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E Manes

Publications and source records attributed to E Manes.

At least 19 recordsLinked to original sources

Osteoid osteoma of the talus.

The talus is a rare site of predilection for osteoid osteoma. This tumor, in its juxta-articular position, presents particular clinical and pathological features. Three cases of subperiosteal osteoid osteoma are discussed in patients aged 15, 17 and 25 years. In diagnosis, a basic role is played by awareness of the disease, which must lead to the use of bone scan, indicating the site of the pathological lesion, which may be difficult to determine because of subtle radiographic modifications, and particularly because of long-term changes in the symptoms. Radiographic examination (standard x-rays, enlarged x-rays), often characterises and reinforces what is diagnostically suspected. CAT clearly shows the features and type of osteoid osteoma in relation to the adjacent structures. Sequential angioscintigraphy, based on the captation curve of the radionuclide, may suggest the nature of the lesion, subsequently confirmed by the macroscopic picture and histological examination.

Adolescent

Osteosarcoma of the proximal femur and humerus in children treated by resection, endoprosthesis and complementary chemotherapy.

Three cases of osteosarcoma of the proximal femur and humerus in children are reported. They were all highly malignant. They were treated by radical resection and prosthetic replacement with complementary chemotherapy. At 6 months, 2 years and 7 months, and 3 years and 2 months respectively they show no signs of local recurrence or metastases.

Artificial Limbs

Massive homogenous osteo-articular bone grafts. Long term results.

The authors present a long term review of thirty cases of massive homogenous bone grafts carried out at the Istituto Ortopedico Rizzoli between 1967 and 1971. Thirty one of these were either complete or partial diaphyseo- articular grafts. The lesions for which the operations were performed were: twelve giant cell tumours; one Ewing's tumour; two reticulosarcomas; eight osteosarcomas; six chondrosarcomas; one loss of bone substance from trauma, one echinococcosis of the femur and one aneurysmal bone cyst. In some of these cases amputation or disarticulation had been advised but refused by the patient. Follow up three and a half to five years after operation showed complete incorporation of the graft in eight cases, partial incorporation in live, and resorption in four. In the remaining fifteen cases the follow up was terminated by early death, recurrences, infection or intolerance with rejection. In conclusion, the authors recommend that massive osteoarticular homogenous grafts should be confined to the substitution of unicondylar lesions as these offer greater contact with the host bone and therefore a greater possibility of incorporation. The same indications exist in cases involving only diaphyseal substitution where osteogenetic invasion of the graft can occur from both ends. In all the other cases, they recommend either resection arthrodesis or prosthetic replacement.

Adult

[Epicondylitis].

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Elbow Joint

Echinococcosis: intramuscular localization.

Localization of hydatidosis in the musculoskeletal system is a rare occurrence, and generally involves the skeleton. A case reported here in which the muscular localization of hydatidosis followed hepatic and pulmonary localizations treated surgically. 1) Muscular localization seems to be related to the regional circulation; 2) diagnosis may be done by echography, CT scan, RMI and immunological tests with ELISA and RIA methods; 3) basic steps during surgery, which constitutes the treatment of choice, involve the prevention of anaphylactic shock and the inactivation of the cyst; 4) chemotherapy is limited to cases in which it is not possible to perform radical surgery, to the prevention of postoperative recurrence, and to cases which cannot be treated surgically.

Aged