Transient synovitis resulting in hip subluxation – Emergent arthrocentesis as diagnostic and therapeutic tool

Transient synovitis is one of the most common causes of hip pain in children. The associated effusion when in increased quantity may be evident radiologically showing increased joint space or rarely with consequent hip subluxation. Careful clinico-radiological assessment and emergent aspiration reduces joint pressure and the evaluation of the aspirate can be instrumental to diagnose or rule out transient synovitis. Hip subluxation has been a rare concomitant feature of huge effusion in cases of transient synovitis that was diagnosed and managed appropriately to an uneventful outcome

Ulcerated calcinosis cutis

Calcinosis cutis is an uncommon disorder resulting in the deposition of calcium salts underneath the skin and subcutaneous tissues. Asymptomatic, giant lesion is a rare finding and rarer if present bilaterally over iliac bones. Frictional ulceration may at times be presenting feature of a chronic lesion that requires excisional biopsy

Colloidal silver-based nanogel as nonocclusive dressing for multiple superficial pellet wounds

A good dressing is mandatory to an uncomplicated wound healing, especially when foreign particles contaminate the wound. Various forms of dressing preparations are available for use and differ in chemical composition and efficacy. Silver has been a known agent with good antimicrobial and healing properties and recent times has seen an upsurge in various silver-based dressing supplements. We describe our report of use and efficacy of a silver nanoparticle- based gel dressing in the healing of multiple superficial firearm pellet wounds

Subperiosteal Osteoid Osteoma in the Coronoid Fossa Mimicking EarlSubperiosteal Osteoid Osteoma in the Coronoid Fossa Mimicking Early Elbow Arthropathy: A Case Reporty Elbow Arthropathy: A Case Report

Introduction:The elbow pain and restricted movement is a nagging problem and elbow arthropathies need to be excluded. On rare instances, uncommon etiology like a benign lesion is the culprit and the diagnosis would require judicious clinicoradiological correlation. Osteoid osteoma in the intra- or juxta-articular region is reported in the literature as rare, sporadic report.Case Report:A 23-year-old, Indian male patient presented with a provisional diagnosis of early elbow arthropathy on account of unexplained pain and restricted elbow movement without a history of trauma. He was subjected to appropriate investigations revealing synovial hypertrophy, effusion, and bone edema suggestive of early arthropathy. Additional imaging led to an uncommon definitive diagnosis. An intra-articular osteoid osteoma was found over the medial aspect of the coronoid fossa with a thin rim of cortical rim projecting anteriorly. The lesion was diagnosed and delineated on computerized tomography and an open excision of the lesion and synovectomy was done for histopathological evaluation. Histology confirmed the presence of an osteoid osteoma at an uncommon location.Conclusion:The careful appreciation of radiological images is critical to not miss significant etiology that may mimic non-specific elbow pain. High index of suspicion coupled with appropriate diagnostic imaging results in early diagnosis and appropriate management. Osteoid osteoma should be a differential diagnosis in cases with pain and restricted elbow movement and excision of which results in recovery of painless range of motion.</p