A 70-year-old woman had become aware of a mass on the dorsal aspect of the middle phalanx of her right little nger 9 years earlier. Her medical history was unremarkable, with no traumatic injury of the right little nger. Initial examination revealed a hard, immovable swelling of 15 × 10 mm on the dorsal aspect of the middle phalanx of the right little nger. No pain, sensory disturbance, or motor dysfunction was noted. The patient underwent FNAC at Adichunchanagiri Hospital and Research Centre and features were suggestive of benign spindle lesion/possibility of peripheral nerve sheath tumor. Total excision of the tumor was performed under block. Histopathological ndings revealed circumscribed benign tumor composed of hyper cellular and hypo cellular areas, hyper cellular area shows bro collagenous tissue, spindle cells in palisading arrangement, whereas hypo cellular area shows edema with thrombosed vessels, also hyalinisation and myxoid changes at places are observed. Based on these ndings, the patient was diagnosed as having ancient schwannoma. There was no evidence of infection, pain, complications such as recurrent tumor at 6 months postoperative.
Introduction: Distal end radius fractures are one the foremost common injuries of the upper extremity. Greatest prevalence was noticed elderly women who fall on their outstretched hand and young men involved in impact injuries. This is a prospective study conducted in the Department of Orthoped Materials And Methods: ics, Adichunchanagiri Institute of Medical Sciences, B.G.NAGARA after obtaining ethical clearance. This study consisted of 20 adult patients of either sex visiting outpatient department of the hospital/ casualty diagnosed to have distal end radius fractures with the involvement of radial and intermediate columns. Patients satisfying inclusion criteria were included in the study during the period from February 2021 to August 2022 In present stud Results: y 20 cases there were 12 males and 08 females with average age of presentation was 41.5 years, there was a predominance of right sided fractures when compared to the left. Mean duration between admission and surgery was 3.2 days, the mean duration of complete radiological union was 6.6 weeks. We have achieved excellent results in 50% of cases, good results in 25%, fair results 25%, and no poor results. Complications like Stitch abscess, stiffness, reduced range of motion, Persistent pain syndrome seen in 4 (20%) cases Conclusion: This present study shows that volar locking plate is a better technique in view of shorter operative time, less hardware, reduction in blood loss, less tendon irritation, lesser risk of neuromuscular injury. However this is a short term study with small sample size, needs long term follow up to predict further outcome
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