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A brachial artery pseudoaneurysm in the form of a “malignant tumour” as a complication of a proximal humerus exostosis

January 10, 2019/0 Comments/in Vol 3 | Issue 1| Jan-June 2019 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 3 | Issue 1 | Jan- June 2019 | Page 3-6 | Michał Górecki, Piotr Czarnecki Authors: Michał Górecki [1], Piotr Czarnecki [2]. [1] Student Research Group of Hand Surgery, University of Medical Sciences Poznań, Poland [2] Department of Traumatology, Orthopaedics and Hand Surgery of Viktor Dega […]

Why a new Shoulder and Elbow Journal?

October 10, 2016/0 Comments/in Vol 1| Issue 1| Oct-Dec 2016 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 1 | Issue 1 | Oct-Dec 2016 | Page 2-3 | José Carlos Garcia Jr. Author: José Carlos Garcia Jr. [1]. [1] NAEON-Santa Catarina Hospital Address of Correspondence Dr. Jose Carlos Garcia Jr., MD, MSc, PhD NÆON-Hospital Santa Catarina-SP-Brazil Email: jose.cjunior@hsl.org.br Most Shoulder and Elbow Surgery journals are written in a […]

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A brachial artery pseudoaneurysm in the form of a “malignant tumour” as a complication of a proximal humerus exostosis

January 10, 2019/0 Comments/in Vol 3 | Issue 1| Jan-June 2019 /by ASESADMIN2016

Why a new Shoulder and Elbow Journal?

October 10, 2016/0 Comments/in Vol 1| Issue 1| Oct-Dec 2016 /by ASESADMIN2016

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A brachial artery pseudoaneurysm in the form of a “malignant tumour” as a complication of a proximal humerus exostosis

January 10, 2019/0 Comments/in Vol 3 | Issue 1| Jan-June 2019 /by ASESADMIN2016

Authors: Michał Górecki [1], Piotr Czarnecki [2].

[1] Student Research Group of Hand Surgery, University of Medical Sciences Poznań, Poland
[2] Department of Traumatology, Orthopaedics and Hand Surgery of Viktor Dega Orthopedic and Rehabilitation Clinical Hospital

Address of Correspondence
Dr. Michał Górecki,
Mścibora 74, 61-062 Poznań, Poland
E-mail: michalmgorecki@gmail.com

Abstract

Background: Osteochondromas are the most common form of benign bone tumour. They are mostly asymptomatic, but sometimes they can irritate surrounding structures, like vessels or nerves, and cause complications. More often they apply to the lower extremities, especially around the knee joint. Osteochondromas which cause complications in the upper extremities are much less common. This paper presents a rare case of a brachial artery pseudoaneurysm as a complication of a proximal humerus exostosis, which was initially described and treated as malignant tumour of the arm. A comprehensive review of the literature has also been carried out.
Methods: A 19-year-old male patient was admitted with acute pain of the left arm. Eight years earlier he had been diagnosed with hereditary multiple osteochondromas. Examination revealed a palpable, non-painful tumour of the axilla’s area and the posterior part of the left arm. An magnetic resonance imaging (MRI) with contrast demonstrated three osteochondromas in the area of the proximal humerus. From the free end of one of these, a big, nodular structure was spreading. From the MRI, a chondrosarcoma was suspected. Samples were taken for histopathological examination. After the surgery, increased pulsations were observed around the operative area. A ultrasonography (USG) revealed a fibrotic pseudoaneurysm of the left brachial artery. Histopathological examination showed deposits of heamosiderin without any cancer cells. With the change in diagnosis, the next stage of treatment was planned – artery reconstruction using a saphenous vein graft and an osteochondroma excision.
Results: A few weeks after surgery, the patient recovered full function of the upper extremity and did not report any discomfort. A control USG showed proper flow through the brachial artery and venous graft.
Conclusion: In the case of a tumour in the area of an osteochondroma, caused by trauma, a pseudoaneurysm should be suspected. Diagnostic and therapeutic treatment must be properly planned, as unrecognised it could cause a severe, life-threatening haemorrhage during the operation.
Keywords: pseudoaneurysm, osteochondroma, malignant transformation, brachial artery, chondrosarcoma.

References

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How to Cite this article: Górecki M, Czarnecki P. A brachial artery pseudoaneurysm in the form of a “malignant tumour” as a complication of a proximal humerus exostosis. Acta of Shoulder and Elbow Surgery Jan- June 2019;3(1):3-6.

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Why a new Shoulder and Elbow Journal?

October 10, 2016/0 Comments/in Vol 1| Issue 1| Oct-Dec 2016 /by ASESADMIN2016

Author: José Carlos Garcia Jr. [1].

[1] NAEON-Santa Catarina Hospital

Address of Correspondence
Dr. Jose Carlos Garcia Jr., MD, MSc, PhD
NÆON-Hospital Santa Catarina-SP-Brazil
Email: jose.cjunior@hsl.org.br

Most Shoulder and Elbow Surgery journals are written in a far beyond context than most developing countries are up to. Distinguished features related to developed countries impact on the way people make surgeries, use materials and even make researches.

Availability of materials and devices, costs, local regulatory agencies and many other points need to be considered when talking about developing countries.Sometimes solutions adapted for these countries will not make sense for people of developed countries, with a different reality.
Then researches using some of the developing countries’ solutions will don’t make sense for reviewers from developed countries.
In the opposite side, discussing these solutions may be very important to develop shoulder and elbow surgery in developing countries. It is not about making second class researches, it is about looking researches within a different way of view. The first answer therefore is: We made this journal because we need to discuss issues adapted to our reality. We need to demonstrate results that can improve techniques possible to be reproduced all over the world. Consequently we will need to makeresearches that can be more suitable to our day by day. It does not mean bad research or bad results, it means a different way to make good things.
The second answer is: Because low cost innovations will make the world better and more equal. This journal has begun with an editorial board capable of diffusing the most recent concepts at no cost, making data easy to spread and replicate.
The third answer is: Considering that, in general, developing countries need some degree of refinement in shoulder and elbow surgery yet, transformations will be required. A rational step towards this new paradigm is an intersection of the two worlds, developed and developing countries.
This journal aims to promote this intersection by using new surgical techniques, researches and symposiums. As one wants to go further, one must have a general panorama of what is going on around to better know where to go. That is the purpose of the Current Concepts section of this journal whose content is a summary of the main journals of Shoulder and Elbow Surgery. It is not intend to explore the deepness of all research published but just a general panorama. Our concept is by accessing just this journal one can know what is going on around the world of Shoulder and Elbow Surgery and also have access to researches, symposiums and many other academical papers.
Combining all these characteristics in a single journal is essential to make surgeons updated and open minded to innovations.
This journal also begins by bringing a new concept to understand researches within the surgical field, it uses new ideas from IDEAL-Collaboration, Oxford, aiming to improve research methodology on surgical field.
We hope Acta of Shoulder and Elbow Surgery can be the new channel for all orthopedic surgeons interested in the area.
You are invited to be our reader, contributor and friend.

Warm Regards

José Carlos Garcia Jr.
Editor-in-Chief

How to Cite this article:.JC Garcia Jr. Why a new Shoulder and Elbow Journal?. Acta of Shoulder and Elbow Surgery Oct – Dec 2016;1(1):1

José Carlos Garcia Jr., MD

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Acromioclavicular Acromion Adriano F Mendes Júnior arthroscopic arthroscopy Ashok Shyam Bristow Coracoid David M Auerbach Diaphyseal fracture of the humerus Distal biceps Double disruptions Elbow Elbow instability Endobutton fixation. Floating Shoulder Gregory G Markarian IDEAL Framework and Recommendations Intramedullary fixation irreparable rotator cuff tear José Carlos Garcia Jr. José da Mota Neto Latarjet Methodological Quality. MIPO nonunion Os Acromiale osteosynthesis Parag Sancheti Patient reported outcomes Proximal humerus fracture radial nerve paralysis. Research rotator cuff. Shoulder Shoulder arthroscopy shoulder dislocation shoulder instability superior capsular reconstruction Superior Shoulder Suspensory Complex Surgical Innovations Systematic Review Tendon repair; Single incision tenodesis
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Indian Orthopaedic Research Group

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