A Variant of Dorsally Displaced Epiphyseal Dislocation of the Middle Phalanx: A Case Report.

Case: Closed injury of the proximal interphalangeal joint (PIPJ), where the dorsally displaced epiphysis is lying on the dorsum of PIPJ, is sometimes called a jockeyed epiphyseal fracture (radiographs give an impression jockey sitting on a horse). We describe its variation in a 7-year-old boy who had a dorsally displaced epiphyseal fracture of the middle phalanx accompanied by fracture of the proximal phalanx. He was treated with open reduction and relocation of the epiphysis.

A phase IV observational multi-centre, open-label study on efficacy and safety of tolperisone 150 mg in patients with painful muscle spasm associated with degenerative or inflammatory diseases of the musculoskeletal system.

Aims: To generate real world clinical data on efficacy and tolerability of tolperisone 150 mg in painful muscle spasms in Indian population.

Settings And Design: Prospective, open-labelled, non-comparative, multi-centre observational, Post Marketing surveillance study conducted at 174 participating orthopaedic care centres across India

Methods And Material: Nine hundred and twenty adult patients having painful muscle spasm associated with degenerative or inflammatory conditions were enrolled who received tolperisone 150 mg thrice daily orally for 7 days. Assessment of primary efficacy (muscle spasm) was done by (0-3) Likert scale.

Vitamin K2: a novel therapy for osteoporosis.

Development and maintenance of skeletal health is essential since the resultant effect of poor bone health is an increased risk of osteoporotic fracture. Osteoporosis is currently a major public health problem and with predicted demographic changes, its future health and economic impact is likely to be phenomenal. Adult bone health is predominantly governed by two factors: (i) Maximum attainment of peak bone mass; and (ii) rate of bone loss which occurs with ageing.