No abstract

Variations are inherent feature of the intricate brachial plexus. They can be at the level of origin, the course, or the innervation pattern of each peripheral nerve. Knowledge of the various described variations can be worthwhile during the routine hand surgery procedures. We present a case of an elderly patient with anomalous intramuscular course of the ulnar nerve presenting with ulnar neuropathy at the elbow. Level of Evidence: IV.

No abstract

Rotator cuff tears are a common source of shoulder pain. The incidence of rotator cuff damage increases with age and is most frequently due to degeneration of the tendon, rather than injury from sports or trauma. The decision on how to treat rotator cuff tears is based on the patient's severity of symptoms and functional requirements, and presence of other illnesses that may complicate treatment. There is a divided opinion when it comes to patients having established rotator cuff tears with co-morbidities like hypertension, diabetes, epilepsy, etc. as regards to the treatment. Some doctors advocate to leave such patients alone due to the risk involved, longer healing time and poor patient compliance. Some are aggressive and advocate a surgical tactic. We are of the opinion that such patients must be operated. This task is not without challenges. The patient needs good intensivists, and motivation for good post op rehabilitation. This study is done to see whether in such patients with co-morbidities a surgical repair is worthwhile or whether it is better to leave such patients alone in order to give them a better quality of life.