Abhijit M Chandge

Abstract

Background: This study aimed to evaluate the functional outcome of displaced scapular neck, glenoid and body fractures treated by open reduction and internal fixation by locking plate. Materials and Methods: In this study 10 patients of scapular fracture (neck, glenoid and body) were treated with locking plate at Dr. Hedgewar hospital, Aurangabad from January 2014 to December 2020 with age from 18 to 60 years. Functional outcome was evaluated by Constant-Murley scoring system. Result: Total 10 patients were included in present study. Mean age of the patients was 44.9±11.06 years. Male patients (80%) were common than female patients (20%). Road traffic accident (80%) was most common mode of injury. In fracture type distribution, neck and body of scapula (90%) fracture was most common. Assessment of shoulder function was done using Constant and Murley scoring system. Good function was noted in 80% patients, followed by excellent function in 10% patients and fair function was noted in 10%. Conclusion: Open reduction and internal fixation of displaced scapular (neck, glenoid or body) fracture with locking plate provides good functional outcome.   Keywords: Scapular fracture, Scapular plating.

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Abstract

Introduction: Osteochondroma is the most common benign tumor of bone, occurring either as an isolated lesion or in the context of hereditary multiple exostoses. In both cases, osteochondroma can arise from the ribs, and is often asymptomatic. In fact, the diagnosis often follows the onset of serious complications either from mechanical interference with the neighboring anatomical structures, or from malignant degeneration., Case Report: We present a case of swelling over right side of chest wall in 40-year-old male patient. X-ray and CT scan showed bony swelling over right ninth rib. Tumor was resected to avoid future complication. Subsequently, histological examination confirmed the diagnosis of osteochondroma and showed the lack of dysplastic changes. Conclusion: Various studies have shown that the surgical resection of osteochondroma is necessary in adults to avoid future complications of haemothorax, pneumothorax, intercostals neuralgia and malignant transformation, hence we resected tumor in this case.   Keywords: Osteochondroma, Rib.

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