Vishwanath Pratap Singh

Abstract

A bony cyst that is an intraosseous ganglion of benign nature that includes epiphyseal and metaphyseal zones of large bones. Intraosseous ganglion is an uncommon ganglion in talus and in all the cases described in literature where patient had unilateral cyst and had symptoms over ankle joint. No case has been reported with bilateral talus region causing complication with the subtalar joint. A 28-yr-old male presented to our OPD with complain of pain over bilateral ankle for last 9 months. Although ankle motions were within acceptable norms, painful, the subtalar movement was painfully reduced. The radiographic examination of both the foot and ankle confirmed no abnormalities. MRI testing of bilateral ankle revealed cystic lesion involving posterior aspect of talus communicated with the subtalar joint, measuring (1.6x1.2cm) over right and (1.3x1.0cm) over left side. The patient was treated by multiple drill hole and PRP installation. After three months, the clinical outcome was outstanding, and the patient was able to resume his usual activities with full painless range of motion. Bilateral intraosseous ganglion of talus is incredibly rare. Multiple drill holes or curettage should be employed to treat symptomatic patients. Keywords: ­ Intraosseous ganglion, Drill holes, Talus, Subtalar.

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Abstract

Distal radius fracture are one of the most common fractures presenting at emergency rooms. It has bimodal age distribution. Historically, fractures were treated by manipulation and casting with or without K-wire. Modern techniques of JESS fixation and volar plating have been advocated to restore anatomical alignment and allow early mobilization. There is still debate on, which is the best method to manage these fractures. Grip strength is most used as an outcome measure of functional recovery of patients with distal radius fracture of which the most common tool is hand dynamometer. The study was observational study, which aimed to analyse the comparison of hand grip strength in patients with distal radius fractures that were treated by closed reduction and casting to open reduction and internal fixation twelve months post action. The result of this study indicates that the assessment of handgrip from open reduction internal fixation in the case of distal radius fracture with the results of statistical tests (P> 0.05), which mean there is no significant difference in the strength of hand between the internal fixation and casts after twelve months of action. Grip strength was found to be consistent and reliable outcome measure. It was found by evaluation of grip strength that the outcome of close reduction and casting, and open reduction internal fixation of distal radius fracture are equal and comparable.   Keywords: Handgrip strength, Distal radius fracture, Dynamometer, Closed reduction, Open reduction, Internal fixation.

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