Case Report - Winging of scapula following lymph node biopsy in posterior triangle of neck

Injury to accessory nerve in the posterior triangle of neck leads to disabling paralysis of the trapezius muscle. It is a well-known but frequently forgotten complication of lymph node biopsy taken casually in minor operation theatre under local anesthesia. We describe such a patient with emphasis on prevention, early diagnosis and management

Case Report - Winging of scapula following lymph node biopsy in posterior triangle of neck

Injury to accessory nerve in the posterior triangle of neck leads to disabling paralysis of the trapezius muscle. It is a well-known but frequently forgotten complication of lymph node biopsy taken casually in minor operation theatre under local anesthesia. We describe such a patient with emphasis on prevention, early diagnosis and management

Broken guidewire protruding into the hip joint: A bone endoscopic-assisted retrieval method

Broken implants, especially broken wires at difficult sites, may pose a challenge for the treating orthopedic surgeon. We describe a method for extraction of a broken guidewire that was, protruding into the hip joint following the insertion of a proximal femoral nail. A 35-year-old man with displaced femoral neck fracture with ipsilateral fracture shaft of femur was operated and fixed with long proximal femoral nail. The guidewire of proximal screw broke during the process of drilling. The tip of the 2-cm-long broken guidewire was touching the articular surface. The guidewire was misdirected posteroinferiorly from its path for the insertion of the proximal screw (6.8 mm), this screw was removed and bone endoscopy was performed with a 30° arthroscope. The broken end of the guidewire was located under direct vision. The grasper was introduced with its jaws at the 8 O’clock position and its position was confirmed under a C-arm image intensifier in both anteroposterior and lateral views. The broken end of the guidewire was grasped and it was retrieved. The screw was replaced in its original track to complete the procedure. The fractures united and patient was asymptomatic when last followed-up at 12 months

Subacute posttraumatic ascending myelopathy: A case report and review of literature

Subacute posttraumatic ascending myelopathy is a rare disorder, unrelated to syrinx formation or mechanical instability, which may gradually emerge within the first 1e2 weeks after a spinal cord injury and may lead to diagnostic and prognostic dilemmas. We present a case of 24-year-old female with unstable wedge compression fracture of L1 vertebrae with signal changes in the upper lumbar cord causing complete paraplegia below D9 with bladder and bowel involvement. In the subsequent week, she developed a delayed progressively increasing neurological deficit with cord signal abnormality on MRI extending cephalad from the injury site to the upper dorsal cord. The patient had no initial clinical improvement initially but showed a delayed recovery over months