1. A case of massive osteolysis of the right humerus is described. Diseased bone was resected leaving only the lower part of the humerus. The resected bone was replaced by a titanium prosthesis. 2. The
1. Three cases of osteochondromatosis of the hip joint are described. 2. Attention is drawn to the diagnostic importance of erosions at the junction of head and neck of the femur, and the conical shape of the femoral neck. 3. Arthrography is of particular value in
We report a 72-year-old patient with thoracic myelopathy due to isolated ossification of the ligamentum flavum at T9-T10. Severe paraparesis had developed before the lesion was identified when thinning of a segment of the lower thoracic spinal cord was suspected on a second MRI examination. The
We present a 26-year-old athlete with severe low back pain associated with a fracture of a lumbar pedicle and contralateral spondylolysis. The difficulties of
1. The symptoms, signs and treatment of three patients with a posterior dislocation of the clavicle are described. 2. The value of tomography in confirming the
Pyomyositis of the obturator muscles is a rare condition, characterised by pain in the hip and features of systemic infection. It may follow minor trauma to the hip, sometimes in the presence of an apparently innocuous infective source. All previously reported cases have been diagnosed conclusively on the initial CT or MR scan. We present a case of obturator pyomyositis in a 21-year-old football player in which the first MR scan was misleading. A radiolabelled, white blood cell scan was also negative and the resultant delay in
1. A case of traumatic aneurysm of the descending genicular artery complicating elective operation on the knee joint is reported. 2. The aneurysm was mainly intra-articular, presenting as a pulsating haemarthrosis soon after operation. 3. The pathogenesis, symptomatology,
1. Four cases of sural nerve entrapment lesions in the ankle and foot are reported. 2. All the patients gained complete relief of symptoms following neurolysis. 3. The presence of a ganglion in relation to the sural nerve in the ankle and foot is a helpful sign in the
1. The literature on fractures of the postero-superior aspect of the calcaneus is reviewed. 2. The mechanical distinction between "beak" fractures and avulsion fractures is questioned, and the dangers of a purely radiological
The frame described has a place in the treatment of congenital dislocation of the hip especially if the
We report five patients who developed septic arthritis of the shoulder after cancer of the ipsilateral breast had been treated by surgery and radiotherapy. Lymphoedema was present in all cases. The infections were not obvious, having subacute onsets, and delays in
1. A patient with complete ischaemia of the muscles of the calf and anterior compartment of the leg is described. 2. In
This paper reports the results of bone scans on 78 painful feet. Scanning helped in the
1. A woman of seventy-four presenting with gigantism of the left hand and foot, lipomatosis, progressive arthropathy and psoriasis is described. 2. The associations of the various conditions are examined in the light of the previously reported cases and the differential
We have treated seven patients with cryptococcal spondylitis. Five presented with a neurological deficit and one was HIV-positive. Amphotericin-B and 5-flucytosine were used in five patients and ketoconazole was given orally in the remaining two. Three patients made a complete neurological recovery. Since these lesions mimic spinal tuberculosis, which is commonly seen in our environment, we draw attention to the importance of obtaining a tissue
Septic arthritis has been regarded as rare in haemophiliacs, but its incidence may have increased since HIV infection has become widespread in these patients. We describe six cases treated at one haemophilia unit over a two-year period and discuss their investigation,
1. Two cases of syphilitic involvement of the spinal column are described, illustrating the presentation and pathology of the disease. 2. The possibility of increased incidence of syphilitic disorders of bone and joint is considered in the light of recent statistics, and the need for awareness of the disease in its various forms is emphasised. 3. The problems of
1. Four cases of congenital lateral dislocation of the patella are described. 2. The significance of the associated flexion contracture is emphasised. 3. Early
Fractures and plastic deformities of the forearm are common in children. While axial deformities are easily recognised and treated, bowing of the radius may be overlooked. Physiological bowing is essential for full rotation of the forearm. We have used the method of Schemitsch and Richards to estimate the degree of bowing in 100 children who had not suffered a fracture of the forearm. The site of maximum bowing remained constant at 60.39% of the length of the radius (95% CI 59.65 to 61.14). The value of maximum bowing did not exceed 10% of the total length (mean value 7.21%; 95% CI 7.00 to 7.41). This study provides information that can be useful for the