Acquired Manus Valgus: A Difficult Problem with a Simple Solution

Acquired manus valgus or acquired radial-club hand deformity of the wrist is an uncommon entity. Pathological destruction of the distal radius, following infection, trauma, or tumorous conditions in the paediatric population, often leads to radial shortening, ulnar lengthening and angulation, distal radioulnar joint dislocation, and radial deviation of the wrist. We report a case of acquired manus valgus treated by centralisation of the ulna on the wrist. At the 2-year follow-up, the patient had a functional, stable, and cosmetically acceptable wrist, with radiographic evidence of ulnocarpal fusion. It is an easy to perform, cost-effective surgery

Fractures of capitellum: a review of 14 cases treated by open reduction and internal fixation with Herbert screws

Fourteen patients with displaced fractures of the humeral capitellum were treated by open reduction and internal fixation of the capitellar fragments with Herbert screws. As per Bryan and Morrey classification, there were seven type I fractures, one type II fracture, three type III fractures, and three non-unions. Patient outcomes were evaluated using the Mayo elbow performance score. The follow-up period ranged from three to seven years (mean 4.8 years). All patients had a stable, pain-free elbow with good range of motion at follow-up. There was no evidence of avascular necrosis or degenerative change