Enchondroma is a solitary, benign, intramedullary cartilaginous tumour occurring most commonly in small bones of hands and feet. Distal femur and proximal humerus are other less common locations. Enchondroma consists of 3-10% of all bone tumours, while they constitute 12-24% of benign bone tumours. They originate from the growth plate cartilage which later on proliferates to form enchondroma. Radiographs reveal a localized, radiolucent lytic bone defect usually with punctuate calcifications. Lesions are central or eccentric and metaphyseal involvement most commonly for long bones. MRI and histopathological examination can be used to confirm the diagnosis. Asymptomatic cases can be managed conservatively with serial radiological follow ups. Cases with symptoms are managed operatively. Recurrence rate is very low (<5%), it suggests malignancy. We here present a case of a 30-year-old female patient who presented with a history of pain in right hip since 7 months. Radiological examination showed the lesion to be enchondroma. The patient was managed by curettage with autogenous iliac bone graft & prophylactic 6.5 mm cannulated screws fixation. Histopathology confirmed the lesion to be enchondroma. At the latest follow up after 6 months, the patient was symptom free and there was no evidence of any recurrence. The current case report of enchondroma located in the neck of femur signifies the importance of early diagnosis, timely intervention and treatment. Also, this case report represents one of the very rare cases reported in literature.
Introduction:
The burden of hearing impairment in India is substantially high, largely preventable, and avoidable. The present study aimed to estimate the prevalence of hearing impairment using a smartphone-based tool among medical students and to study the factors associated, including personal audio device usage in a medical college hospital in Delhi, India.
Material and Methods:
We conducted a cross-sectional study among undergraduate medical students. The study participants were enrolled via. Stratified random sampling. We assessed hearing impairment via—HearWHO application with scores ranging from a minimum of 0 to a maximum of 100 with categorization into i) above 75 ii) 50-75 iii) below 50. A p-value less than 0.05 was considered statistically significant.
Results:
A total of 96 study participants were included, with the mean age of study participants as 20.3±1.4 years. On assessment with HearWHO, 36 (37.5%) were in the category of score above 75, 51 (53.1%) in score category 50-75, and 9 (9.4%) in score below 50. The overall mean score of the hearing assessment was 68.9±13.4 (Range: 12 to 94). Among the earphone device users, 27.1% do not comply with volume alerts on user devices.
Conclusion:
Among the study population, 9.4% of the study participants were likely to be having hearing loss and 53.1% should be screened regularly for hearing impairment. Addressing hearing loss remains crucial among the young population, especially the medical professionals, which is feasible and imperative in the current scenario.
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