Objective: Patella is a sesamoid bone which develops in the quadriceps tendon. It is an uncommon site for neoplasms. The most common primary tumors which involve patella are benign. These include chondroblastoma, giant cell tumor (GCT) and aneurysmal bone cyst. Malignant lesions are less common in patella. These encompass metastasis, osteosarcoma and hemangioendothelioma. The most common complaint in patients of GCT patella is anterior knee pain. Early diagnosis and optimal management are necessary for improving survival rate in these patients. Case Presentation: The authors present a case report of GCT of patella in a 16-year old child. Incisional biopsy was done to confirm the diagnosis. Further radiological examination showed that the tumor involved almost whole of the patella. Hence, surgical management in the form of patellectomy and extensor mechanism repair was done to improve the outcome of the disease. The patient did not have any clinical or radiological symptoms at the end of the final follow up of 22 months. Conclusion: Primary tumor of patella is a rare entity. Benign tumors like GCT present only with anterior knee pain and should be included in the differential diagnosis of anterior knee pain. MRI is useful to determine the extent of involvement of tumor in the patella. Treatment may vary from curettage and bone grafting to total patellectomy with extensor mechanism repair
Complex elbow dislocation along with ipsilateral proximal third radius fracture is a very rare combination. We present two such cases that were managed differently. The elbow dislocation can be managed by closed means but clearly, there is superiority of open reduction when compared to closed reduction while managing fracture radius.
Isolated medial cuneiform dislocation along with lisfranc dislocation is a very rare injury. A case report of this type of injury is presented to highlight the rarity of the injury and to emphasize the importance of thorough clinico-radiological examination to aid in the diagnosis. Open reduction and internal fixation is the treatment of choice.
Simultaneous fracture of lateral condyle and medial epicondyle of humerus along with elbow dislocation is very rare injury in adults. Only a few cases have been reported in literature in pediatric age groups. The authors describe a case report of fracture of lateral condyle and medial epicondyle of humerus along with elbow dislocation in a young adult. The patient sustained injury in the form of fall from bike. Clinically the patient had swelling and deformity of the elbow joint. There were contusions present in the skin around the elbow joint. There was no distal neuro-vascular deficit. Appropriate radiological investigations were done. The elbow joint was then reduced and found to be unstable. Hence, patient was taken up for surgery in the form of open reduction and internal fixation. The functional outcome of the surgery is presented in the case report. Open reduction and internal fixation are the treatment of choices in these types of cases.
Lipomas are benign, mesenchymal neoplasms occurring in areas of abundant adipose tissue. They can be found anywhere in the body with approximately 15-20 % located in head and neck region and the majority of rest in the shoulder and back. They are uncommon in hand and even rare in fingers. We report a case of lipoma in 22 year old female who presented to us with a painless swelling. Surgical excision was done. Lipoma should always be kept in the list of differential diagnosis. Complete resection should be done to prevent recurrence.
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