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Home general crystal deposition disorders diabetes genetic disorders, skeletal dysplasias & malformations infections rheumatic disorders & tendinitis metabolic & endocrine disorders neuromuscular disorders osteoarthritis osteonecrosis peripheral nerve injuries skeletal & extraskeletal calcification & ossification syndromes tumour clinical history examination investigations orthopaedic operations perioperative issues & rehab basic science anatomy biomaterials biomechanics embryology kinesiology normal tissues pharmacology physiotherapy statistics tissue repair operation approaches amputations arthrodesis orif adult elective the wrist & hand the elbow the shoulder & pectoral guide the neck & cervical spine the back the hip the knee the ankle & foot adult trauma the management of major injuries principles of fracture management & adjuncts injuries of shoulder, upper arm & elbow injuries of forearm & wrist hand injuries injuries of the spine injuries of the pelvis injuries of the hip & femur injuries of knee & leg injuries of ankle injuries of foot paed elective the wrist & hand the elbow the shoulder & pectoral guide the neck & cervical spine the back the hip the knee the ankle & foot paed trauma the management of major injuries principles of fracture management & adjuncts injuries of shoulder, upper arm & elbow injuries of forearm | wrist | hand injuries of the spine injuries of the pelvis injuries of the hip & femur injuries of knee & leg injuries of ankle | foot fracs the exam past exams tips useful lists online practice mcq test isawes a b c d e f g h i j k l m n o p q r s t u v w x y z # health quality initiative by western hospital sunshine hospital williamstown hospital home general tumour chordoma chordoma definition rare malignant neoplasm arising from notochordal remnants epidemiology 1-4% of primary malignant bone tumours m:f – 3:1 in sacral tumours average age at diagnosis 55 years midline in axial skeleton sacrum 50% base of skull 35% vertebrae especially cervical 15% embryology rests of embryonic notochord incomplete degeneration of notochord in centre of vertebral body at junction of adjacent sclerotomes this undergoes neoplastic change to chordoma clinical features slow growing with clinical features dependent on location cranial lesions smaller than sacral lesions at presentation middle-aged adults sacral lesions low back pain pelvic pain usually poorly localised night pain common 40% have rectal dysfunction will often palpate presacral chordoma pr neurological compression often late presentation with mass effect slow-growing large potential space to expand into often very large on presentation region. buy viagra cheap best generic viagra usa cheap viagra viagra viagra cheap viagra viagra viagra overnight generic viagra where to buy viagra in delhi confessions of viagra salesman viagra online without prescription viagra peak time viagra 100 mgs buy cheap viagra order viagra online Date Created: Thu Oct 26 16:24:19 2006