Introduction:Intramuscular myxoma is a rare benign soft tissue tumor involving the musculoskeletal system. The incidence is reported as varying from 0.1 to 0.13 per 100,000 population. Most patients present between the fifth and sixth decade of life. The swelling commonly occurs in the large muscles of the thigh, shoulder, buttocks and arms. The tumor can be diagnosed with certainty only with histopathological examination. Local recurrence is rare after excision.Case Report:A 73 year old male patient presented to us with a swelling of the anterior aspect of the middle third of the right thigh measuring about 8 × 4 centimeters. He was thoroughly investigated and the swelling excised in toto. The soft cystic swelling excised was found on histopathology to be an intramuscular myxoma.Conclusion:This case report is being presented since the tumor is rare and also an important consideration in the differential diagnosis of sarcomas, intramuscular lipoma, hemangioma, hematoma, and desmoid tumor. Another important feature is that it can be diagnosed with certainty only after excision.

Complications can be minimized by impacting the unreamed nail till the subchondral bone while maintaining the fracture well reduced and by using multiple distal locking screws in different planes.

Skeletal xanthomas are extremely rare benign disorders with features mimicking bone tumours and their definitive diagnosis is very difficult. Patients diagnosed with primary xanthoma should be followed up regularly as they may develop dyslipidemia later. Xanthomatous degeneration occurring in other bony lesions should be differentiated with xanthomas by studying the whole specimen microscopically. A 45 year old lady presented to us with xanthoma of ulna who was a known diabetic and hypothyroid on treatment. Ours is the second case of ulnar xanthoma reported so far in the literature.

ABSTRACT:In the management of displaced forearm shafts fractures it is very important to regain the length of the bones, maintaining the radial bow, good apposition and alignment without any malrotation, early mobilization of wrist and elbow to get good results. Closed intra medullary nailing of these fractures can be considered as a good alternative method to the plating. We had devised the forearm fracture table which was very useful in getting a sustained traction reducing the clumsiness, difficulty, incoordination usually experienced in doing closed forearm nailing without the fracture table. In 8 out of 32 cases we could not get closed nailing, mini open nailing was done. In 23 cases where closed nailing was done all the fractures united with mean time for union 15 weeks. The average duration of post operative immobilization in the present study is 4.9 weeks, which ranged from 3 weeks to 8 weeks. The satisfactory and excellent functional results in 21 of 23 cases (91.2%) can be attributed to good and excellent anatomical reduction of the fracture, and early mobilization.

BACKGROUND: Cut wrist repair is commonest procedure done in Hand surgery, inspite of that there is dearth of literature on long term functional outcome & social rehabilitation of such patients, so we decided to study our patients retrospectively with self-devised scale which not only incorporated the combined assessment of nerve & tendon but also the patients self-assessment of his status of recovery. MATERIAL AND METHODS: We retrospectively studied a cohort of 32 patients by searching through hospital records from 2010 to 2013. RESULTS: Most common age group 21-30 yrs, M:F=9:1, glass cut most common injury, sensation improved with time but return of sensation not seen in period of observation, MN has better recovery than UN, except 2 patients significant 2PD was not observed. Cold intolerance/paraesthesia is a common problem in patients & persists for long, tendon function recovery is good to excellent at wrist level, majority of our patients were satisfied & were able to return to their original vocation within 1 yr.