XXXX originating from unusual locations complicating orthopedic discipline: case series.

@entity1 @entity705 @entity2850 @entity3833 @entity158
Herein, we report clinical, radiological, and follow-up results of seven cases of @entity705 and highlight the importance of rare and unusual properties of unusual locations of @entity705 . Seven @entity1 with @entity705 were treated in our institution (Antalya Memorial Hospital) between the period of February 2009 and March 2014 were reported. The @entity1 were classified according to the localization, symptomatology, and the presence of neurovascular involvement or organ compression. The results were discussed with the existing literature data. Five of our @entity1 had unusual symptomatology. Surgical excision was performed on six of seven @entity1 . One @entity1 was followed with scheduled outpatient visits alone. Our clinical follow-up results were good to excellent. In our case series, one @entity1 with clavicular involvement had impaired shoulder mechanic which resulted in @entity158 , while another with pubic ramus involvement had obstructive urination symptoms and @entity3833 . One @entity1 with scapular involvement had snapping scapula symptoms, while two @entity1 with fibular head involvement had @entity2850 and @entity2850 symptoms in each. One @entity1 with ischial ramus involvement had sciatica, whereas another with first rib involvement had radiological evidences for subclavian @entity2850 without any symptom. Based our experience, the flat bones which are usually ossified by intramembranous type of ossification during the fetal period (including the scapula, ilium, pubic ramus, ischium ramus, ribs and clavicle) are much less commonly affected and often have unusual symptoms. The @entity705 originating from the fibular head may seem innocent to an orthopedic surgeon. However, an orthopedic surgeon should be alert to tibiofibular @entity2850 in this @entity1 population.
