The case of a 15-year-old patient presenting with pain as well as paraesthesia over the lateral aspect of the leg is reported. Clinical and radiological investigations showed an aneurysmal bone cyst arising from the proximal fibula and pressing on the common peroneal nerve. Surgical decompression of the nerve and curettage of the cyst was performed resulting in complete resolution of his symptoms. Our aim is to alert surgeons that this problem may occur and that the entire nerve needs to be exposed when dealing with the cyst.
Objective: Aim of this research to examine renal vessels and their morphologies as well as their clinical consequences during renal surgery. Study Design: Cross-sectional study Place and Duration: Anatomy department of Bacha Khan Medical Complex, Mardan and Multan Medical & Dental College Multan during the period from April 2022 to September 2022. Methods: There were 90 cases of both genders presented in this study. Included patients were aged between 20-80 years. With suspected abdominal diseases, patients were referred for abdominal CECT examinations. In contrast-enhanced MDCT images of the Abdomen, the renal arteries were examined for their normal structure and any abnormalities. SPSS 21.0 was used to analyze complete data. Results: Males were higher in numbers 61 (67.8%) than females. Mean age of the patients was 51.3±8.43 years and mean BMI 22.4±8.42 kg/m2. We found frequency of anatomical variations of the renal vessel in 62 (68.9%) cases. Frequency of variations of the renal artery was 47 (52.2%). Among 47 cases, supplementary renal artery was found in 41 (45.6%) cases. Early bifurcation of renal artery in 15 (16.7%). In 11 patients on the right side, 12 patients on the left side, and 3 individuals on both sides, an earlier branching of the renal artery was found. The right side was more often affected by renal vein variations, with 25 (278%) patients having late renal vein confluence and 6 (6.7%) patients having additional renal veins. Patients with late renal vein confluence (3.3%) and retroaortic vein (3.3%) were seen on the left side. Conclusion: Our findings in this research show renal artery alterations are common. Endovascular, laparoscopic, and urological procedures benefit from morphological examination of the renal vessels. Keywords: Abdominal disease, Renal Artery, Conventional Angiography, Anatomical Variations
Pure Ankle dislocation is an ankle dislocation without any associated fractures of the ankle and an intact tibiofibular syndesmosis. Only a few isolated case reports and small series of cases are reported in literature. We report a posterior dislocation of ankle joint without any bony fractures with description of its mechanism, management, and literature review Keywords: Pure Ankle dislocation; ankle dislocation without fracture; posterior dislocation of ankle.
Objective: The aim of this study is to determine the outcome of distal femoral fracture treated with locking plate. Study Design:Prospective study Place and Duration: Conducted at Orthopaedic Unit Ayub Medical Teaching Institute, Abbottabad for one year duration from 1stJanuary 2020 to 31st December 2020. Methods: Total 90 patients of both genders were presented in this study.Patients were aged between 18-80 years of age. Patients’ detailed demographics including age, sex and body mass index were recorded after taking informed written consent. All the patients had distal femoral fracture treated with locking plate. Radiological assessment was done. Mean union time and complications associated to procedure were examined.Functional outcomes were analyzed according to the Flyn’s criteria. Follow-up was taken at 6 months postoperatively. Complete data was analyzed by SPSS 24.0 version. Results:There were 58 (64.4%) patients were males and 32 (35.6%) were females. Mean age of the patients were 42.61±12.88 years with mean BMI 27.65±9.56 kg/m2. According AO/OTA classification 55 (61.1%) had A1, A2 fracture was among 18 (20%) cases and the rest were 17 (18.9%) had A3. 62 (68.9%) fractures were caused due road traffic accidents, falling from height were among 17 (18.9%) cases and 11 (12.2%) cases were due to sports. Right side fracture was the most common side of fracture among 54 (60%). Mean union time among patients was 5.16±1.27 months.According to Flyn’s criteria, 38 (42.2%) cases had excellent results, 32 (35.6%) patients had good, fair results were among 16 (17.8%) cases and poor results were among 4 (4.4%) cases. Complications were delayed union, stiffness, varus deformityand non union observed among all cases. Conclusion: We concluded in this study that the locking plate for the treatment of distal femoral fractures was effective in terms of good results with fewer complications. Keywords:Distal femoral fracture, Locking plate, RTA, Complications
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