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Background:Glomus tumors are benign hamartomas arising from the glomus body, mostly occurring in the subungual region of the digits. A triad of excruciating pain, localized tenderness and cold sensitivity is the key to diagnosing these tumors. Two surgical approaches are described in the literature for excision of subungual glomus tumors-transungual and periungual. We reviewed retrospectively the results of subungual glomus tumors of the hand treated by transungual excision.Materials and Methods:Twelve patients (9 females and 3 males) with histopathologically confirmed subungual glomus tumors of the hand were treated by transungual excision at our institute. The mean age of the patients was 40.5 years (range 28–63 years). All patients presented with pain in the nail bed and cold sensitivity. A bluish-brown discoloration was present in 6 patients. Love's pin test was positive in all and Hildreth's test was positive in 8 patients. The mean duration of followup was 38 months (range 8–72 months).Results:All patients had complete pain relief. There was no new nail deformity and no recurrence till last followup. One patient had deformity of the nail preoperatively due to previous surgery, which persisted after excision of the tumor. All of them returned to their preoperative occupation and regained full function of the hand.Conclusions:The transungual approach provides good access to the entire lesion and facilitates complete excision. Contrary to reported literature, we did not find the development of any new nail deformity with this approach.

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Heterotrophic ossification (HO) is the formation of lamellar bone in soft tissue. HO is a common complication in patients with spinal cord and head injury. HO is no trivial complication. A limitation of functional range of joint motion has serious consequences for the activities of daily living of people who are already severely incapacitated because of their original injury. Movement limitation of the hip joint is challenging to treat. Surgical excision of bone block can be a formidable exercise, but will give gratifying results if done carefully.We report a case of HO involving left hip joint following head injury. A twenty-five year old male patient sustained head injury one and half years ago. At that time there was no evidence of injury to hip joints. He was noted to have severe restriction of range of motion (ROM) of left hip joint with a mass around the hip joint.Radiographs and 3D CT reconstruction revealed HO involving anterior, lateral, posterior and medial aspects of left hip joint ensheathing femoral neurovascular bundle with extra-articular HO. The joint space was well preserved. Blood investigations showed erythrocyte sedimentation rate (ESR) alkaline phosphatase levels within normal limits.After complete evaluation, surgical excision of bone block was done and functional range of movements of left hip achieved.

Melorheostosis is a rare sclerosing bone dysplasia, known as Leri disease characterized by a "flowing" hyperostosis of the cortex. Classically, melorheostosis affects the long bones of the skeleton, especially those in the lower extremities. Involvement of wrist is rare. The radiographic appearance has been likened to "dripping wax down the side of a candle." The clinical and the radiographic manifestations of melorheostosis have been encountered in a 12-year-old male child. Examination revealed limitation of movements of right wrist. Conventional radiographs of right hand showed increase in density of scaphoid, lunate, Triquetrum and Pisiform, skeletal survey showed isolated carpal involvement, 3D CT scanning showed patchy increase of density with cortical dripping appearance of carpal bones.