M Trafeh

Centre Hospitalier Universitaire IBN Rochd, Anfa, Grand Casablanca, Morocco

Are you M Trafeh?

Claim your profile

Publications (56)13.97 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Crow-Fukase or Polyneuropathy, Organomegaly, Endocrinopathy, M-protein, and Skin changes syndrome (POEMS) is a rare multisystemic affection with incompletely elucidated etiopathogenesis. We report a case of POEMS syndrome in a 48-year-old adult revealed four months before admission by areflexic flask tetraparesis prevalent on the lower limbs in connection with demyelinating and axonal CIDP "like" sensoriomotor neuropathy of the four limbs electroneuromyographically. The patient presented elevated protein level in the CSF with monoclonal standard IgG gammapathy associated with a narrow band lambda, suggesting POEMS syndrome. Further explorations revealed skin lesions with glomeruloid angiomas, edematous vasomotor disorders as well as erythrocyanose, hypogonadism, papillar edema and a lytic bone lesion of the left scapula. Radiotherapy was associated with corticosteroids and plasma exchanges. Outcome was good with resolution of the symptoms and stabilization of the neuropathy. POEMS syndrome is rare; the diagnosis is based on necessary criteria, the presence of a demyelinating and axonal polyneuropathy associated with an IgA or IgG monoclonal gammapathy, the light chain being almost entirely lambda, associated to other characteristic elements, in particular glomeruloid angiomas, endocrinopathy, sclerosing plasmocytoma which must be carefully required. Treatment is based on surgical cure or radiotherapy for bone lesion and non specific treatments such as corticosteroid therapy, plasma exchanges and IVIG.
    Revue Neurologique 10/2008; 164(8-9):722-7. · 0.51 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Peroneal nerve injury in the lateral aspect of the knee is frequent, commonly dominated by traumatic or compressive etiologies. Tumors, generally synovial cysts, are exceptional causes. We report a case of a 70-year-old women referred for assessment of peroneal palsy syndrome found to be related to peroneal schwannoma in the lateral aspect of the knee. Schwannoma is the most frequent peripheral nerve benign tumor. It is commonly limited to cranial and upper limb nerves. Localization on the lower limbs (sciatic nerve) has been reported in 1 percent of cases. The peroneal nerve localizaton has not been reported to date. We underline difficulties of diagnosis inherent to this particular localization.
    Revue Neurologique 10/2006; 162(8-9):866-8. · 0.51 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Irreducible hip dislocation following capsular and labral entrapment is a rare condition. We report a case of irreducible posterior traumatic pure hip dislocation where reduction was successfully achieved only with open surgery. An analysis of this case in the light of the published literature recalls the different etiologies of irreducible traumatic dislocation of the hip and the requirement for open surgery.
    Revue de Chirurgie Orthopédique et Réparatrice de l Appareil Moteur 06/2006; 92(3):279-82. · 0.37 Impact Factor
  • Joint Bone Spine 04/2006; 73(2):219-20. · 2.75 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Irreducible hip dislocation following capsular and labral entrapment is a rare condition. We report a case of irreducible posterior traumatic pure hip dislocation where reduction was successfully achieved only with open surgery. An analysis of this case in the light of the published literature recalls the different etiologies of irreducible traumatic dislocation of the hip and the requirement for open surgery.
    Revue De Chirurgie Orthopedique Et Reparatrice De L Appareil Moteur - REV CHIR ORTHOP REPARAT APP. 01/2006; 92(3):279-282.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Peroneal nerve injury in the lateral aspect of the knee is frequent, commonly dominated by traumatic or compressive etiologies. Tumors, generally synovial cysts, are exceptional causes. We report a case of a 70-year-old women referred for assessment of peroneal palsy syndrome found to be related to peroneal schwannoma in the lateral aspect of the knee. Schwannoma is the most frequent peripheral nerve benign tumor. It is commonly limited to cranial and upper limb nerves. Localization on the lower limbs (sciatic nerve) has been reported in 1 percent of cases. The peroneal nerve localizaton has not been reported to date. We underline difficulties of diagnosis inherent to this particular localization.
    Revue Neurologique 01/2006; 162:866-868. · 0.51 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Anterior shoulder instability is a frequent complaint in athletes leading to consultation. The impact on sports performance is greatest in young male athletes at the height of their sports capacity. We report 36 cases of recurrent anterior dislocation of the shoulder treated surgically with a Latarjet bone block. Mean patient age was 26 years in a predominantly male population. 40% of patients practiced competition sports and 60% recreational sports. At mean 3 years follow-up, outcome according to the Duplay classification was excellent or good in 89%, fair in 7% and poor in 4%. There were no cases of recurrent dislocation and 26 of 29 patients seen at consultation had resumed their sports activities. The Latarjet coracoid bone block remains a reliable technique for stabilizing the shoulder in young athletic subjects. The arthroscopic Bankart procedure can also provide good clinical results but with a relatively higher rate of recurrence and limited motion.
    Journal de Traumatologie du Sport 01/2006; 23(3):148-152.
  • Revue Du Rhumatisme - REV RHUM. 01/2006; 73(3):311-312.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Acromioclavicular dislocations are relatively frequent in the young sportive population. This difficult diagnostic therapeutic challenge has led to some controversy. We report a retrospective series of 25 athletes treated surgically for acromioclavicular dislocation. The Rockwood classification was grade III for 19 and grade IV for six. Surgical treatment consisted in acromioclavicular pinning associated with coracoclavicular wiring in 40% and ligamentoplasty in 24%. At mean four years follow-up, functional outcome assessed with the Constant score was: satisfied 88%, fair 8%, poor 4%. Anatomic results were not influenced by the overall outcome and the type of sport practice did not affect time to recovery of initial sports activity level. “Armed” and “armed against resistance” sports are general incriminated in acromioclavicular dislocation. The Rockwood classification can be used to establish the therapeutic indication, but remains uncertain when compared with operative findings.Surgical treatment gives better results for more severe grade III dislocation in athletes practicing armed sports. The diagnosis of acromioclavicular dislocation remains a difficult diagnostic challenge in athletes. Indications for surgery depend on the type of lesion and the level of sports activity.
    Journal de Traumatologie du Sport 09/2005; 22(3):154-157.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The authors report a case of isolated anterior dislocation of the radial head in a 28-years-old woman without functional disorders. After a literature review, they discute traumatic and congenital etiology of this injury.
    Chirurgie de la Main 05/2005; 24(2):103-5. · 0.30 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Snakebite poisonings are frequent In Morocco, because of the delay in treatment, they can be very serious even lethal. Treatment has two components: firstly correction of the systemic hemodynamic, respiratory and haematological disturbances and secondly administration of specific antivenom. Envenomation of a limb can lead to cutaneous necrosis, compartment syndrome and even necrotising fascitis. Early diagnosis and prompt treatment is needed to prevent these complications. We report two cases of compartment syndrome of which one was combined with systemic manifestations and the other caused residual pathology in the limb.
    Chirurgie de la Main 01/2005; 24(3-4):184-6. · 0.30 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Snakebite poisonings are frequent In Morocco, because of the delay in treatment, they can be very serious even lethal. Treatment has two components: firstly correction of the systemic hemodynamic, respiratory and haematological disturbances and secondly administration of specific antivenom. Envenomation of a limb can lead to cutaneous necrosis, compartment syndrome and even necrotising fascitis. Early diagnosis and prompt treatment is needed to prevent these complications. We report two cases of compartment syndrome of which one was combined with systemic manifestations and the other caused residual pathology in the limb.
    Chirurgie de la Main. 01/2005; 24(s 3–4):184–186.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The authors report a case of isolated anterior dislocation of the radial head in a 28-years-old woman without functional disorders. After a literature review, they discute traumatic and congenital etiology of this injury.
    Chirurgie De La Main - CHIR MAIN. 01/2005; 24(2):103-105.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Elbow dislocations in the infant are not very frequent and are associated to the fractures. Their management must be urgent and rigorous if complications are to be avoided. We report the case of a child aged 12 who presented with a fracture-dislocation of the right elbow, after falling from a tree. The patient was treated in a standard manner for one month. Four months later, the patient presented again, this time complaining of stiffness of the elbow. Physical examination confirmed the reduced range of movement of the elbow (flexion 80 degrees, extension -30 degrees) without associated neurovascular complication. Radiography of the elbow showed a posterior dislocation with remodelling of the humeral contours. Surgical exploration revealed normal articular cartilage, a pseudoarthrosis of the epitrochlea, a dislocation of the radial head and the sigmoid fossa of small size in relation to the trochlea. A reduction was only possible after an "enlargement plasty" of the trochlear notch. The patient was seen after an interval of six months. The elbow was stable with no vasculo-nervous complication.and had flexion of 110 degrees with extension of -30 degrees.
    Chirurgie de la Main 01/2005; 24(3-4):177-80. · 0.30 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Elbow dislocations in the infant are not very frequent and are associated to the fractures. Their management must be urgent and rigorous if complications are to be avoided. We report the case of a child aged 12 who presented with a fracture-dislocation of the right elbow, after falling from a tree. The patient was treated in a standard manner for one month. Four months later, the patient presented again, this time complaining of stiffness of the elbow. Physical examination confirmed the reduced range of movement of the elbow (flexion 80°, extension –30°) without associated neurovascular complication. Radiography of the elbow showed a posterior dislocation with remodelling of the humeral contours. Surgical exploration revealed normal articular cartilage, a pseudoarthrosis of the epitrochlea, a dislocation of the radial head and the sigmoid fossa of small size in relation to the trochlea. A reduction was only possible after an "enlargement plasty" of the trochlear notch. The patient was seen after an interval of six months. The elbow was stable with no vasculo-nervous complication.and had flexion of 110° with extension of –30°.
    Chirurgie de la Main. 01/2005;
  • [Show abstract] [Hide abstract]
    ABSTRACT: The authors report three cases of desmoid tumors of the shoulder-girdle. Through these observations and a review of the literature, they underline the specific characteristics of the desmoid tumors: the frequency and the seriousness of the localisations at the member roots and the great difficulties of the exeresis.
    Chirurgie de la Main 09/2004; 23(4):184-9. · 0.30 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The authors report the case of a multilocular tumour of the soft tissues of the hand and wrist which was removed by excision biopsy and which proved to be a chondroma arising from the soft tissues. Soft tissue chondromas consist of islands of heterotopic cartilaginous tissue and can equally affect the viscera as well as the limbs. The hypothesis that microtrauma is involved in the aetiology of this condition has yet to find any factual support. Simple excision-biopsy should suffice to treat the condition but care should be taken to make the excision complete if recurrences are to be avoided.
    Chirurgie de la Main 07/2004; 23(3):153-6. · 0.30 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Fracture of the capitellum is a rare intra-articular fracture and presents a frontal fracture line. It occurs in adolescents after the age of 13 years and in adults. We report a series of eight patients treated between 1992 and 2002. There were five females and three males with a mean age of 25 years (range: 20-34 years). According to the classification of Bryan and Morrey, three fractures were classified as type I, three as type II and two as type III. All patients were operated on within the first week after injury. The fixation techniques used were screw fixation in five cases and Kirschner wire fixation in three cases. Seven patients had excellent results and one patient had some limitation of range of movement. There were no instances of infection or avascular necrosis. Diagnosis of this fracture is often missed. Poor results of treatment are observed after imperfect reduction, delayed treatment or resection of the capitellum. We report in this study the results of surgical treatment.
    Chirurgie de la Main 05/2004; 23(2):79-84. · 0.30 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Fracture of the capitellum is a rare intra-articular fracture and presents a frontal fracture line. It occurs in adolescents after the age of 13 years and in adults. We report a series of eight patients treated between 1992 and 2002. There were five females and three males with a mean age of 25 years (range: 20–34 years). According to the classification of Bryan and Morrey, three fractures were classified as type I, three as type II and two as type III. All patients were operated on within the first week after injury. The fixation techniques used were screw fixation in five cases and Kirschner wire fixation in three cases. Seven patients had excellent results and one patient had some limitation of range of movement. There were no instances of infection or avascular necrosis.Diagnosis of this fracture is often missed. Poor results of treatment are observed after imperfect reduction, delayed treatment or resection of the capitellum.We report in this study the results of surgical treatment.
    Chirurgie de la Main 04/2004; 23(2):79-84. · 0.30 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Les auteurs rapportent une observation dune tumeur cellules gantes des gaines des tendons extenseurs des orteils et en tudient les caractristiques cliniques; radiologiques; thrapeutiques et pronostiques la lumire dune revue de la littrature.The authors report a case of a giant cell tumour of the tendon sheath of the toe. With a review of the literature on this subject they study the clinical and radiological signs, as well as the treatment and prognosis of this condition.
    Médecine et Chirurgie du Pied 01/2004; 20(2):49-51. · 0.06 Impact Factor