Scapholunate dissociation is the most common carpal instability. We are presenting an interesting case of a 24yr old male with scapholunate instability following trauma. Appropriate investigations were done and surgical intervention was done on the same day. The ruptured ligaments were repaired and bony components scapholunate and scaphocapitate were corrected and fixed. Patient was immobilized in plaster for 8 weeks following which active mobilization exercises were started. The functional results were excellent and we have reported them using the mayo wrist score.
Gallstone ileus and cholecystoduodenal fistula are rare and life-threatening conditions which are due to cholelithiasis and recurrent attacks of cholecystitis. It predominantly affects female population. The signs and symptoms are non-specific, sometimes only established during surgery. Prompt surgical management would avoid the complications and reduce the hospital stay.
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