The most typical congenital defect of the shoulder girdle is called Sprengel deformity (SD), also known as congenital high scapula or congenital undescended scapula. It is distinguished by a protrusion at the scapula's upper medial border and a restriction of shoulder abduction. 7-year-old female child was brought to the hospital with complaints of difficulty to perform overhead abduction and their parents complained of cosmetic defect noted over the right upper back i.e., asymmetry of upper back. On examination, the child was able to per- form overhead abduction from 0-100deg at gleno humeral joint after which scapula-thoracic motion takes place. X ray revealed a high or undescended scapula. CT scan was performed as a pre-operative planning proto- col to rule out the presence of omovertebra. No omovertebrae noted and deformity was graded as Cavendish grade III. Patient was taken up for proposed surgery. Postoperatively patient was put in shoulder arm pouch for 4 weeks and gradually started on shoulder range of motion exercises. At final follow up, wound healed completely and patient was able to abduct the shoulder for 0-14’0deg. We conclude that treating sprengel deformity with the Woodward method correctly combined with post-operative therapy yields out- standing functional and aesthetic benefits. Keywords: Sprengel defor

Extensor tendon injuries have a documented incidence rate of 14 occurrences per 100,000 person-years, making them the most frequent tendon injuries. With an estimated frequency of 17.9 and 9.9 instances per 100,000 people per year, respectively, extensor tendon injuries and mallet finger represent 16.9% and 9.3% of orthopaedic soft tissue injuries. Here will be discussing regarding a 28 years old male gives alleged h/o work place injury following which he sustained injury to his right hand. On examination, laceration of size 3 x 5 cm exposing the underlying soft tissue, bone, extensor tendon with muscle was seen. Active extension of middle finger was not possible. X ray revealed no obvious bony fracture or dislocations. Intra-operatively, tendon was identified as extensor communis, the tendon freshened and reattached with adjacent tendon. Boutonniere deformity noted in the middle finger, due to the volar subluxation of lateral band was corrected. Patient’s hand was immobilized in plaster for 3 weeks and rehabilitation was started gradually. At the final follow up patient was able to functionally extend his metacarpophalageal and interphalangeal joints to full range of motion without any deformities. His visual analogue scale was 1/10 at the end of 3rd month. Keywords: Tendon injury, Extensor apparatus, Multiple tendon injury, Zone 3 injury, Zone 6 injury, Surgical repair of tendon.

BackgroundDistal end radius fractures (DRF), which account for 17.5% of all fractures, are the most frequent fracture seen in emergency rooms. In patients with DRFs, delayed carpal tunnel syndrome (CTS) occurs in about 20% of cases. When patients are treated with DRFs using different modalities, CTS results in poor functional outcomes. Our study aims to identify the prevalence of CTS in DRF patients receiving treatment with various modalities. Materials and methodsTwo hundred twenty patients with a history of DRFs who were treated by a variety of modalities at R.L. Jalappa Hospital and Research Center between January 2013 and January 2018 are included in this retrospective analysis. The medical records from the department of the hospital's paperwork were used to gather the patient's information and radiographs. The information was gathered, tabulated, and examined. ResultsIn our study, the incidence of CTS in DRF was calculated using a sample size of 220 and found to be 32.73%. The incidence of CTS was shown to be higher in groups with more comminution than less comminution when treatment modalities were analyzed. These groups included closed reduction and internal fixation (CRIF)/open reduction and internal fixation (ORIF) with K wire, external fixation, conservative with the cast, ORIF with variable angle volar locking plate (VAVLP), and ORIF with volar T locking plates (VTLP). ConclusionsAfter DRFs, carpal tunnel syndrome is the most significant consequence limiting functional results, hence preventing it requires considerably more attention and care.