Vitamin C Scurvy ChildrenPediatric age group a b s t r a c t Scurvy is caused by prolonged severe dietary deficiency of vitamin C. Being rare as compared to other nutritional deficiencies, it is seldom suspected and this frequently leads to delayed recognition of this disorder. Children with abnormal dietary habits, mental illness or physical disabilities are prone to develop this disease. The disease spectrum of scurvy is quite varied and includes dermatological, dental, bone and systemic manifestations. Subperiosteal hematoma, ring epiphysis, metaphyseal white line and rarefaction zone along with epiphyseal slips are common radiological findings. High index of suspicion, detailed history and bilateral limb radiographs aids physician in diagnosing this eternal masquerader. We searched Pubmed for recent literature (2009e2014) with search terms "scurvy" "vitamin C deficiency" "ascorbic acid deficiency" "scurvy and children" "scurvy and pediatric age group". There were a total of 36 articles relevant to pediatric scurvy in children (7 reviews and 29 case reports) which were retrieved. The review briefly recapitulates the role of vitamin C, the various disease manifestations and the treatment of scurvy to create awareness of the disease which still is reported from our country, although sporadically. The recent advances related to scurvy and its management in pediatric age group are also incorporated.

Active osteoarticular TB in children was also associated with hypovitaminosis D. The correlation between hypovitaminosis D and osteoarticular TB appears to be more disease specific rather than host specific.

The osteoarticular tuberculosis cases had low serum vitamin D levels compared to healthy controls. The low vitamin D levels were persistent irrespective of gender and age in osteoarticular tuberculosis children. There was widespread vitamin D insufficiency in apparently healthy controls.

SFAB is a dynamic brace that functions better in flexed knee position. It is able to induce a near equivalent actual abduction available in the foot in flexed position of knee. There is a significant component of tibial external rotation in SFAB-induced foot abduction. SFAB function is also dependent on hip mechanics.

Therapeutic, Level IV: Case series.

Level IV: Retrospective.

No abstract

The human body is an amalgamation of many fundamental units put together. Amongst these hands have got a very distinct and important role. Injuries, diseases, and surgical interference therefore do much more harm than interfere with grip, touch, it expresses the personality itself. In disabilities of the Hands, the finest surgery and after care is more essential than in any other region of the body. JOSHI'S EXTERNAL STABILIZING SYSTEM, (JESS), provides a stable skeletal environment aiding rapid healing of soft tissue with establishment of microvascular circulation, immediate active and passive mobilization of the uninjured adjacent joints. It allows management and care of soft tissue injuries without disturbing the fracture site in compound injuries, which is not possible using other methods. AIMS AND OBJECTIVES: Evaluation of the role of Dr Joshi's external fixator in management of complex and compound mutilating injuries of hands and forearm. MATERIALS & METHODS: 40 cases of injuries of hand and forearm attending Orthopaedic OPD and Emergency Department of Orthopedics, M.L.B. Medical College, Jhansi between feb 2010 to feb 2012 were treated by Joshi's external stabilizing system. The patients were followed at regular interval and the results were evaluated clinically and radiographically. CRITERIA FOR SELECTION OF PATIENTS: All the patients of open/closed fractures of metacarpals and phalanges of hand irrespective of age and sex willing to undergo this procedure were selected with permission of ethical committee of medical college. PREOPERATIVE ASSESSMENT OF HAND: Done with 1. History 2. Routine investigations Results will be evaluated on the criteria's laid down: