Blog Elements - Acta of Shoulder and Elbow Surgery

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Case Report: A rare case of Giant Cell Tumor of Distal Ulna

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 19-20 | Soham R Chachcha, Ramavtar Saini, Anand Yadav Authors: Soham R Chachcha [1], Ramavtar Saini [1], Anand Yadav [1]. [1] Dept. Of Orthopaedics, Geetanjali Medical College and Hospital Udaipur. Address of Correspondence Dr. Soham R Chachcha, […]

Suprascapular neuropathy in a young male handball player: case report

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 16-18 | Luís Henrique Barros, Claudia Rodrigues, Rui Claro Authors: Luís Henrique Barros [1], Claudia Rodrigues [1], Rui Claro [1]. [1] Centro Hospitalar do Porto Address of Correspondence Dr. Luís Henrique Barros, Avenida da República, 855, 1º […]

Case Report: A rare case of Giant Cell Tumor of Distal Ulna

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

Suprascapular neuropathy in a young male handball player: case report

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

Full Sized Blog Element (Big Preview Pic)

Case Report: A rare case of Giant Cell Tumor of Distal Ulna

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

Authors: Soham R Chachcha [1], Ramavtar Saini [1], Anand Yadav [1].

[1] Dept. Of Orthopaedics, Geetanjali Medical College and Hospital Udaipur.

Address of Correspondence
Dr. Soham R Chachcha,
Dept. Of Orthopaedics, Geetanjali Medical College and Hospital Udaipur.
E-mail: chacha_soham@yahoo.co.in , chachasoham@gmail.com

Abstract

Background: Giant Cell tumor has a reported incidence of 30% in Indian population out of which only 10% cases occur in adults more than 65 years of age. Distal Femur and proximal Tibia are the most common sites followed by distal Radius . Distal Ulna Giant cell tumor is a rare presentation.
Methods: There are no clear-cut guidelines for treatment of Giant Cell Tumor. The treatment of choice in case of Giant Cell Tumor usually is wide block resection of tumor, and to prevent recurrence adjuvant procedures can be used such as cryotheryapy, phenol, cementing and bone grafting and burring. We used the en bloc resection method.
Result: After the en bloc resection of the tumor, the patient had relief in pain and the range of motion at wrist joint was restored.
Conclusion: Giant Cell tumor of distal Ulna is a rare entity and it is even rarer in Geriatric population. It can be treated with en bloc resection.
Keywords: Distal, Ulna, Giant Cell, Tumor, Geriatric.

References

1. Dr Ajay Puri, Dr. M. G. Agarwal and Dr. DinshawPardiwala in ‘Current concepts in bone and soft tissue tumors’ Chapter 6 Giant Cell Tumor Of Bone Page: 53-63.
2. Goldenberg RR, Campbell CJ, Bonfiglio M. Giant-Cell tumor of bone. An analysis of two hundred and eighteen cases. J Bone Joint Surg Am 1970;52:619-64.
3. D. J. McDonald, F. H. Sim, R. A. McLeod, and D. C. Dahlin, “Giant-cell tumor of bone,” Journal of Bone and Joint Surgery. Series A, vol. 68, no. 2, pp. 235–242, 1986.
4. Cooney WP, Damron TA, Sim FH, Linscheid RL. En bloc resection of tumors of the distal end of the ulna. J Bone Joint Surg Am [Internet]. 1997 Mar [cited 2015 Aug 8];79(3):406–12. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9070531.
5. B. J. Gainor and J. Schaberg, “The rheumatoid wrist after resection of the distal ulna,” Journal of Hand Surgery, vol. 10, no. 6 I, pp. 837–844, 1985.

How to Cite this article: Chachcha S R, Saini R, Yadav A. Case Report: A rare case of Giant Cell Tumor of Distal Ulna. Acta of Shoulder and Elbow Surgery Jan-June 2019;3(1):19-20.

(Abstract Full Text HTML) (Download PDF)

Suprascapular neuropathy in a young male handball player: case report

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

Authors: Luís Henrique Barros [1], Claudia Rodrigues [1], Rui Claro [1].

[1] Centro Hospitalar do Porto

Address of Correspondence
Dr. Luís Henrique Barros,
Avenida da República, 855, 1º direito, Vila Nova de Gaia, 4430-201, Portugal
Centro Hospitalar do Porto
E-mail: luisbarros8@gmail.com

Abstract

Background: Suprascapular neuropathy is an uncommon but a very disabling condition. If not diagnosed early, it can lead to irreversible changes. Their prevalence is higher among males and active population, mainly in overhead athletes.
Methods: A 22-year-old male, who is a handball player, reported right shoulder pain, fatigue, and discomfort after one month holding a backpack during hiking in his vacations. He did not remember any trauma to the right shoulder. Clinically, he had a normal active and passive range of motion but the moderate weakness of the right shoulder external rotator muscles. At inspection, he had marked atrophy of supraspinatus and infraspinatus muscles. MRI demonstrated a superior labrum from anterior to the posterior lesion with large multiloculated Paralabral cyst and electromyography was consistent with compression of the suprascapular nerve.
Results: The patient was submitted to arthroscopic labral repair and decompression of the suprascapular nerve. Six months after surgery he has no pain and limitation and is recovering strength
Conclusions: Paralabral cysts are described in the literature as causing compression on spinoglenoid notch and thus coursing with infraspinatus atrophy. This case demonstrates an unusual presentation with both supra and infraspinatus muscles atrophy. Early recognition of these injuries is crucial because complication and morbidity rates are high with delayed diagnosis, mainly in the athlete population.
Keywords: suprascapular neuropathy, SLAP lesion, paralabral cyst, overhead athletes lesions, supraspinatus muscle atrophy, infraspinatus muscle atrophy.

References

1. Schroeder AJ, Bedeir YH, Schumaier AP, Desai VS, Grawe BM. Arthroscopic Management of SLAP Lesions With Concomitant Spinoglenoid Notch Ganglion Cysts: A Systematic Review Comparing Repair Alone to Repair With Decompression. Arthroscopy. 2018. Epub 2018/03/05. doi: 10.1016/j.arthro.2018.01.031. PubMed PMID: 29501216.
2. Zehetgruber H, Noske H, Lang T, Wurnig C. Suprascapular nerve entrapment. A meta-analysis. International orthopaedics. 2002;26(6):339-43. Epub 2002/12/06. doi: 10.1007/s00264-002-0392-y. PubMed PMID: 12466865; PubMed Central PMCID: PMCPMC3620977.
3. Schroder CP, Lundgreen K, Kvakestad R. Paralabral cysts of the shoulder treated with isolated labral repair: effect on pain and radiologic findings. J Shoulder Elbow Surg. 2018;27(7):1283-9. Epub 2018/02/17. doi: 10.1016/j.jse.2017.12.022. PubMed PMID: 29449084.
4. Romeo AA, Rotenberg DD, Bach BR, Jr. Suprascapular neuropathy. J Am Acad Orthop Surg. 1999;7(6):358-67. Epub 2001/08/11. PubMed PMID: 11497489.
5. Pillai G, Baynes JR, Gladstone J, Flatow EL. Greater strength increase with cyst decompression and SLAP repair than SLAP repair alone. Clinical orthopaedics and related research. 2011;469(4):1056-60. Epub 2010/11/26. doi: 10.1007/s11999-010-1661-5. PubMed PMID: 21104358; PubMed Central PMCID: PMCPMC3048282.

How to Cite this article: Barros L H, Rodrigues C, Claro R. Suprascapular neuropathy in a young male handball player: case report. Acta of Shoulder and Elbow Surgery Jan – June 2019;3(1):16-18.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Case Report: A rare case of Giant Cell Tumor of Distal Ulna

Suprascapular neuropathy in a young male handball player: case report

Case Report: A rare case of Giant Cell Tumor of Distal Ulna

Suprascapular neuropathy in a young male handball player: case report

Full Sized Blog Element (Big Preview Pic)

Case Report: A rare case of Giant Cell Tumor of Distal Ulna

Authors: Soham R Chachcha [1], Ramavtar Saini [1], Anand Yadav [1].

Abstract

References

(Abstract Full Text HTML) (Download PDF)

Suprascapular neuropathy in a young male handball player: case report

Authors: Luís Henrique Barros [1], Claudia Rodrigues [1], Rui Claro [1].

Abstract

References

(Abstract Full Text HTML) (Download PDF)

ASES License

Contact

Important Links

Publisher