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M Trafeh

Publications and source records attributed to M Trafeh.

At least 19 recordsLinked to original sources
PubMed2006

[Irreducible traumatic dislocation of the hip caused by labral and capsular entrapment with a buttonhole effect].

Irreducible hip dislocation following capsular and labral entrapment is a rare condition. We report a case of irreducible posterior traumatic pure hip dislocation where reduction was successfully achieved only with open surgery. An analysis of this case in the light of the published literature recalls the different etiologies of irreducible traumatic dislocation of the hip and the requirement for open surgery.

Acetabulum↗
PubMed2006

[Peroneal nerve schwannoma presenting with a peroneal palsy].

Peroneal nerve injury in the lateral aspect of the knee is frequent, commonly dominated by traumatic or compressive etiologies. Tumors, generally synovial cysts, are exceptional causes. We report a case of a 70-year-old women referred for assessment of peroneal palsy syndrome found to be related to peroneal schwannoma in the lateral aspect of the knee. Schwannoma is the most frequent peripheral nerve benign tumor. It is commonly limited to cranial and upper limb nerves. Localization on the lower limbs (sciatic nerve) has been reported in 1 percent of cases. The peroneal nerve localizaton has not been reported to date. We underline difficulties of diagnosis inherent to this particular localization.

Aged↗
PubMed2004

[Surgical treatment of capitellum fractures in the adult. Eight case reports].

Fracture of the capitellum is a rare intra-articular fracture and presents a frontal fracture line. It occurs in adolescents after the age of 13 years and in adults. We report a series of eight patients treated between 1992 and 2002. There were five females and three males with a mean age of 25 years (range: 20-34 years). According to the classification of Bryan and Morrey, three fractures were classified as type I, three as type II and two as type III. All patients were operated on within the first week after injury. The fixation techniques used were screw fixation in five cases and Kirschner wire fixation in three cases. Seven patients had excellent results and one patient had some limitation of range of movement. There were no instances of infection or avascular necrosis. Diagnosis of this fracture is often missed. Poor results of treatment are observed after imperfect reduction, delayed treatment or resection of the capitellum. We report in this study the results of surgical treatment.

Adult↗
PubMed2004

[Soft-tissue chondroma of the hand. A new case].

The authors report the case of a multilocular tumour of the soft tissues of the hand and wrist which was removed by excision biopsy and which proved to be a chondroma arising from the soft tissues. Soft tissue chondromas consist of islands of heterotopic cartilaginous tissue and can equally affect the viscera as well as the limbs. The hypothesis that microtrauma is involved in the aetiology of this condition has yet to find any factual support. Simple excision-biopsy should suffice to treat the condition but care should be taken to make the excision complete if recurrences are to be avoided.

Adult↗
PubMed2004

[Desmoid tumors of the shoulder-girdle (report of three cases)].

The authors report three cases of desmoid tumors of the shoulder-girdle. Through these observations and a review of the literature, they underline the specific characteristics of the desmoid tumors: the frequency and the seriousness of the localisations at the member roots and the great difficulties of the exeresis.

Adolescent↗
PubMed2003

[Results of primary median nerve repair at the wrist: report of 24 cases].

INTRODUCTION: Nerve injuries of the upper limb can cause serious damage: primary repair has improved the results but the prognosis for recovery remains uncertain. We present the results of primary repair of 24 median nerve injuries at the level of the wrist. MATERIALS AND METHODS: Between 1990-1998, we repaired 57 median nerve injuries at the wrist. Only 24 patients were included in this retrospective study. The average age of the patients was 25 years (range: 18-60 years). Seventeen patients were men and seven were women. All the patients were operated within 12 h after the accident. In all the cases, epiperineural suture was performed followed by immobilisation in a cast for 3 weeks. No specific rehabilitation programme was employed. RESULTS: At review with a mean follow-up of 3 years, 46% of the patients obtained good or very good results according to Chanson's scoring system. The sensory recovery was between S4-S2 with the Weber test in 75% of patients. Fifty-eight percent of patients recovered a motor function between M3-M2. DISCUSSION: In most papers, very good and good results averaged 60%. The results in our series did not achieve this level. We believe that this is due to two factors: firstly, the age distribution of our patients and secondly the lack of a specific program of sensory rehabilitation.

Adolescent↗
PubMed2003

[Tuberculous infection after dynamic-hip screw osteosynthesis: a case report].

We report the case of a 72-year-old woman who developed osteoarticular tuberculosis after dynamic hip screw osteosynthesis for a pertrocanteric fracture. Necrosis of the head and disassembly of the prosthetic material ensued. This patient had no history of pulmonary or extra-pulmonary tuberculosis. Certain diagnosis was established on the basis of pathology findings and successful antibiotic treatment associated with surgery: ablation of the implant, head-neck resection, total hip arthroplasty. Two hypothetical pathogenic mechanisms can be put forward: hematogenic dissemination from another focus and reactivation of latent local infection.

Aged↗
PubMed2002

[Juvenile aponeurotic fibroma. A case report with a review of the literature].

Juvenile aponeurotic fibroma is a rare benign tumour which occurs mainly in young patients under 20 years of age and especially during childhood. Clinical presentation is a unique, hard and painless tumour of the palm or sole. The treatment commonly accepted for this locally recurrent tumour is complete excision with function preservation. In this paper, we report on a case of juvenile aponeurotic fibroma of the thenar area with a thickening of the first metacarpal bone shaft. Bone involvement in juvenile aponeurotic fibroma is a very rare condition. We only found one report of a comparable case in literature.

Adolescent↗
PubMed2002

[Femoral neck fracture in osteopoikilosis].

Osteopoikilosis was discovered in a 53-year-old patient who suffered a fracture of the right femoral neck. Plain X-rays demonstrated symmetrical bilateral stippling of variable size. No images were seen in the skull and spine. The fracture of the femoral neck was treated by total hip replacement. At surgery, the joint cartilage of the femoral head and the acetabulum had a normal aspect. Pathology examination of the femoral head demonstrated regular thick dense lamellae. Functional outcome at ten months was good (Postel-Merle-d'Aubigné score). Osteopoikilosis is an uncommon clinically latent condensing bone disease which can be revealed by bone fracture.

Arthroplasty, Replacement, Hip↗
PubMed2002

[Lesions of the distal radio-ulnar joint associated with isolated fractures of the radial shaft].

The authors have performed a retrospective study of 49 Galeazzi fractures treated between 1990 and 1998. This lesion is considered rare because it is often misdiagnosed as an isolated fracture of the radius. The mean age of the patients was 31 years. There was a male predominance with a sex ratio of 4/1. Road traffic accidents were the main etiology (45%). Galeazzi fracture type III in Mansat's classification represented 53%, followed by type II (33%), type I (8%) and equivalents of Galeazzi fracture (6%). The treatment was surgical in all cases. The radial fracture was internally fixed with a plate. Reduction of the distal radio-ulnar instability, achieved by manipulation, was maintained with radio-ulnar pin fixation in 53% and with plaster cast immobilization 45%. The results, evaluated according to Mikic's criteria were excellent in 87%. The prognosis of Galeazzi's fracture depends mainly on the initial treatment of the lesions of the distal radio-ulnar joint, which require for their diagnosis a meticulous clinical evaluation and a good radiological analysis.

Adolescent↗
PubMed2001

[Giant cell tenosynovial tumor, spread in the forearm soft tissues. A case report].

Giant cell tumor of the tendon sheath (GCTTS), tenosynovial giant cell tumor are a group of rare proliferative disorders which involves synovial joints and tendon sheaths. Considerable confusion exists about the surgical treatment and diagnosis of these disorders. We report an exceptional case of a tenosynovial giant cell tumor of the forearm. It concerns a 23 years old woman presenting multiple tumors of the forearm and wrist. Result of the primary biopsy concluded to an eosinophilic granuloma. Magnetic resonance imaging demonstrated a richly vascularized tissular lesion involving the extensor carpi radialis and extensor pollicis longus. Surgical excision of the tumor was performed. Macroscopic, histologic and immunohistochimic findings confirmed the diagnosis of tenosynovial giant cell tumor. This diffused form is rare compared with the nodular one involving fingers. Optimal treatment is surgical resection. The only risk is recurrence.

Adult↗
PubMed2000

[Antelunar dislocation of the wrist. Apropos of 3 cases].

Volar perilunar dislocation of the carpus is rare. We report three cases here. The patients were 18, 23 and 31 years of age. The etiology was a traffic accident in all cases and palmar hyperflexion of the wrist was noted in all three. Palmar dislocation was associated with a scaphoid fracture in two cases. In the third case, there was an associated fracture of the radial styloid and capitate. The patients were operated on after a delay of 48 h in two cases and four weeks in one. The dorsal approach was used in two cases and the palmar approach in the other. Reduction, fracture osteosynthesis and intracarpal temporary arthrodesis were the main lines of treatment. The functional result evaluated after a minimum of eight months' follow-up was good in two cases, and acceptable in one (Green and O'Brien score). Volar perilunar dislocation is often associated with fracture of a carpal bone, mainly the scaphoid. It occurs in young men, after a violent injury. Polytrauma is often associated. Closed reduction is attempted first but open reduction is often needed because of instability of the lesion. The functional result is good if the treatment restores carpal bone congruence.

Adolescent↗
PubMed1999

[Direct communication between the lower urinary tract and the hip joint complicating acetabular fracture. A case report].

INTRODUCTION: Urinary complications are rare in acetabular fractures (3.5 p. 100). They can lead to immediate, secondary or late complications. CASE REPORT: The authors report the case of an uretro-acetabular fistula in a complex acetabular fracture. Intravenous urography showed the fistula with opacification of the hip joint. Surgical treatment of the fracture was contra-indicated due to the septic risk. Post traumatic degenerative joint disease appeared in our patient and a total hip arthroplasty was performed at 18 months post injury. At 6 months follow-up, clinical biological and radiographical status was good. DISCUSSION AND CONCLUSION: Hip joint contamination with urines due to uretroacetabular fistula could be responsible for septic hip arthritis and late joint deterioration. Urine drainage using a cystocatheter as in our observation is recommended. Primary and secondary treatment of the acetabular fracture remains difficult.

Acetabulum↗