Calcaneal fractures in children
Eight patients with 9 calcaneal fractures were reviewed. Of the fractures 6 were intra articular and 3 extra-articular but in children this distinction appears to have little relevance to treatment or prognosis. While these fractures are relatively uncommon in children, clinical suspicion is important in making the diagnosis, since the presentation may be subtle. The overall prognosis in children is excellent.
Fifty-one patients with superior sulcus tumor of lung (Pancoast) treated over a seventeen-year period were reviewed. Musculoskeletal complaints were the presenting symptoms in forty-six patients. The clinical manifestations and diagnostic pitfalls are discussed and recommendations advanced for a thorough roentgenographic study of the thoracic inlet in any patient with persistent shoulder or neck pain, with or without brachialgia. Should any apical lung abnormality be detected, a thorough evaluation including biopsy is indicated.