Unusual multicentric angiomyolipoma of knee joint and soft tissue foot.

To report unusual occurrence of angiomyolipoma at intraarticular location with another lesion in the same side foot. A 12-year-old girl was referred to us after initial inconclusive work-up done elsewhere for swelling of left knee joint. There was a 15 × 12 cm swelling in the knee joint partially encasing patella while also a similar hourglass shaped swelling measuring 9 × 4 cm was noted in the same side foot.

Functional and radiological outcome after delayed fixation of femoral neck fractures in pediatric patients.

Background: Complications that develop after femoral neck fracture in children-especially osteonecrosis-have been retrospectively attributed to inadvertent delayed fixation and fracture type. Prospective evaluation of results after delayed fixation of femoral neck fractures in children beyond the first 24 h is not reported in the literature and requires evaluation to increase our understanding of the procedure and improve fixation methods. Also, the role of capsular decompression in initial management needs to be elucidated.

Is sclerotherapy better than intralesional excision for treating aneurysmal bone cysts?

Background: Minimally invasive approaches such as sclerotherapy have been introduced to treat aneurysmal bone cysts. Sclerotherapy has been associated with reasonable healing rates during the past two decades. However, it is unclear whether sclerotherapy compares with the more traditional extended curettage and bone grafting.

Low grade central osteosarcoma--a diagnostic dilemma.

Low grade central osteosarcoma is a rare primary bone tumor. This fibro-osseous lesion shares some radiological and histopathological resemblance with fibrous dysplasia, which is a more common entity. Thus it may be mistaken as fibrous dysplasia and may receive inadequate treatment resulting in a more malignant recurrent bone tumor.

Kimura disease of extremity: unusual manifestation in a long bone.

Kimura's disease is a rare, chronic inflammatory disorder, presenting usually as head and neck swellings and regional cervical lymphadenopathy. The disease is more often described from oriental literature but the osseous manifestations and involvement of extremity are rare and unidentified in literature. We present an unusual case of long bone periosteal reaction in a patient of Kimura's disease of extremity.

Congenital spinal tuberculosis associated with asymptomatic endometrial tuberculosis: A rare case report.

Spinal tuberculosis constitutes 50% of all musculoskeletal tuberculosis. However, literature regarding congenital spinal tuberculosis is very scanty. Congenital spinal tuberculosis was diagnosed in a two-month-old child on the basis of age at presentation (gibbus since three weeks of age), hepatomegaly, raised ESR, radiological destruction of D10-D11 vertebrae, asymptomatic maternal endometrial tuberculosis and tuberculous histopathology from CT guided biopsy specimen from D10 vertebra.

Locking compression plate in long standing clavicular nonunions with poor bone stock.

Background: Aim of our study was to evaluate the use of Locking Compression Plate (LCP) in patients with long standing nonunions of the clavicle with osteoporotic bones.

Material And Methods: There were a total of 11 patients. Surgery was performed for painful nonunion with shoulder dysfunction.

Desmoplastic fibroma: a report of three cases at unusual locations.

Desmoplastic fibroma of bone is an extremely rare locally aggressive primary bone tumour. Diagnosis is tricky and treatment experience limited with tumor surgeons. We studied three rare cases of desmoplastic fibroma arising primarily in bone at unusual sites.

A rare actinomycosis of humerus: an unusual location and a diagnostic dilemma. A case report.

Background: Isolated actinomycosis of the humerus is a very rare entity.

Method: A 30-year-old male had an erythematous plaque with a pus-(minimal) discharging sinus over left lower arm. The patient had no discharge of sulphur granules from the sinus.

Isolated tuberculosis of Achilles tendon.

Although uncommon in developed world, tuberculosis is one of the most dreaded diseases in the under-developed and developing countries. Resurgence of tuberculosis and its increasing incidence, with widespread HIV infection has lead to the reporting of infections at unusual sites. Tubercular tenosynovitis not involving bone is an extremely rare and perplexing presentation.

An unusual presentation of a rare chest wall tumour: giant cell tumour of bone.

Giant cell tumour of bone is an aggressive benign bone tumour. It rarely affects the ribs. It usually involves the posterior end of the ribs and literature regarding anterior end involvement is scanty.

Evaluation of the utility of the Ponseti method of correction of clubfoot deformity in a developing nation.

Clubfoot is the commonest congenital deformity in babies. More than 100,000 babies are born worldwide each year with congenital clubfoot. Around 80% of the cases occur in developing nations.

Unusual presentation of isolated sacral tuberculosis.

Tuberculosis is as old as mankind. Vertebral tuberculosis is fairly common form of bone and joint tuberculosis. However, isolated sacral tuberculosis is rare.

Isolated tuberculosis of the vastus lateralis muscle: a case report.

Tuberculosis is 1 of the most deadly diseases in the world. With an increase in the incidence of HIV worldwide, tubercular infections at unusual sites are being reported. Skeletal muscle tuberculosis without bony involvement is an extremely rare presentation of tuberculosis.

Actinomycosis or tuberculosis? A diagnostic dilemma.

Actinomycosis of spine is a very rare disease. Very few cases have been studied and reported in the past. The dilemma of distinguishing the condition from other disorders relies on the competency of the treating physician and a proper knowledge of the subtle radiological differences between these disorders especially in underdeveloped and developing countries where tuberculosis still has a very strong foothold.

Tuberculosis of the ilium: is it really so rare?

Tuberculosis of the ilium is a rare identity, accounting for less than 1% of all skeletal tuberculosis. We report two such lesions in immunocompetent individuals. Tuberculosis remains an important differential diagnosis when faced with unusual or chronic bony lesions, especially in endemic areas, even in non-immunocompromised individuals.