Lisfranc Injury Associated With Calcaneocuboid Dislocation - A Very Rare Injury.

Injuries to Lisfranc complex are infrequent, usually a result of high energy trauma. Upto 20% of these go unrecognized initially and can have significant long term consequences. Complete isolated dislocation of cuboid is extremely rare. When present, it is usually in conjunction with the complex injuries of hindfoot and midfoot.We report a case of 30yr old male, presenting to the emergency room after having sustained a motor vehicle accident with injury to right foot and ankle region.The injury was diagnosed to be Lisfranc injury with associated cuboid dislocation, the latter part was missed initially. Lisfranc injury is most commonly associated with second metatarsal fracture but rarely it can also be associated with cuboid dislocation which can be easily missed on initial evaluation. High suspicion of this type of injury should be present following high energy trauma as it can result in prolonged recovery and significant long term morbidity.

Bilateral Asymmetrical Traumatic Hip Dislocation in an Adult.

Bilateral hip dislocation occurring as a result of trauma is a rare condition. Simultaneous anterior and posterior traumatic dislocation of both hips is even more unusual. A case is reported of bilateral asymmetrical traumatic hip dislocation in previously normal hips in a 20 year old adult male without an associated fracture of the pelvis or femur. An unusual mechanism for this injury is also described.

A Comparative Study of Management of Thoracolumbar Spine Injuries with Neurological Deficit by Steffee Plating and Conservative Method.

In a prospective study conducted in the Postgraduate Department of Orthopaedics Govt. Medical College, Jammu, over a period of 2 years. Forty cases, both male and female in the age group of 20 to 50 years with thoracolumbar spinal injury between D11 and L2 vertebra with neurological deficit were included . Out of these forty cases, 20 cases were managed by posterior decompression and stabilization with Steffee plating and 20 cases of similar injuries were managed conservatively and comparison of the two groups was made. The results were analyzed according to neurological improvement as per Frankel's grading, the complications and the duration of hospital stay in both the groups. In operative group; 50% of the patients showed some degree of recovery with 30% of the patients showed full recovery. The mean postoperative correction of kyphosis was 12.5% and the average hospital stay was 23.7days. 15% of the patients in operated group developed complications. In the conservative group; 30% of the total patients showed neurological recovery with 20 % patients showed significant recovery (Grade D). There were various complications in 65% patients and the average hospital stay was recorded as 40.5 days. General complications were more in conservative group. In view of increased incidence of neurological recovery, decreased incidence of complications, decrease in hospital stay and ease of nursing care in case of operated group, we recommend posterior spinal fixation with Steffee plate system in patients with unstable dorsolumbar spinal fractures especially with incomplete neurological deficit to be adopted in oprative practise.

Intradural Disc Herniation-Transdural Excission.

Intradural disc herniation (IDH) is a rare pathology.Once such case is presented with a discusion on dignosis and management.

Congenital Constriction Band Syndrome.

Congenital constriction bands are anomalous bands that encircle a digit or an extremity. Congenital constriction band syndrome is rare condition and is mostly associated with other musculoskeletal disorders.We report such a rare experience.