Synovial osteochondromatosis. Computerized axial tomography, frozen section and arthrography in diagnosis and management

This is believed to be the first report in the orthopaedic literature on the value of computerized axial tomography in the diagnosis of synovial osteochondromatosis. The disease, rare in young children, is described in a young girl in whom it was first diagnosed at the age of nine and who was followed for 11 years. The role of CAT scan and arthrogram in the diagnosis and management of the disease and of frozen section histology in determining its surgical correction are discussed.

Axillary artery disruption secondary to anterior dislocation of the shoulder

We report a 13-year-old male who sustained a segmental injury to the third part of the left axillary artery following a subcoracoid shoulder dislocation while wrestling. The artery was repaired with an autogenous saphenous vein interposition graft. The patient's postoperative course was uneventful, and, in a 3-year followup, he has complete range of motion of the left shoulder without neurovascular compromise.