Post-partum pubic symphysis diastasis is termed as abnormally wide gap between the two pubic bones following vaginal delivery. It is a rare and under diagnosed condition following acute pelvic pain. We are presenting a case of post partum pubic diastasis, in a 31 year old female with complain of pain, tenderness over pubic area and unable to walk. Patient was diagnosed with x-ray and MRI and treated surgically.

A599technology to establish the importance of medical technologies in transforming the future NHS. Methods: A review of the proposed use of technology in each of the 44 STPs was undertaken. Data was collected on the key priorities for digital transformation, the types of technology included in the plans and the provider sectors highlighted as candidates for technological advancement. Mention of local digital roadmaps, which are 65 separate area plans for digital transformation in the NHS, were also noted. Results: Local digital roadmaps were included in 39 (89%) STPs, however, only five STPs referenced the "Personalised Health and Care 2020" framework which outlines the Government's commitments to data and technology transformation. Telehealth and remote monitoring, particularly for the management of chronic conditions, were among the most popular areas selected for advancement and over half of the STPs (61%) included plans to integrate mobile applications into care delivery. Only one STP proposed collaboration with NHS Digital. ConClusions: Whilst the scope of STPs is broad, the motives for increasing the use of technology were limited, with many STPs focusing on technological advancements solely as a means of improving care planning and co-ordination. Despite this, a recurring theme throughout the plans was that sharing patient data between provider sectors has the potential to offer both time and cost savings across the NHS. Future challenges in delivering technological transformation include unifying local digital roadmaps within a single footprint area, and collaboration across footprint areas to reduce variations in quality of care.

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Gap Nonunion of patella fractures are rare conditions whose treatment is challenging for surgeons. Strict protocol for such fracture gap nonunion of patella is not well documented in the literature. The decision in treatment of these conditions is based on many factors such as functional demands of the patient, factors leading to nonunion, and presence of an intact extensor mechanism of the knee. We present a case of neglected gap nonunion of a transverse fracture of patella treated at 5 months after injury with a two stage reconstruction procedure.

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Tuberculosis of clavicle is one of the rarely reported pathology of skeletal tuberculosis in the literature. It is difficult to diagnose because other conditions of clavicle also presents with same confusing picture, which can lead to delay in proper diagnosis and treatment. Our case is a young adolescent female presenting with complaints of mild pain and swelling in mid clavicular region for the last six month. She was diagnosed as case of mid clavicular tuberculosis and she was managed with anti-tubercular chemotherapy.

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