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A case report:Bilateral atraumatic proximal tibiofibular joint osteoarthritis

Case Reports in Clinical Medicine 2013年第4期2卷 267-271页

作者： gilberto yoshinobu nakama Guilherme C.Gracitelli Alberto de Castro Pochini Caio Augusto de Souza Nery Mario Carneiro Filho Knee Surgery and Arthroscopy Group Federal University of Sao PauloSao PauloBrazil Department of Orthopedics and Traumatology Federal University of Sao PauloSao PauloBrazil

Introduction: Proximal tibiofibular joint osteoarthritis is a rare disease most commonly occurring in the presence of either systemic inflammatory conditions or severe knee osteoarthritis. Case Presentation: The authors present a case report of isolated bilateral tibiofibular arthrosis in an otherwise healthy 28-year-old female patient. The patient presented with complaints of lateral knee pain. Radiographs and magnetic resonance imaging (MRI) revealed bilateral tibiofibular joint osteoarthritis. Trauma, repetitive use injury, and rheumatologic causes were excluded. The patient’s pain was initially managed conservatively, but she subsequently underwent tibiofibular arthrodesis for progressive pain symptoms. We review in this report the current literature on tibiofibular joint osteoarthritis and its treatment. Conclusion: Isolated tibiofibular joint osteoarthritis is a rare condition that may progress and requires surgical treatment to achieve optimal clinical outcomes.

关键词： Proximal Tibiofibular Joint Osteoarthritis Arthrodesis

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Multilocular Thymic Cysts with Follicular Hyperplasia: Report of a Case

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Open Journal of Thoracic Surgery 2013年第4期3卷 111-113页

作者： yoshinobu Ichiki Yuichiro Kajiwara Takayuki Hamatsu Taketoshi Suehiro Fumihiro Tanaka Keizo Sugimachi Department of Chest Surgery Onga Nakama Medical Association Onga Hospital Onga-gun Japan Department of Emergency Onga Nakama Medical Association Onga Hospital Onga-gun Japan Department of Surgery Onga Nakama Medical Association Onga Hospital Onga-gun Japan Department of Surgery Onga Nakama Medical Association Onga Hospital Onga-gun Japan Second Department of Surgery University of Occupational and Environmental Health School of Medicine Kitakyushu Japan.

We herein describe a rare case of multilocular thymic cysts (MTCs) with follicular hyperplasia. The patient was a 50-year-old man, who was symptom-free. A mediastinal mass was found on chest computed tomography (CT) followed after pancreatitis. Chest CT revealed a 30 × 10 mm anterior mediastinal mass with multiple cystic lesions. Magnetic resonance imaging showed an anterior mediastinal cystic mass with low-signal intensity on T1-weighted image and on high-signal intensity T2-weighted image. Thus we made a preoperative diagnosis of MTCs with thymoma within the cyst wall. The lesion was resected by thymectomy. Intraoperatively, multiple cysts and swelling of mediastinal lymph nodes were noted throughout the entire thymus. Histopathological findings revealed lymphoid follicular hyperplasia of thymic tissues but no neoplastic lesions. Based on these findings, a diagnosis of MTCs associated with thymic hyperplasia was made. This is a rare case that preoperatively was difficult to diagnose.

关键词： Multilocular Thymic Cyst Follicular Hyperplasia Surgery

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