Introduction:Giant cell tumour of bone (GCT) is a common benign primary bone tumour, seen commonly in the distal Femur, proximal Tibia and distal Radius. Very few cases of GCT are reported in distal humerus. We report an unusual presentation of recurrent Giant cell tumour in a 25 year old male in the medial condyle and epicondyle of left Humerus.Case Series:Patient presented elsewhere with lytic lesion of left elbow three years ago. As it is an uncommon site for tumors, it was misdiagnosed as tuberculous osteomyelitis and was inadequately curetted. Patient presented to us with recurrence of tumor one year after the primary surgery. We did en-bloc resection of the tumour, with judicious removal of partial trochlea. Though reconstruction was planned, it was found to be not necessary as the elbow was stable per-operatively. Patient regained near normal movements of the elbow with no instability. His Mayo Elbow Performance score improved from 30 to 85. There is no recurrence or metastasis of the tumor in the two-year follow-up.Conclusion:Though bone tumors are rare in distal Humerus, biopsy is needed to confirm the diagnosis of any lytic lesion in this region for proper management.
<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Multiple implants are available to treat distal femoral fractures. The recent addition is the locking plate contoured to the distal femur with combiholes in the proximal portion. Though it is established that locking plates offer higher stability than the previous implants like dynamic compression screw or condylar buttress plate, some studies showed higher incidence of delayed union. We evaluated 30 type A and type C distal femoral fractures treated with locking condylar plate in our institutes.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">We conducted a prospective study on 30 consecutive patients with fractures of distal femur operated with locking condylar plate from December, 2015 to February, 2017. Patients were regularly followed up with x-rays and clinical examination. At the end of one year follow-up, patients were evaluated with Pritchett score</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Fracture union was seen in all patients. Union was faster in type A fractures than in type C intra articular fractures. 67% of patients achieved excellent to good grading according to Pritchett rating system. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Locking condylar plate is effective in treating distal femoral fractures with minimal complications.</span></p>
Introduction:Congenital trigger thumb is an uncommon anomaly of children. Its management is controversial, ranging from observation to extensive surgical release. We report a case of delayed presentation of bilateral trigger thumb along with a brief review of past literature.Case Report:A six year old girl presented with fixed flexion deformity of interphalangeal joints of both thumbs and Notta’s nodules. It is diagnosed as trigger thumb and release of bilateral A1pulleys is done. But we found another constricting annular pulley just distal to A1. Only after splitting the distal pulley, we could get complete extension of interphalangeal joints. At two years follow-up, the child is free of complications.Conclusion:Splitting of A1 pulley alone may not be sufficient in few cases of trigger thumb which may require distal release too
Extrapulmonary tuberculosis commonly involves thoracic and lumbar spine. Sacral tuberculosis is rarely reported so far. We are presenting a case of young male student with tuberculosis of sacrum. The clinical and radiological features sugggested a sacral tumor instead of tuberculosis. The lesion could not be diagnosed until histopathological examination was done. The duration of antituberculous treatment in skeletal tuberculosis is controversial, ranging from six months to three years. The recent trends of treatment are briefly discussed with specific reference to our case.
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