Osteoid osteoma of the foot is a rare condition particularly of the calcaneum. This condition is difficult to diagnose and is more difficult to treat particularly if it involves deeper part of the joints. We present an arthroscopic technique to deal with a case of juxta-articular osteoid osteoma of the calcaneum using two portals: the anterolateral portal for instrumentation and the anterior anterolateral portal for visualization of the subtalar joint. Because this approach is minimally invasive, it offers early recovery and reduced morbidity compared with the conventional techniques.

Introduction: Diaphyseal fracture of ulna and radius present specific problems in Addition to those common to all fractures of shaft of long bones due to their anatomical Characteristics and conservative treatment of these fractures lead to poor functional outcome. Stoffel et al showed that plate osteosynthesis with rigid fixation has shown a high complication Rate including delayed or nonunion, infection, hardware failure and most importantly refracture after plate removal, primarily due to necrosis of bone under the plate. To evaluate results of locking compression plate in closed diaphyseal Forearm fractures in adults. Methods: In prospective study, 22 adults with (38 forearm bones= Radius-20 & Ulna-18) acute closed diaphyseal fractures were treated by open reduction and internal fixation with Locking Compression Plate. Follow up was obtained on all 22 patients. The average duration of follow up was 12 months. Results: The functional outcome was assessed with the grading system of Anderson et al. We had excellent results in all patients. Conclusion:Locking compression plate with a combihole provides fixation of fractures in a single implant with vast application according to the situation and useful in wedge or complex or osteoporotic or comminuted fractures because it preserves periosteal blood supply and provides a stable fixation ensuring early mobilisation. Studies having a larger number of fractures treated with different modes are needed to evaluate the outcome of locking compression plate osteosynthesis in forearm bones fractures, but the early results are promising.

Giant Cell Tumours Of Tendon Sheath (GCTTS) are the second most frequent soft tissue tumours affecting the hand with an overall incidence of 1 in 50,000 individuals. These tumours are usually localized and solitary, with multiple GCTTS occurring rarely. Multi-centric origin is considered unusual and very few cases of multiple GCTTS have been reported till date. Here, we report a rare case of a 26-year-old female who presented with multiple painless swellings on palmar aspect of little finger of right hand since six months. Clinical diagnosis of Dupuytren's contracture was given. Intraoperative examination revealed multiple separate nodules, firmly attached to the flexor tendon synovial sheath. Histopathology showed features of GCTTS.

Background: Fractures of the femoral neck are devastating injuries that most often affects the elderly and have a tremendous impact on the health care system and society in general. Patient who have presented with fracture neck of femur over the age of 60 but has been performing from a functional point of view as a younger individual have been excellent candidates for reduction with internal fixation. Methods: Thirty cases of fracture neck of femur in patients above the age of 50 years treated by closed reduction and internal fixation with cannulated cancellous screws in the Department of Orthopaedics at The Oxford Medical College and Hospital, Bangalore, were selected on the basis of purposive sampling method. The cases were followed up for 6 months and the short term functional results were analyzed by using Harris hip scoring. Results: Most of the patients were in the age group of 50-70. Majority (40%) of fractures were Garden type III on radiographs. 96.7% of them had minimal trauma. Of the 30 cases one patient died and one patient was lost for follow up. Thus the functional results were assessed in the remaining 28 patients. 85.7% of the hips were classified as having a satisfactory to excellent result and 14.3% of the patients had a poor result. No cases of AVN were observed, one case of non union was seen. Patients were made to walk with partial weight bearing after six weeks and were discharged within two weeks of surgery. Conclusion: Osteosynthesis with cannulated screws fixation provides the patient a healed fracture with a living femoral head that is always better and less invasive than a replacement in elderly patients; The mortality and morbidity rates are less with high rates of union, operative procedure is simple, economical, complications are less disabling and early functional results are satisfactory.

INTRODUCTION Clavicle fracture is one of the most common fracture presenting to the fracture clinic, accounting for about 5-10% of all the adult trauma reported but still the controversy exists with regards to the definitive management. AIM To evaluate the surgical outcome of nonunion clavicle in patients treated previously with surgical management or conservative management, using plate and slivers of autologous iliac crest corticocancellous bone. DESIGN Retrospective analysis of patients operated between May 2005 and February 2013 for nonunion of the clavicle. METHODS AND MATERIALS Twenty patients who were operated between May 2005 and February 2013 for nonunion of the clavicle at our hospital were recruited for our study and followup data was collected from our hospital records till their last outpatient visit. Inclusion criteria included patients with no evidence of radiological union, persistence of pain, cosmetic deformity, dysfunction or gross movement at the fracture site even after 16 weeks of conservative treatment or in cases of primary fixation failure. STATISTICAL ANALYSIS All Statistical analyses were made using Statistical Package Software for Social Sciences (SPSS) version 17.0 software (Chicago, IL, USA) for descriptive data. Chi2 test was used to compare the categorical data. RESULTS At the end of an average followup of 19 months, the average Visual Analogue Score for pain was 1.9±2.2 (range 0-6), the mean ASES score was 81±18.5 (51-100), and the mean Constant-Murley score was 80±17 (51-100). All the patients had a stable radiological union at the end of the followup period. There were no complications pertaining to the hardware or infection. CONCLUSION Treatment of nonunion of clavicle by using corticocancellous bone is well documented; however, use of iliac corticocancellous bone graft shaped in long slivers will give mechanical stability to the plate reconstruct in addition to providing a scaffold for new bone formation than just pieces of corticocancellous bone graft.