Osteochondroma is a benign bony tumor arising as a bony outgrowth covered by a cartilage cap and occurs most commonly in the metaphysis of long bones (proximal tibia, distal femur, proximal humerus) and pelvis. Osteochondroma grows eccentrically instead of centrifugally. This article reports a case of a 24-yearold female, who presented with a painless bony hard irregular swelling over medial aspect of right groin. There was no distal neurovascular deficit. Site, nature, and extent of the lesion were assessed by radiographs and magnetic resonance imaging. Tumor was completely excised and on histopathology, osteochondroma confirmed. No weight bearing was allowed for 1 week. Patient returned to her normal routine activities in 1 month. On regular follow-up, no evidence of recurrence of the lesion was seen.
Background: Diaphyseal fractures of the humerus and its complications are a major cause of morbidity in trauma patients, which result in significant burden to the society from loss of productivity and wages. Fractures of the humeral shaft account for 20% of all the humeral fractures and about 3-5 % of the fractures of the human body. The present study is an attempt to study the advantages & disadvantages of open reduction internal fixation with plate and screws for fracture shaft of Humerus, analyze the results & compare with the relevant standard studies.
Introduction: Patella is an uncommon site for primary tumour of bone. Aneurysmal bone cyst account for 1 % of any primary bone lesion and its occurrence in patella is very rare. Material and method: A case report of 20 years old male patient came with complain of pain in right knee joint with swelling from last 1 year with no history of trauma. On examination there was localised tender swelling present in the anterior aspect of knee over patella with full range of movement. On investigating routine investigations were unremarkable. X-ray right knee joint shows expansile osteolytic lesion with cortical thinning. MRI shows a large cyst with fluid level suggestive of aneurysmal bone cyst. 3 injections of 2ml of 3% polidocanol given 1 month apart intralesionally under fluoroscopy guidance. Clinical, functional and radiological follow-up for 3 consecutive months was done. Discussion: Percutaneous sclerotherapy with 3% polidocanol is a safe alternative to conventional surgery for the treatment of Aneurysmal bone cyst.
Conclusion:Percutaneous sclerotherapy is emerging as an excellent method of treatment for aneurysmal bone cyst, and obviates the potential functional disabilities with other method of treatment.
Introduction: Pathological bone formation into soft tissues around the hip is known as heterotopic ossification. Osteogenic debris deposited while reaming the femur is postulated mechanism.This pathological bone formation may be linked to aggressive tissue handling during operation. The complex femoral diaphyseal fractures are difficult to reduce and this increases the probability of aggressive tissue handling by operating surgeon. So we postulated that complex fractures of femoral diaphysis may possess an increased risk of heterotopic ossification. Material and Methods: Present retrospective study was done on 45 patients in whom intramedullary interlocking nail was done during the period of 2015 to 2017 at Rohilkhand Medical College. All fractures were diaphysial in location. All surgeries were done by single orthopaedic surgeon. No preventive measures for heterotopic ossification were given. Evidence of heterotopic ossification around trochanter and their relation with the type of fracture were noted and classified according to Brumback Classification. Results: We found no ossification in 51% of cases. Mild grade-1 and 2 ossifications were seen in only 36% and 11% patients respectively. Maximum number of grade-2 ossifications (4 out of 5) were seen in patients with comminuted fracture group. Grade-3 ossification was seen in only 1 patient of our sample and that was comminuted fracture. We have not encountered any grade-4 ossification. Conclusion: The overall incidence of heterotopic ossification in our study sample was 49%. More severe grade ossifications (grade-2 and 3) have more predilection towards comminuted fracture variant.
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