HighlightsOsteochondroma is a benign cartilaginous tumour that rarely affects the scapula.We present a rare case of osteochondroma with winging of scapula, present in his fourth decade of life.This symptomatic scapular osteochondroma exhibited positive radiological findings.The patient was treated surgically and recovered fully, with no recurrence.This report increases awareness of unusual osteochondroma sites and features.

BackgroundOne of the most serious sequelae of femoral neck fractures (FNFs) is avascular necrosis (AVN), and this complication translates to significant morbidity and mortality. This study was conducted to determine the relationship between the etiologies and management of FNFs at our institution and the development of AVN or nonunion.Materials and methodsThis study was a retrospective medical chart review of all adult patients admitted and managed for FNF.ResultsThere were a total of 69 FNF patients reviewed. FNF was caused by a fall in 37 patients (53.6%), a road traffic accident in 16 (23.2%), motorcycle and motorbike accidents in 8 (11.6%), and heavy exercise in 8 (11.6%). Twenty-four patients (34.8%) had fixation within 24 h of injury, and 45 (65.2%) went more than 24 h before fixation. The mean RUSH score at 6 months was 21.4 ± 5.1. There were 4 patients (5.8%) with a collapsed FNF and 4 patients (5.8%) had a nonunion FNF. AVN was documented in 12 patients (17.4%). Of the 12 patients who had AVN, 8 (66.7%) received fixation within 24 h from the time of the injury, whereas only 4 (33.3%) received fixation more than 24 h after the injury. There was a significant negative correlation between the time of fixation and AVN.ConclusionWe report a 17.4% incidence of AVN over 10 years in patients managed with FNF. AVN was found to be significantly correlated with the mode of injury (fall and RTA among younger male patients).

HighlightsHydatid cysts usually arise in the liver and lungs but vary rarely in the forearm.We present a rare case of a solitary intramuscular forearm hydatid cyst in a young woman.We aim to increase the awareness of unusual sites for hydatid cysts.The cyst was attached to the median nerve and excised completely.This case was unique because of solitary nature and unusual location of the cyst.

HighlightsA retained and broken drain during removal is a rare surgical complication.We present a rare case of a forgotten retained drain inside a knee 10 years after an arthroscopic procedure.The drain was removed surgically without any complications.There are several preventive measures to prevent retained surgical drains.This report increases awareness about the complications of using a drain and how to avoid such events.

HighlightsACL reconstruction is a common and safe procedure; however, complications of VTE can occur.An adult man with no risk factors developed PE after arthroscopic ACL reconstruction.Clinical pulmonary embolism was confirmed one-week post-surgery radiologically.No guidelines are available on prophylactic anticoagulation for arthroscopic ACL reconstruction.This report will increase the awareness of serious complications after ACL reconstruction.