Joël Lechevallier

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OBJECTIVE To retrospectively assess, with a sufficiently long followup (mean 11.6 years; median 9 years), the long-term outcome of chronic recurrent multifocal osteitis (CRMO), a multifocal, inflammatory bone disease. METHODS Patients included were 8 children/adolescents and 7 adults with no family history of rheumatic disease who had been diagnosed as(More)
PURPOSE OF THE STUDY The purpose of this study was to evaluate a diagnostic and management protocol for osteoarticular infection in children which was developed at the Rouen University Hospital in 1993. We studied the technical aspects of the protocol allowing improved certain diagnosis and bacteriological documentation as well as the reduction in(More)
Fracture of the atlas vertebra is rare in children. We report two paediatric cases of bifocal pedicular fracture of the posterior arch of C1. Evaluation was performed by nonenhanced computed tomography scan, which successively confirmed both diagnosis and healing. In both cases, nonoperative management was successful.
Osteoid osteoma or osteoblastoma of the cervical spine require complex therapeutic solutions in cases in which there is proximity to the vertebral artery. We describe four such cases. Generally, resection was efficacious and without recurrence, but twice the vertebral artery had to be sacrificed. Although we did not find any serious neurological(More)
About 30% of children with neurofibromatosis are affected by scoliosis usually due to bony dysplasia and/or neurogenic tumors. We report the case of a scoliotic girl with type 1 neurofibromatosis presenting with a costovertebral dislocation at the apex of the spinal curvature.
Amniotic band syndrome or amniotic disruption complex is a well-known congenital limb abnormality, which occurs in 1 in 1200 to 1 in 15,000 live births. In cases of an isolated band constriction, it has been speculated that the bands lead to decreased blood flow in the constricted limb and subsequent natural amputation. Fetal surgery could be considered in(More)
Amniotic band syndrome is a collection of fetal congenital malformations, affecting mainly the limbs, but also the craniofacial area and internal organs. Two mains pathogenic mechanisms are proposed: early amnion rupture (exogenous theory) leading to fibrous bands, which entrap the fetal body; the endogenous theory privileges vascular compromise,(More)
BACKGROUND Outpatient consultation constitutes a major part of medical practice. However, little is known about the skills which should be taught to residents in order for them to improve their consultant-referring physician relationships. PURPOSES To specify the consultant skills which are required to ensure an effective communication between specialists(More)
Twenty-four arthroscopies of the hip performed at the Alfred I. duPont Institute, Wilmington, Delaware, in 21 patients between 1981 and 1991 were retrospectively studied. The average age of patients at the time of arthroscopy was 16 years (range, 11-21 years). The arthroscopies were diagnostic if the procedure was performed to visualize the hip or to(More)
OBJECTIVE The script concordance test is designed to evaluate knowledge organization, which constitutes a crucial parameter of clinical skills. The objective of the present study was to assess the value of a new written evaluation tool to measure clinical skills in Internal Medicine. MATERIALS AND METHODS A 95-item examination was completed by a group of(More)