de récidive locale. Trois malades qui ont subi le versement direct ont développé une nécrose cutanée partielle. Les résultats fonctionnels étaient excellents pour 14 malades, bons pour six, et médiocres pour quatre. En comparant avec les précédentes publications nous n'avons retrouvé ni récidive de la tumeur ni les complications incluant l'atteinte des parties molles, l'infection ou la fracture tardive lorsque l'azote liquide a été appliqué par la technique de vaporisation.

Thirty-five humeral shaft non-unions treated by the Ilizarov external fixator were studied after an average of 39 months. Bone union was achieved in all but one. The mean time to union was 5.5 months (range: 3-10 months). Major pin tract problems leading to removal of the Schanz screws occurred in three patients. A radial nerve palsy developed in three patients, two recovered spontaneously and one was treated with a triple tendon transfer.Résumé Nous avons suivi 35 pseudarthroses de la diaphyse humérale traitées par fixateur d'Ilizarov avec un suivi moyen de 39.2 mois. La consolidation a été obtenue dans tout les cas sauf un. Le temps moyen de consolidation était de 5.5 mois (3-10 mois). Dans trois cas ont été observés des problèmes majeurs nécessitant l'ablation des vis de Schanz. Une paralysie du nerf radial a été noté dans trois cas, avec une récupération spontanée deux fois et traitement par un triple transfert tendineux dans l'autre cas.