Abstract:Trigger finger commonly refers to flexor tendon triggering which occurs due to pathologic changes in first annular pulley or the flexor tendons. Extensor triggering is a rare condition caused by disruption or laxity of the sagittal bands that stabilize the extensor digitorum communis tendon over the metacarpal head.Here we are reporting a rare case of a 14 year old girl who presented with four year history of acquired idiopathic extensor triggering of multiple fingers of both hands. Physiotherapy and other modalities of conservative management failed to prevent triggering, hence surgical correction by the Carroll tendon slip procedure was performed to centralize the extensor tendon. She underwent post-operative rehabilitation and three year follow up showed excellent response to the treatment.

A 19 year-old boy presented with Type II odontoid fracture and subsequently underwent anterior odontoid screw fixation. Odontoid process fractures account for 10%-15% of all cervical fractures. Two thirds of all odontoid process fractures are type II according to the Anderson-D'Alonso classification. Anterior odontoid screw fixation provides osteosynthesis and hence best functional and anatomical outcome. In surgical approach skin incision is usually placed at the level of C5-C6, working pathway created to reach the C2 level. During entire surgical procedure simultaneous AP and lateral image intensifiers are required to facilitate the operating surgeon. High expertise and skill is required to prevent damage to the vital structures along with good theater set up. During this procedure there is high chance of iatrogenic injury to the vital structures like carotid artery, trachea and oesophagus.