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Spot Diagnosis

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Nov 15, 2012.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    What is your medical diagnosis for this case ?
    add your diagnosis as a comment below !

    spot diagnosis.jpg
     

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  2. dupuytren

    dupuytren Bronze Member

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    left convex foot (best known as rocker-bottom deformity) with abnormal shape of the left leg
     

    Last edited: Nov 16, 2012
  3. neo_star

    neo_star Moderator

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    i think this is a case of cerebral palsy...fixed flexion deformity in hip and knee and adductor spasticity (although not clearly visible, side on) and of course the patient has club foot.

    'thumb in haand' is the most severe of the hand deformities in CP patients and i guess the child was operated for that ( just a guess )

    [​IMG]

    (-:
     

    Last edited: Nov 16, 2012
  4. dr.angela

    dr.angela Bronze Member

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    osteogenesis imperfecta
     

  5. dupuytren

    dupuytren Bronze Member

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    I agree with you, the patient is likely to have a cerebral palsy: in fact convex foot (and this is convex, not club foot because it is neither equinus nor varus and there isn't any inversion or adduction) is rarely an isolated condition, more frequently it's associated with neurological conditions as congenital palsy.
     

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  6. kangourou

    kangourou Famous Member

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    Enchondromatosis - aka. ollier's disease??

    If you want to know more about this rare condition, have a look at the following article:

    Ollier disease
     

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  7. neo_star

    neo_star Moderator

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    Fully agree with you !!! and Thanks (-:

    At second look the hip seems to be flexed because of the tumor around the knee and I guess there is a tumor at the lower end of the leg ( ankle joint ) as well.

    I guess Dr. Dupytren is right about the convex foot as well.


     

    Last edited: Nov 17, 2012
  8. dupuytren

    dupuytren Bronze Member

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    I've never seen before a so disabling Ollier. It may be, but I remind you that a diagnosis of enchondromatosis can't be made only on clinical findings: we need the xray to consider it this way! ;)
     

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  9. kangourou

    kangourou Famous Member

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    You are of course correct dupuytren, given the scale of deformity we see here radiological imaging would certainly have to be the next step :)
     

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  10. neo_star

    neo_star Moderator

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    I agree with both of you ( dupuytren and kangourou ), becos what seems to be a tumor could well be patella alta or patellar dislocation. I would even keep polio as a differential. Without the X ray or a history it's hard t' tell. But thankfully there is someone who knows the answer, the 'Egyptian Doctor'.

    The bright side - all those who got themselves interested will never forget this case.

    (Y)
     

  11. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Answer : Ollier disease
     

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