Radioulnar synostosis is found as a congenital deformity in children or as a post-traumatic deformity in adolescents and adults. Congenital variety is more commonly located in the proximal part of the radius and ulna and restricts the range of motion of the forearm leading to some functional disabilities in the child such as using daily objects and carrying out basic hand to mouth activities like eating. The pronation deformity occurring as a result of this entity can be effectively dealt with single stage both bone forearm de-rotation osteotomy done at different levels in radius and ulna. We report our experience using this procedure in a 4-year old child with unilateral proximal congenital radioulnar synostosis in the non-dominant side. This procedure is relatively simple and we were able to achieve a good functional outcome at one year of follow-up with no associated complications.

Cleft foot is a congenital anomaly characterized by absence of the metatarsal bones and phalanges. It is commonly seen in children with Ectrodactyly-ectrodermal dysplasia and clefting syndrome (EEC) ranging from a median cleft up to the mid metatarsals to a deep cleft up to the tarsal bones. Surgical treatment in the form of cleft closure, excision of the rudimentary metatarsal bone and cross K-wire fixation of metatarsal bones have been tried for the management of such cases. Here, we report a case of one year old child with Type III cleft foot having four metatarsals, who was treated with suture-endobutton system using three transverse tunnels in the 2nd and 3rd metatarsal bones in order to bring them closer. We were able to achieve a satisfactory outcome with a normal fitting shoe wear. Keywords: Cleft foot; suture-button; fish mouth incision.