Hence, CYP2D6 genotype contributes to treatment outcome and may be useful for guiding drug therapy. Future investigations in a larger patient population are planned to support these preliminary findings.

Congenital talipes equinovarus (CTEV), or clubfoot, is the the most common encountered musculoskeletal defect encountered at birth. Most cases present as an isolated deformity, with up to half of them presenting with bilateral deformity. CTEV have also been reported to present as part of syndromic phenomena. Dr Igancio Ponseti proposed a serial casting programme to correct the foot’s cavus, forefoot adduction, varus and equinus. Up to 90% of infants will require a tendo-achilles (TA) tenotomy for the persisting equinus deformity. TA tenotomy is deemed a relatively safe procedure, with the most authors citing bleeding as the most common complication. The Achilles tendon finds itself surrounded by rich network of blood vessels and nerves. We present a case of a ruptured pseudoaneurysm from the posterior tibial artery after percutaneous TA tenotomy was performed. This is a very rare complication and to our knowledge, only one other posterior tibial artery pseudoaneurysm has been reported.

Femoral neck fractures in children are extremely rare. They are usually unilateral and the product is of a high-velocity impact. The presence of a femoral neck fracture in a child should prompt the attending physician to look for other serious injuries and continuous monitoring should commence in a high care setting. Early surgery (open reduction and internal fixation) is key to preventing avascular necrosis. We present an 11-year-old, previously well, female who sustained a right hip dislocation and femoral neck fracture after a motor vehicle accident. The patient was stabilized at a nearby peripheral hospital and a closed reduction of the hip was attempted under sedation. The post-reduction x-ray showed a femoral neck fracture with the femoral head displaced posteriorly.