No abstract

The preferred treatment of displaced supracondylar humeral fractures in children is closed reduction and percutaneous pinning. Cross-wiring techniques are biomechanically superior to parallel lateral wiring techniques. The purpose of this study was to review the authors' experience with a novel cross-wiring technique performed entirely from the lateral side. Twenty children with supracondylar fractures who were manipulated and wired using a lateral cross-wiring technique were reviewed. Patient demographics, mechanism of injury, fracture classification, and associated neurovascular injuries were noted. All fractures were reduced, cross-wired from the lateral side, and rested in an above-elbow slab. Wires were removed at 4 weeks. Range of motion and carrying angle were measured at follow-up. Lateral cross-wiring of supracondylar fractures represents a real option in the treatment of these injuries, offering the biomechanical advantages of traditional cross-wiring without the risk of ulnar nerve injury.

Thrombosis in the upper limbs is a rare condition. We report on a case of subclavian artery thrombosis that occurred following open reduction and internal fixation of fracture in the middle third of the left clavicle. This is difficult to diagnose and requires a high index of suspicion. Early recognition can prevent fatal thromboembolic complications and disability.

Rationale: Fibroma of tendon sheath is a rare benign tumor that is attached to the tendon sheath. Patient concerns: A 16-year-old boy presented with a painless mass in his right foot, which was initially misdiagnosed as a giant cell tumor of the tendon sheath. Diagnosis: Fibroma of tendon sheath, which exhibited radiographic features similar to those of giant cell tumor of tendon sheath. Excisional biopsy demonstrated spindle-shaped cells and collagen-like stroma. Interventions:The patient underwent excision biopsy. Outcomes: The patient recovered well and showed no signs of recurrence at 6-month follow-up. Lessons: This case provides valuable insights for foot and ankle surgeons. While radiological investigations are helpful in many diseases, histological examination is indispensable for establishment of the final diagnosis. Abbreviations: FTS = fibroma of tendon sheath, MRI = magnetic resonance imaging. GCTTS = giant cell tumor of tendon sheath.

Giant cell tumors are most common benign tumors of bone. The most common sites are distal femur, proximal tibia, distal end of radius. The proximal femur is one of rare site of Giant cell tumor. Here we present a case of giant cell tumor of proximal femur in 50 year old male. We confirmed it by biopsy and patient underwent extended curettage with bone grafting of proximal femur along with proximal femur nailing. We are presenting it as a case report.