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Transepiphyseal Fracture­‐Dislocation of the Hip inan Adolescent: A Rare Clinic...

Moreira, Andreia G.; Balacó, Inês; Cabral, João; Alves, Cristina

Hip fracture‐dislocations in children and adolescents are rare and severe injuries. Surgical treatment is urgent and, even with adequate and timely treatment, the complication rate is high. The most common complication is osteonecrosis of the femoral head and the main risk factors include fracture type and displacement. A 13‐year‐old boy presented after a high‐energy trauma, having sustained a fracture‐dislocat...


Pediatric Compartment Syndrome

Viegas, Rui; Viegas, Rui; Carvalho, Marcos; Cabral, João; Sá Cardoso, Pedro; Tarquini, Oliana; Balacó, Inês; Ling, Tah Pu; Alves, Cristina

Introduction: Compartment syndrome (CS) is an orthopedic emergency. Diagnosis is particularly difficult in children because of the challenges inherent to communication and clinical examination. This paper aims to present a pediatric case series of CS and to analyze its etiology, diagnosis, treatment and complications as well as to assess the quality of life of the patients at least 1 year after the event. Metho...


Mechanical Expandable Tumoral Prosthesis Lengthening Mechanism Collapse: Salvag...

Rodrigues, Sónia; Balacó, Inês; Alves, Cristina; Matos, Gabriel

We describe a clinical case of a patient with osteosarcoma, who underwent resection and reconstruction with an expandable prosthesis, mechanical failure of the lengthening device and sudden dysmetria. Girl, 8 years old, with distal metadiaphyseal osteosarcoma of the left femur. She underwent a 14cm resection and reconstruction with an expandable prosthesis. Mechanical lengthening without complications, totaling...


Pachydysostosis of the Fibula in a Case of Familial Adenomatous Polyposis.

Oliveira, Daniela; Maia, Sofia; Balacó, Inês; Coelho, Paulo; Almeida, Susana; Venâncio, Margarida; Saraiva, Jorge; Nishimura, Gen; Sousa, Sérgio B

Background: Familial Adenomatous Polyposis (FAP) is a colorectal cancer (CRC) predisposition syndrome caused by germline APC mutations and characterised by an increased risk of CRC and colonic polyps and, in certain forms, of specific prominent extraintestinal manifestations, namely osteomas, soft tissue tumours and dental anomalies. Pachydysostosis of the fibula is a rare clinical entity defined by unilateral ...


Evaluation of Bone Consolidation in External Fixation with an Electromechanical...

Paulino, Maria F.; Roseiro, Luís M.; Balacó, Inês; Neto, Maria A.; Amaro, Ana M.

The monitoring of fracture or osteotomy healing is vital for orthopedists to help advise, if necessary, secondary treatments for improving healing outcomes and minimizing patient suffering. It has been decades since osteotomy stiffness has been identified as one main parameter to quantify and qualify the outcome of a regenerated callus. Still, radiographic imaging remains the current standard diagnostic techniq...


Osteomyelitis Following Plantar Puncture Wound

Nogueira, Andreia; Balacó, Inês; Alves, Cristina; Nascimento, João; Rodrigues, Fernanda

Puncture wounds to the foot may be associated with bone and joint complications, especially when the aetiological agent is Pseudomonas aeruginosa. The high affinity of this bacterium for cartilage tissue and the favourable environment for bacterial growth provided by sports shoes are two factors that contribute to a higher incidence of this pathology in children. The present case report is intended as an alert ...


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