Foot is an unusual site for chondrosarcoma and involvement of phalanges is extremely rare. We report a case of grade 2 chondrosarcoma of proximal phalanx resulting in its fracture along with transarticular extension to the middle phalanx of the 2nd toe of right foot in a 62 year old female. The patient presented with 1 and ½ year history of pain and swelling in right 2nd toe. X-ray showed presence of expanding lytic lesion with amorphous calcification along with fracture proximal phalanx. Fine needle aspiration cytology showed some pleomorphs, osteoclasts and some giant cells. We went for amputation of toe without a biopsy. Histopathological examination of specimen showed multiple pleomorphic cells, nuclear atypia, hyperchromasia with some giant cells (grade 2 chondrosarcoma).
Estimation of stature is one of the basic parameters to identify an individual. When intact bodies are to be examined, stature estimation does not pose any problem. But when dismembered human parts are the materials to work with, it is of great challenge. Also, when dealing with human remains, estimating living stature can help to identify an unknown individual because there is a close relationship between the body part dimensions and height.Aim: As the Kashmir region is known to be prone to disasters like terror attacks and natural calamities, the lack of anthropometric data concerning the local population of the state was felt. This study intends to fill this lacuna and derive regression formulae from the anthropometric data taken.
Material and Methods:The present study was conducted on a sample of 200 Kashmiri medical students (100 males and 100 females) within the age group of 18-25 years, studying in Government Medical College, Jammu. Only those students were taken who have no obvious deformity that can affect the measurements.
Results:It was observed that in males the length parameters show greater correlation than the breadth parameters and the highest correlation is shown by the Right Hand Length (0.626) in males and Left Hand Length (0.695) in females and lowest correlation is shown by Left Hand Breadth (0.046) in males and Right Hand Breadth (0.386) in females. Linear regression equations were also derived from each parameter studied to determine stature from them separately.
Conclusion:It is concluded that dimensions of hand provides good reliability in estimation of stature. The highest correlation coefficient between stature and right hand length in males and left hand length in case of females, with lowest standard error of estimate, indicates that comparatively hand length provides highest reliability and accuracy in estimating stature in both males and females. By deriving the population specific linear regression equations, we can determine the height of a person reliably from the dimensions of hand, provided that the person belongs to the Kashmir region of J&K state.
Management of patients with displaced supracondylar fractures of humerus using Barza classification in emergency room gives good result and gives an idea about management and prognosis.
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