Spina Ventosa is a rare condition. The term "spina ventosa" has been used to describe tuberculous dectylitis because of its radiographic features of spindle shaped expansion of the short tubular bones due to tuberculous granuloma. Children less than 10 years of age are most frequently affected and the hand is the most commonly affected site in Tuberculous dactylitis. We report the case of a twelve-year-old adolescent boy who was diagnosed with tuberculous dactylitis, involving the proximal phalanx of middle finger of right hand. His diagnosis was delayed due to lack of suspicion of this rare entity.
<p class="abstract">Blount’s disease is more common in Afro-Caribbean, obese, female child. Early walking have been associated with the disease process. Adult patients with Blount’s disease who received no treatment previously, are rarely reported across the other parts of the world and hence less discussed. The treatment of neglected cases of Blount’s disease often requires correction of varus deformity, internal tibial torsion and medial plateau depression. We are reporting one such patient seen at our hospital. A skeletally mature, obese (BMI 43.2), male patient with bilateral tibia vara was operated for hemi-plateau elevation combined with a valgus osteotomy. Fixation was achieved with plate and staples. Surgical correction of one such patient is technically demanding and more complicated. If left untreated , the main risk is premature osteoarthritis.</p>
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