We present our early experience with a simpler fibular osteotomy to correct the ankle joint alignment for malunited fibular fractures which was successful at short-term followup.

Thromboembolic phenomenon is rare but serious consequence of ovarian hyperstimulation syndrome (OHSS) and in vitro fertilization (IVF) treatment. We present a case of thrombosis of the right internal jugular vein presenting as a neck lump to the ENT department. Ultrasonography of the neck and upper extremity revealed thrombosis of right internal jugular vein. The patient was started on low molecular weight heparin, which resulted in resolution of her clinical condition. Interestingly, the majority of cases after OHSS involve thrombosis of the upper extremities. ENT surgeons, general physicians, and infertility experts should consider this in the differential diagnosis of neck swellings, particularly after OHSS and IVF treatment, and in this case report, we emphasis the need for an urgent ultrasound of the neck in such patients.

Elbow arthroscopy is a useful diagnostic and therapeutic tool for various conditions. Conventional arthroscopy with the patient in the prone or lateral position where the screen is placed on the opposite side makes it difficult to interpret the image, results in visual paradox, and is associated with difficult triangulation. We present a modified setup for the operating room to help eliminate these problems and improve triangulation.

BackgroundThe range of functional elbow movement has previously been studied. The data obtained have been used to provide an objective basis for the determination of disability, to determine the optimum position for elbow splinting arthrodesis and to assist in the design of elbow prostheses. The present study aimed to evaluate the functional range of elbow movement as applied to a predetermined list of activities of daily living, which might be considered relevant to modern day life. This includes the use of computers and driving, which has not been studied earlier.Methods Twenty normal volunteers were studied and the range of elbow motion required for specific activities was recorded by means of a 'Polhemus Fastrak' magnetic tracking measurement system. The results obtained suggests that the functional range of elbow flexion is from 1.33 • to 146.57 • and the rotation arc is from 56 • of pronation to 104 • of supination. ConclusionThis data compliments the work previously carried out, and defines the functional range of movement for some of the common activities of daily living.