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        תוצאת חיפוש

        ינואר 1999

        אהוד לבל ומנחם יצחקי

        Lymphoma of the Knee Joint Simulating Patellar Fracture


        E. Lebel, M. Itzchaki


        Orthopedics Dept., Shaare Zedek Medical Center, Jerusalem


        Fracture of the patella is not uncommon after direct anterior knee trauma. However, there are other medical situations that resemble it radiologicaly. We present a patient mistakenly diagnosed as having a patellar fracture who had primary, solitary, malignant B-cell lymphoma of the knee space eroding the lower pole of the patella. We have found no reports of such a lesion in the literature. Another commbenign condition that might erode adjacent bone is chronic synovitis. Our patient was treated withchemo- and radiotherapy and the lesion fully regressed with no evidence of local or systemic recurrence 1.5 years after diagnosis.

        נובמבר 1998

        ישראל דודקביץ, משה סלעי ואהרון צ'צ'יק

        Concept Management in Penetration of Unusually Shaped Foreign Bodies into Extremities


        I. Dudkiewicz, M. Salai, A. Chechik


        Orthopedic Dept., Sheba Medical Center, Tel Hashomer and Sackler Faculty of Medicine, Tel Aviv University


        During routine emergency room work penetration by foreign objects is frequently encountered, some of which may be very irregular in shape. These may cause further damage if inappropriately removed. It is important to perform a proper X-ray survey.

        ספטמבר 1998

        משה ויסברוט, גד ולן ודוד הנדל

        Rupture of Pectoralis Major Muscle: Operative Treatment of an Uncommon Sport Injury


        Moshe Weisbort, Gad J. Velan, David Hendel


        Orthopedics Dept., Rabin Medical Center (Golda Campus), Petah Tikva


        Rupture of the pectoralis major muscle in an athlete is rare, but is said to be common in weight lifters. The muscle usually ruptures at the musculotendinous junction during forceful contraction of the muscle in adduction, forward flexion and internal rotation of the arm. We describe an athlete who suffered such a major tear during a rugby game. It was treated surgically and after adequate rehabilitation, athletic activities were resumed.

        אוגוסט 1998

        סורין דניאל יורדאש, אהוד ראט, דן עטר ואלכס וינדזברג

        Vacuum Phenomenon in the Hip Joint: Diagnostic Value


        S. Iordache, E. Rath, D. Atar, A. Vindzberg


        Orthopedics Dept., Soroka Medical Center, Beer Sheba


        Vacuum phenomenon is well known in degenerative spinal disease in the elderly, but is seldom seen in other joints, especially in children. The phenomenon does not represent a pathological finding, and can be used for imaging of the articular facets, mainly in the hip and knee joints. We report a patient with this phenomenon in the hip joint.

        יוני 1998

        נחום רוזנברג ושלום שטהל

        Osteoid Osteoma of the Hand: a Rare Location


        Nahum Rosenberg, Shalom Stahl


        Dept. of Orthopedics A, and Hand Surgery Unit, Rambam Medical Center, Haifa


        Osteoid osteoma is a benign bone tumor. It is rare in the hand where it may cause local swelling and pain. Marginal resection is almost always curative, without residual functional disability. Because it is rare in this location, osteoid osteoma is not usually considered in the differential diagnosis of painful lesions of the hand, which may delay treatment. Osteoid osteoma in the hand has characteristic clinical, roentgenologic and scintigraphic features. Early diagnosis of this lesion may be improved by recognition of these features. An algorithm for decision-making that may help is proposed. We describe our experience in 3 cases involving, respectively, the capitate bone, a proximal, and a distal phalanx, in which cases marginal resection was curative.

        ר' אברהמי, מ' חדד, ס' וטמברג, א' שטלמן, א' קורן, ג' דהן וא' זליקובסקי

        Popliteal Vascular Trauma


        R. Avrahami, M. Haddad, B. Watemberg, E. Stelman, A. Koren, J. Dahn, A. Zelikovski


        Dept. of Vascular Surgery, Rabin Medical Center (Beilinson Campus), Petah Tikva


        6 cases of popliteal vascular trauma are presented, 3 due to posterior dislocation of the knee and 3 due to crush injury. The patients were referred from another hospital and some had undergone unnecessary angiography when ischemia was present, leading to delay in surgery. All patients presented with distal ischemia and underwent reconstructive surgery; 2 subsequently underwent below-knee amputation because of irreversible ischemia and sepsis.


        Urgent operation for popliteal vascular trauma is necessary whenever there is ischemia and intraoperative angiography may be necessary. There should be reconstruction of the artery and vein when there is concomitant venous damage, and fasciotomy and debridement are important. The harmful potential of occult popliteal vascular injuries and their ostensible mild presentation present a challengfor the emergency room surgeon.

        מאי 1998

        מ' קליגמן ומ' רופמן

        Conversion Total Hip Replaceafter Failed Internal Fixation of Intertrochantric Fracture


        M. Kligman, M. Roffman


        Dept. of Orthopedic Surgery, Carmel Medical Center, Haifa


        Between 1933-1995, 16 patients underwent conversion-total hip replacement after internal fixation of an intertrochanteric fracture failed. Clinical results were unsatisfactory compared to primary total hip replacement. There was a high incidence of intra- and postoperative complications, including femoral fracture, wound infection, and aseptic loosening. This study should increase the surgeon's awareness of the difficulties encountered in conversion of failed intertrochanteric fractures to total hip replacement.

        מרץ 1998

        דרור פוקס, חיים צינמן ודינה לוינזון

        Aseptic Loosening of Joint Implants


        Dror Fuchs, Chaim Zinman, Dina Lewinson


        Orthopedic and Traumatology Dept. B, Rambam Medical Center; and Div. of Morphology Sciences, Bruce Rappaport Faculty of Medicine, The Technion, Haifa


        The purpose of orthopedic joint implants is to improve joint movement. Within the past 30 years, biomechanical improvements affecting the life-span of the implants has brought a new type of problem: the biological response to debris from the implant material contributes greatly to aseptic loosening of the prosthesis. The process is mediated by osteotropic factors, cytokines released from mononuclear cells, and osteoblasts and osteoclasts in the bone-cement interface or bone-implant interface.

        פברואר 1998

        מ' קליגמן ומ' רופמן

        Intra-Osseous Ganglion of Scaphoid and Lunate Bones


        M. Kligman, M. Roffman


        Dept. of Surgery, Carmel Medical Center, Haifa


        We present a patient with intra-osseous ganglion of the left scaphoid and lunate bone. These were excised and a bone graft inserted. 1 year after operation the patient was free of pain, without limitation of wrist motion. Intra-osseous ganglion of the carpal bone is not common and lunate and scaphoid intra-osseous ganglion has rarely been reported. Awareness of this condition may lead to earlier diagnosis and treatment, with satisfactory outcome.

        ירון וייזל, אהוד ראט, נסים אוחנה ודן עטר

        Pelvic Lytic Lesion and Osteoporosis-Related Fractures


        Yaron Weisel, Ehud Rath, Nissim Ohana, Dan Atar


        Orthopedic Dept., Soroka Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheba


        Insufficiency fractures of the pelvis may be overlooked as a cause of hip or groin pain. These fractures occur in the elderly, usually those with pronounced osteopenia of the pelvis. Predisposing factors include corticosteroids, local irradiation and postmenopausal osteoporosis. These fractures are difficult to detect clinically and plain radiographs and other studies may be misleading, delaying diagnosis and treatment. A 65-year-old woman had left groin and hip pain for 2 months with no history of trauma. Plain radiographs showed lytic lesions in the left pubic rami. Bone scan revealed increased uptake in that region, suggesting metastatic bone disease. Computed tomography and magnetic resonance imaging demonstrated fractures in the left superior and inferior pubic rami, with callus formation with no involvement of soft tissues. Quantitative computed tomography indicated low calcium concentration, below fracture threshold. The diagnosis of insufficiency fractures of the pelvis was confirmed by the favorable clinical and radiographic outcome. It is therefore important to be familiar with the appearance and location of these fractures.

        ינואר 1998

        משה סלעי, אייל סגל, יהודה עמית ואהרן צ'צ'יק

        Closed Intramedullary Nailing of Forearm Fractures in Young Patients


        Moshe Salai, Eyal Segal, Yehuda Amit, Aharon Chechick


        Dept. of Orthopedic Surgery, Chaim Sheba Medical Center, Tel Hashomer


        Forearm bone fractures are commonly the result of falling on the outstretched hand or of direct injury. The preferred treatment is debated. The possible modalities are: application of a cast, often necessitating repeated manipulations; open reposition and fixation by plates and screws; or closed manipulation and closed intramedullary nailing. We present our favorable results in treating these fractures in young patients by closed intramedullary nailing, and compare them with the unfavorable results of this method in mature adults.

        הבהרה משפטית: כל נושא המופיע באתר זה נועד להשכלה בלבד ואין לראות בו ייעוץ רפואי או משפטי. אין הר"י אחראית לתוכן המתפרסם באתר זה ולכל נזק שעלול להיגרם. כל הזכויות על המידע באתר שייכות להסתדרות הרפואית בישראל. מדיניות פרטיות
        כתובתנו: ז'בוטינסקי 35 רמת גן, בניין התאומים 2 קומות 10-11, ת.ד. 3566, מיקוד 5213604. טלפון: 03-6100444, פקס: 03-5753303