Evaluating the outcome of computed tomography (CT) guided percutaneous radiofrequency ablation in the treatment of osteoid osteoma in unattainable region. Material and Methods: 12 patients between 12 -30 years of age with osteoid osteoma were selected and treated by percutaneous CT guided radio-frequency ablation. All the patients had complained of pain. Evaluation done with x-ray, CT, MRI and bone scintigraphy. The lesion is heated to 90 0 C for a minimum of 6 minutes by Radiofrequency ablation under general anaesthesia. Results: All patients had complete relief of pain after radiofrequency ablation and was fully weight bearing without any support. Local erythema was noted in 6 patients, paresthesia was observed in 2 patients, 1 patients had a small cortical chip fracture at entry site of needle which healed spontaneously and 3 cases of minor thermal injury of skin were noted which required dressing with 0.2% Silver Nitrate ointment. Patients were followed up for 2 years (24 months), and no recurrence was reported. Conclusion: CT guided percutaneous radiofrequency ablation is an effective, minimally invasive and economic treatment method for osteoid osteomas.
a b s t r a c tMetacarpophalangeal joint [MCP] dislocations of the index, little and thumb are common; that of the middle finger is very rare. In all the literature consulted only five cases of isolated closed dorsal dislocation of the MCP joint of the middle finger have been reported.Hyperextension of MCP joint is the mechanism of injury. We are herewith reporting a case of isolated MCP dislocation of the middle finger.One of our medical students while driving a motorcycle fell down on the road and sustained lacerated wound over the hypothenar area of the left hand. There was prominence of the head of the third metacarpal on the volar aspect and the base of the proximal phalanx was prominent dorsally. MCP dislocation of the middle finger was our clinical diagnosis which was confirmed by the radiograph. The patient had reported within 60 min of the accident.There was no tendon injury. Wound debridement was done, wound was extended to the back of the middle finger. The volar plate which was interposed between the head of the metacarpal and the base of the proximal phalanx was repositioned and the dislocation was reduced. Reduction was stable and the patient was reviewed after 14 months. The function of the hand is satisfactory.The case is presented for its unique presentation. This is the sixth case of isolated dislocation of the MCP joint of the middle finger.
Inter-trochanteric fracture of femur are common in geriatric population. Urbanization & sedentary life style are the primary cause of increased incidence of these fracture's. Distribution of Inter-trochanteric femur fracture's is limited in male population compared to female due to osteoporosis. Aim is to compare inter-trochanteric fracture's treated with DHS (vs) PFN. We performed a narrative review to evaluate the outcome of DH (Dynamic hip) Screw (VS) PF (Proximal femoral) Nail for inter-trochanteric fracture of femur. Extensive electronic search of article's were done in Google scholar, reference checking and PUB-MED for deciding which implant is better. Some studies' reveal PF Nail to be better than DH Screw, while some studies' show vice versa. Both surgeries' are time tested, absolute & require reasonable amount of skill. Final decision depends on operative surgeon's preference to specific technique.
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