There was no significant difference between the two groups in the postoperative air-bone gap and air-bone gap closure at 1, 2, 3, and 6 months.

The risk of malpositioning of the syndesmotic screws is very high. A lack of standard radiological or physical references for accurate syndesmotic screw placement is a potential contributing factor in syndesmotic screw malpositioning. Malleolar tips are clinically as well as radiologically appreciable bony references. The purpose of this preliminary CT based study was to investigate the axial relations of the central syndesmotic axis with the malleolar tips. Methods: CT based studies of uninjured adult ankle joints with intact syndesmosis, conducted over a six months period were analysed. The axial differences between the coronal plane along the malleolar tips and that along the central syndesmotic axis in the axial plane were measured. Gender-based variations were also analyzed. Results: A total of 70 CT studies were analyzed, and the axial difference between the malleolar tips based coronal plane and that along the central syndesmotic axis was observed to be 3.70 ± 5.61 . The male and female measurements were comparable. Conclusion:Being in a static relation to the syndesmosis independent of the foot position and the limb rotation, the malleolar tips can be reliably used as references for directing syndesmotic screw in the axial plane. A knowledge of this axial difference between malleolar tips and central syndesmotic axis can help surgeons in an accurate syndesmotic screw placement.

No abstract

Lymphangioma circumscriptum is usually seen in the extremities and genitals. This case had a very rare site of occurrence, the tongue, and was successfully managed with conservative treatment, using intralesional bleomycin alone.

Objective: Osteometric studies using individual bones have been a topic of interest among researchers. Such researches are a tool for conducting studies related to evolution, demographic profiles and forensic sciences. Skull is important in this regard as it resists adverse environmental conditions over time. The mastoid process can thus be used as a marker of sex as well as ancestry of individuals and populations. The aim of this study was to evaluate the use of mastoid process as a tool for sex determination in unidentified skeleton. Materials and Methods: 70 (44 male and 26 female) complete undamaged skulls of known sex were used for the study. Mastoid length was recorded on the right and left mastoid process in each skull. Measurements were made with a digital vernier caliper. Results: Statistics revealed high significance (p<0.0001) for the mastoid length for sex determination. Conclusion: Reports on the use of mastoid process as a tool for sex estimation in unidentified human skeleton have been reported in different populations. The present study supports this finding among the Indian population.