ABSTRACT
Acute patellar dislocation is a common condition and is seen in situations that are associated with dance and sports. The intra-articular dislocation of the patella is a rare condition while lateral dislocation is most common. Two types of intra-articular dislocations are described in the literature, horizontal and vertical. The absolute management of acute patella dislocation following trauma in the young population is still in debate. Here, we present a 14-year-old male patient with traumatic intra-articular intercondylar dislocation of the patella reduced by the closed method with open quadriceps repair on the basis of ultrasound and magnetic resonance imaging (MRI).
ABSTRACT
Calcinosis cutis is an uncommon disorder caused by an abnormal deposit of calcium phosphate in the skin in various parts of the body. Four main types of calcinosis cutis have been recognized according to etiology: associated with localized or widespread tissue changes or damage (dystrophic calcification), that associated with an abnormal calcium and phosphorus metabolism (metastatic calcification), not associated with any tissue damage or demonstrable metabolic disorder (idiopathic calcification), and Iatrogenic. Very few cases of idiopathic calcinosis cutis are reported in early childhood in the literature. We report one such case of idiopathic calcinosis cutis over elbow in a 12-year-old female child. Histological examinations of the lesions resected in this case reveal calcium deposits in the dermis, surrounded by foreign body giant cells. Idiopathic calcinosis cutis is a rare phenomenon and occurs in the absence of known tissue injury or systemic metabolic defect. It is important to delineate it from other calcification disorders for further plan of management. Medical therapy in calcinosis cutis is of limited benefit in pediatric age group and poses a challenging problem of postsurgical management.
