Thrombosis in the upper limbs is a rare condition. We report on a case of subclavian artery thrombosis that occurred following open reduction and internal fixation of fracture in the middle third of the left clavicle. This is difficult to diagnose and requires a high index of suspicion. Early recognition can prevent fatal thromboembolic complications and disability.

Introduction :- The use of the acromioclavicular hook plate to treat lateral-third clavicle fractures is controversial . This is believed to be a result of issues with the hook plate such as impingement symptoms, which can result in chronic pain and movement limitations. Our goal was to assess the radiological functional outcome of individuals with lateral end clavicle fractures managed with subacromial hook plate. Methods And Methodology :- We prospectively reviewed all 16 patients who underwent surgery from July 2020 to August 2022 using our electronic patient information database. All patients were assessed in the out patient department to determine both Oxford and Constant shoulder scores to assess the clico-functional outcomes. Among 16 patients who underwent surgery with the hook plate Results:- , 10 male and 6 female. The mean age was 36.2 years. The median length of hospital stay was 4 days. The median follow-up was 12 months. The median time from date of injury to surgery was 7 days one patient presented 4 months after injury. The mean time for fracture union was 3 months from the date of surgery and the union rate was 95%. In total, 13 of plates were removed. The median time for implant removal was 4.5 months. In a case of fracture lateral end of Conclusion: Clavicle, open reduction and internal xation with clavicular hook plate achieves reliable internal xation with early mobilization. In view of this we state that clavicular hook plate is an reliable option for treating these types of fractures.

Background: Latarjet procedure for a recurrent anterior shoulder dislocation with more than 25% of bone loss is a standard treatment with good functional outcome. In glenoid bone loss < than25%, there is no concurrence in the surgery of choice between Bankart repair, Remplissage procedure and Latarjet procedure. This study is aimed to study the functional outcome following Latarjet procedure in recurrent shoulder instability in patients with < than 25% glenoid bone loss and also to assess the instability symptoms and complications following this procedure. Methods: It is a Clinical, Prospective and Observational study on thirty patients with recurrent anterior dislocation of shoulder, with less than 25% glenoid bone loss treated with Open Latarjet Procedure, at Chettinad Hospital and Research Institute, Kelambakkam, done between Jan 2017 to Dec 2020, with a minimum follow-up of atleast 1year duration. Patients were post-operatively assessed functionally using Constant shoulder score, Rowe scoring system and the Walch- Duplay index score. Clinical instability was also assessed using the Anterior Apprehension and Anterior Drawer Test. Results: In our study with thirty patients, who underwent Latarjet procedure, Functional outcome of the patients were assessed using the Constant shoulder score, Rowe scoring system and the Walch- Duplay index score. The combined average percentage of Score of Scores of the three scoring systems were 74.46% had Excellent results, 14.42% had Good and 11.12% of patients had Average or Fair results. None of the patients had any instability symptoms post-operatively at the 1year post-op follow-up. Four patients had supercial Surgical Site Infections and 2 patients had developed mild to moderate shoulder stiffness. Conclusion: The Latarjet gives conrmationally Excellent to Good functional outcome and aid in the early return to activities of daily living and a fewer failure rate. In patients with Recurrent Anterior Shoulder Dislocation, with even less than 25% Glenoid bone loss, it may be pertinent to primarily consider the osseous option of a coracoid transfer (Latarjet) rather than opt for simpler Open Bankart, Arthroscopic Bankart or an Arthroscopic Remplissage procedure alone. Thus, as a yardstick the bone loss concept, either on the Glenoidal or on the Humeral aspect, alone, need to be the deciding factor. The fact remains that in the athletic or otherwise Recurrent Anterior Shoulder Dislocators, there is also a concomitant humeral component, apart from the apparent and demonstrable Glenoid defect with the “Circle concept”.

Background: Severe osteoarthritis of the knee cause pain and disability that affect the livelihood of people especially in rural areas and reduce the quality of life in general. Total knee arthroplasty is a cost-effective treatment for the surgical management of advanced osteoarthritis of the knee when other treatment options become ineffective. Objectives: To analyze the results of total knee arthroplasty for osteoarthritis of the knee using knee society score. Materials and Methods: This was a prospective study. The duration of study period was 4 years. 40 patients with osteoarthritis of the knee satisfying the inclusion criteria and who had given consent for posterior stabilized total knee arthroplasty during the period of January 2015 to December 2018 were included in the study. The patients were followed up at one, three and six months and then every year. They were evaluated radiographically and functionally using the Knee Society Score at each visit. Results: There was significant improvement in knee society scores as compared to the respective preoperative treatment values. Majority of the patients (34) have knee society score (KSS) above 80 at final follow-up. One of the patients had surgical site infection which settled down with wound debridement and intravenous antibiotics. His final KSS was poor at last follow up. Conclusions: Total knee arthroplasty is an effective treatment for moderate to severe osteoarthritis of the knee in terms of improved quality of life.

Background: Rotator cuff disease encompasses a wide range of pathology from minimal bursal or articular side irritation and tendonitis to severe degenerative rotator cuff arthropathy. Rotator cuff pathology affects adults of all ages and other shoulder afflictions must be ruled out by careful history and physical examination. Arthroscopic surgery allows for a shorter recovery time and predictably less pain following procedure than any open surgery.Materials and methods: We did a prospective study on 32 patients of age more than 40 years of age with degenerative rotator cuff tear, who met the inclusion criteria and were operated using single row technique of arthroscopic rotator cuff repair and were followed up at 1 month, 3 months and 6 months and pain, function, muscle power and range of movements were assessed by ASES and UCLA scoring system.Results: The mean age of the patients was found to be 54.94 years. The Male: Female ratio in our study was found to be 3:1. The average ASES score in the pre-operative and post-operative period was found to be 22.66 and 89.53 respectively. The average UCLA score in the pre-operative and post-operative period was found to be 8.97 and29.13 respectively.Conclusion:Arthroscopic rotator cuff repair with single row repair provides early pain relief and improves mobility, strength as well as patient satisfaction post operatively. Key words: Single row repair, Arthroscopic rotator cuff repair, UCLA scoring, ASES shoulder score index.