A swelling was noticed over the right scapula of a four year old boy by his parents since the past one year, which showed progress since past 6 months [Table/ Fig-1]. On examination, no similar swe ll ing was seen, which arose from else where in the body. Family history was not significant. On examination, a 4x3cm bony swelling which arose from body of left scapula was noticed. The swelling was hard in consistency, it had a smooth surface and it was immobile, but it moved with scapula. Skin over the swelling was normal and there were no neurological deficits. Forward flexion, abduction and extension of shoulder joints were restricted terminally.Plain radiograph of right shoulder revealed a mushroom shaped, solitary osteochondroma. MRI showed a bony swelling of size, 30x17mm, which arose from the dorsal surface of the body of the scapula. The cartilage cap thickness was 5mm. The cortex and the medullary cavity were continuous with the scapula. There was no associated soft tissue mass or pathological fracture.He was taken up for excisional biopsy, as the swelling restricted his shoulder movements and was cosmetically not acceptable [Table /Fig-2]. Under general anaesthesia in prone position, an oblique incision was made and the entire tumour was excised. Histopathological examination concurred with our preoperative diagnosis. There was no evidence of malignant changes. Postoperative period was uneventful and the boy regained appreciable shoulder range of motion with physiotherapy. After six months of follow-up, there was no evidence of recurrence. Histopathological examination showed normal appearing chondrocytes which were covered by hyaline cartilage. There is no evidence of any malignant transformation [Table/ Fig-3]. Orthopaedics section aBstRaCtOsteochondromas are the most common benign tumours of bone. These are most commonly seen on the metaphysis of a long bone, but they can arise from any bone which is preformed from cartilage. To best of our knowledge, very few cases of osteochondroma scapula have been reported in literature. We hereby report a very rare case of osteochondroma which arose from scapula in a four year old boy, which was treated by excisional biopsy.[table/ Fig-1
<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Arthroscopic ACL reconstruction has become one of the most commonly performed arthroscopic surgeries. Inspite of extensive research on available autograft options, controversy still persists regarding the ideal graft. Allograft tendons usage in orthopedic operations has increased because of its advantages. This study was conducted to assess the functional outcome in patients undergoing ACL reconstruction with soft tissue allografts.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">15 patients with Anterior Cruciate Ligament injury presenting from 2012-2014 who underwent Arthroscopic ACL reconstruction with soft tissue allograft were the subjects of this Prospective study. Assessment of the involved knee was performed to obtain subjective measures of the clinical outcomes of the ACL reconstruction. All patients were followed up at regular intervals of 3 weeks, 6 weeks, 12 weeks, 6 months and 2 years</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">At the final follow up, </span><span lang="EN-IN">the patients had an average Lysholm knee score of 85.60, Tegner score of 7.24 and IKDC score of 85.28. Knee flexion of >120<sup>0</sup> was achieved in >80% of patients and minimal laxity in 60% patients but no functional disability in any of them. No graft failures were noted. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Contrary to the fear of graft failure and complications associated with allograft construct for primary ACL reconstruction, allografts yield the same clinical outcome as autografts with the advantages of reduced operative time, no donor site morbidity, preservation of native hamstring tendons, faster and comfortable rehabilitation. Allografts are a good alternative to autografts for primary ACL reconstruction.</span></p>
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