Background: Syndesmotic injury of ankle is relatively uncommon and commonly missed injury. Failure to stabilise this injury results in early arthritis. Traditionally it is being treated with screw but now tightrope is a biomechanically stable alternative. Case Report: A 60 year old female presented with ankle fracture associated with syndesmotic injury. She was operated for ankle fracture and simultaneously tightrope was used to stabilise the syndesmosis. She was allowed weight bearing mobilisation and didn't experience implant related symptoms. Conclusion: Syndesmotic tightrope is an ideal alternative for syndesmotic screw used to stabilise these injury, as it offers early weight bearing mobilisation, anatomical reduction and avoiding second surgery for screw removal.

Background: Aneurysmal bone cyst (ABC) is a relatively rare benign, locally expansile, hemorrhagic lesion. It accounts for 1% of all bone tumors. It predominantly involves long bones, pelvis and spine. ABC of metatarsal is relatively rare and very few case reports have been published in literature till date. Case Report: This study reports ABC of 3 rd metatarsal in a 5 year old boy, who presented with on and off pain and swelling in his right forefoot. X-ray revealed a lytic, expansile lesion with thin cortical rim in body of 3 rd metatarsal. Curettage of the lesion through a bony window was done and filled up with synthetic bone graft. Histopathology of the curetted sample revealed the diagnosis as ABC. Conclusion: The present study aims to describe a case of ABC of metatarsal, a condition that poses a diagnostic challenge and to establish the significance of radiological and histological examination for diagnostic accuracy.