Carpometacarpal fracture dislocations of the hand are a relatively uncommon injury. The injury is difficult to diagnose because of the gross swelling of the hand. The diagnosis of this unusual form of injury requires a high index of suspicion, vigilant examination and high-quality radiography. This article reports a case of young male grieved with dislocation of all carpometacarpal (CMC) joints due to motor vehicle collision. Standard radiographs and CT scan revealed dorsal dislocations of second to fourth CMC joints, volar fracture dislocation of fifth carpometacarpal joint, fracture dislocation of CMC joint of thumb and dorsal dislocation of the trapezoid. Patient was treated with closed manipulation and percutaneous pinning with multiple K - wires. Follow up radiographs showed adequate reduction and fracture union. Intensive postoperative physiotherapy is vital for achieving a good outcome.
Osteochondromas, also known as exostoses are benign neoplasms, which arise from small cartilage nodules within the periosteum. They can be either pedunculated or sessile and are more common in the extremities, mostly around the knees. They rarely develop in bones like scapula, feet, hands and pelvis. Management of the lesion is by en-bloc extra-periosteal excision. This case is published for the rarity of location of the osteochondroma. CASE REPORTWe present a case of 17-year male who came with a swelling in right groin since 1 year, which was diagnosed to be osteochondroma on clinical examination and radiological imaging. Excision biopsy was done as the patient wanted it to be removed for cosmetic purpose and confirmed it to be non-malignant osteochondroma. There has been no recurrence at 1 year of followup. CONCLUSIONThus osteochondroma of the pelvis should be kept in mind as a differential diagnosis when evaluating mass in pelvis. Also these have to be removed when they pose cosmetic problems.
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