Introduction: Burst fractures are the most common fractures in the thoracolumbar junction. Unstable burst fractures are mostly associated with neural injury. Early neurological and mechanical stabilisation are the goals of treatment. The aim of this study was to find out the prevalence of thoracolumbar burst fractures among patients admitted to the spine unit of the Department of Orthopedics of a tertiary care centre. Methods: This descriptive cross-sectional study was done in a tertiary care centre from 1 January 2021 to 31 December 2021 after receiving ethical approval from the Institutional Review Committee (Reference number: 079/80-11/BHG). Demographic details, mode of injury, morphology, neurological level, and neurological grade using the American Association of Spinal injury, Visual analogue Scale, Oswestry Disability Index and kyphotic angle were recorded. A convenience sampling method was used. Point estimate and 90% Confidence Interval were calculated. Results: Among 85 patients, the thoracolumbar burst fractures was found in 30 (35.25%) (26.73-43.77, 90% Confidence Interval). The mean age of patients was 39.73±13.91 years. Conclusions: The prevalence of thoracolumbar burst fracture was similar to other studies done in similar settings.

Hidradenitis suppurativa (HS, from the Greek hidros = sweat, and aden = glands) is a chronic inflammatory skin condition that is also known as acne inversa (AI). [1] HS/AI is a chronic follicular occlusive disease involving the follicular portion of folliculopilosebaceous units (FPSUs). [1] The prevalence of HS/AI has varied, ranging from less than 1% to 4%. [2] The onset of symptoms typically occurs between puberty and age 40, most commonly in the second or third decade of life. [2] The incidence of HS/AI is twice as high among women than men. [2] Genetic susceptibility, mechanical stresses on the skin, obesity, smoking, diet and hormonal imbalances are repeatedly cited as factors that may be associated with the development or exacerbation of HS/AI. [3] The primary sites of involvement for HS/AI are the intertriginous skin areas of the axillary (61%), groin (48%), perianal (30-50%), perineal (22%) and inframammary regions (13%), though it can occur in any skin area that contains FPSUs. [2] The clinical manifestations vary, ranging from recurrent inflamed nodules and abscesses to draining sinus tracts and bands of severe scar formation. [3] The associated pain, malodour, drainage and disfigurement that accompany HS/AI contribute to its profound psychosocial impact on many patients. [3] Case report An 18-year-old female was diagnosed with bilateral axillary HS in 2014. She was a known smoker, with a body mass index of 21, and no known medical comorbidities. Clinical findings She presented in 2017 with advanced Hurley stage III disease, with extensive painful open wounds extending from both axillae onto the chest wall and upper arms, and threatening to erode the left brachial vessels (Fig.1). The patient also had severe bilateral shoulder adduction contractures and reduced function, with oedema of the left arm. The perineum, perianal and groin regions were not involved. Laboratory investigations Laboratory tests showed: white cell count of 27.25 × 109/L with predominant neutrophils; haemoglobin 7.8 g/dL; haematocrit 15%; platelet

Background and Objectives: Chronic recurrent mutlifocal osteomyelitis (CRMO) is an extremely rare skeletal disorder in the younger population. It presents with multifocal bony lesions that often mimic more sinister diagnoses such as neoplasm. The cause of this condition remains unknown and there is limited evidence on effective treatment.Presentation of Case: A 9-year-old girl presented to our institution with non-traumatic onset of left leg pain. After failed conservative management, radiographs and MRI were obtained exhibiting a bony lesion of the proximal tibia resembling osteomyelitis. The patient was non-responsive to antibiotics, so corticotomy and drainage was done in which only blood came out of the lesion, no pus was seen. Patient improved dramatically but again she developed similar symptoms and signs on right leg. Biopsy from left leg suggested no significant findings.Discussion: Chronic recurrent multifocal osteomyelitis presents in patients with periodic fevers, bone pain and bone lesions that can develop anywhere in the body. This is a rare disease, which has been found to affect more girls than boys.Conclusion: CRMO should be considered as a differential diagnosis for chronic bone pain with affinity for the long bones of the lower extremity in children and adolescents. Janaki Medical College Journal of Medical Sciences (2017) Vol. 5(2): 51-55