Orf of the hand is an uncommon zoonotic infection caused by a dermotropic DNA virus that belongs to the Parapoxvirus genus of the family Poxviridae. It is transmitted to humans through contact with infected sheep and goats and is reported as an occupational disease. We report nine cases of human orf seen in the hands of individuals, who were not occupationally exposed, after the feast of sacrifice in Turkey. Three cases were teachers and six out of the nine were housewives. We observed musculoskeletal complications and misdiagnoses. It is important to consider human orf in the differential diagnosis of hand lesions to prevent overtreatment and complications.

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We conclude that complete acute transient ischemia affects the oxidant status during fracture healing. This effect especially occurs during the ischemic period, inflammation, and callus formation of fracture healing.

Pain located in the posterior ankle region is a common complaint in athletes who perform activities with the ankle in the equinus position, such as swimming, diving, figure skating, gymnastics, soccer playing, and dancing. Os trigonum syndrome and flexor hallucis tendinitis are among the common causes of posterior ankle pain. 2,6 Symptoms that are caused by some pathologic conditions of the posterolateral process of the talus are known as the os trigonum syndrome. Synonymous terms are symptomatic os trigonum, talar compression syndrome, posterior ankle impingement syndrome, posterior ankle block, posterior tibiotalar impingement syndrome, posterior impingement. Flexor hallucis longus tenosynovitis may coexist with the os trigonum syndrome. 1,2,5,6,7 Bilateral os trigonum syndrome is not seen frequently. Moreover, bilateral os trigonum syndrome and bilateral flexor hallucis longus tenosynovitis are very rare. 1,4 We report a case of bilateral os trigonum syndrome and bilateral tenosynovitis of flexor hallucis longus muscle in a middle-aged teacher.

The diagnosis for skeletal tuberculosis is often overlooked. We report a 9-year-old patient with a history of 2 years of swollen joint, with a diagnosis of tuberculosis of the knee with involvement of the proximal tibial epiphysis, and treated surgically and with anti-tuberculosis drug therapy.