Osteomyelitis of clavicle is rare in neonates. Acute osteomyelitis of clavicle accounts for less than 3% of all osteomyelitis cases. It may occur due to contiguous spread, due to hematogenous spread, or secondary to subclavian catheterization. Chronic osteomyelitis may occur as a complication of residual adjoining abscess due to methicillin resistant staphylococcus aureus (MRSA) sepsis. We report a newborn female with right shoulder abscess that developed chronic clavicular osteomyelitis in follow-up period after drainage. She required multiple drainage procedures and was later successfully managed with bone curettage and debridement. We report this case to highlight that a MRSA abscess may recur due to residual infection from a chronic osteomyelitis sinus. It may be misdiagnosed as hypergranulation tissue of nonhealing wound leading to inappropriate delay in treatment. High index of suspicion, aggressive initial management, and regular follow-up are imperative to prevent this morbid complication.
Shoulder arthroscopy has evolved significantly over the past decade. Treatment algorithms have evolved in sync with results from cadaveric, biomechanical, and clinical studies, and newer minimally invasive and biomechanically proven surgical techniques have replaced suboptimal procedures. Advances in arthroscopy have influenced three key aspects of shoulder problems: Anterior instability, rotator cuff tears, and osteoarthritis. A new frontier of “endoscopic” extra-articular procedures has evolved and these procedures have convincingly replaced traditional open surgeries. The current evidence suggests a growing trend for arthroscopic procedures in joint preservation and restoration.
Background: Anterior Cruciate ligament injuries are one of the most common injuries of the knee. The choice of the optimal surgical method in ACL reconstruction is still unclear. A frequent cause for failure after ACL reconstruction has been the incorrect placement of bone tunnels, especially on the femoral side. The most commonly employed trans-tibial technique has been reported not to provide anatomical placement of femoral tunnel and result in rotational instability. Cadaveric and radiographic studies have confirmed that drilling the femoral tunnel through anteromedial portal allows a more anatomical placement of the tunnel and higher rotational stability. However clinical results of trans-tibial and anteromedial portal techniques are still comparable. Objective: To study the functional outcome in transtibial vs transportal drilling techniques in ACL reconstruction. Materials and Methods: This is a prospective follow up study of functional outcome in 40 patients who underwent ACL reconstruction by either transtibial or transportal technique. Patients were followed up for at least 24 months and assessed using Lysholm and IKDC scale. Statistical Analysis of the data was done by Mann-Whitney test and chi square test. Results: In the present study the Trans-portal group of patients showed a marginally better functional outcome with respect to the Lysholm and IKDC scores; however the statistical significance was lacking. Conclusion: There isn't enough clinical evidence to warrant giving up on transtibial technique which is time tested and simpler.
Foot and ankle orthopaedics in India is a rapidly growing and relatively new field being pursued by the Orthopaedic surgeon in view of the pateints recognizing the need for specialized treatment. The article attempts to guide the orthopaedic surgeon with a few commonly occurring conditions with evidence based medicine. This narrative review was performed following a literature search in the Pubmed database and Medline using the mentioned keywords. Related articles were then reviewed.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.