Symptomatic Calcification within the Lateral Collateral Ligament of Knee: A Case Report on Rare Abnormality

Introduction: Lateral collateral ligament calcification is a rare cause of knee pain. There are only a handful of case reports, and the findings are usually incidental and asymptomatic. The exact mechanism for calcific deposit remains unclear. We present a case of symptomatic calcification within the lateral collateral ligament treated by surgical enucleation. Case presentation: A 52-year-old active woman presented with complaints of pain over the lateral aspect of the left knee of 6 months’ duration. Her pain was severe, aggravated on descending stairs but relieved on rest. Clinical examination revealed tenderness over the lateral aspect of the knee joint. Standard standing anterior-posterior radiograph of the left knee revealed a homogenous dense opacity adjacent to the lateral femoral condyle. Conclusion: Calcification within the lateral collateral ligament is rare and treatment is determined by whether the patient is symptomatic or not. If symptoms of the patient cannot be alleviated with a conservative approach, we recommend a surgical enucleation of the calcification, which in our case had good results. Keywords: Calcification, Knee pain, Lateral collateral ligament

Isolated Closed Medial Subtalar Dislocation Without Ankle Fracture: A Rare Case Report

Subtalar dislocation is an unusual clinical case with very little mention in literature constituting nearly 1% of all traumatic dislocations. Here a 40 year old male who sustained fall over inverted foot was diagnosed as closed isolated medial subtalar dislocation with no associated fractures. This is an even more rare entity. Immediate closed reduction was done and immobilised for 4 weeks with below knee cast. This case report describes the mechanism of injury, ligaments involved, manoeuvre of closed reduction. This case report highlights the importance of prompt and urgent reduction and short period of immobilisation to avoid complications and better prognosis. Keywords: Subtalar dislocation, Basketball foot, Isolated, Medial, Arthritis.

Editorial

It is heartening to see the decline of the current pandemic which has taken a significant toll of our work, health and other valuable resources as we limp back to normalcy. The editorial team of the JKOA has been working tirelessly to bring new information in Orthopaedics and with this issue, we continue the endeavour to showcase the good work done by our members. It has been a privilege for the editorial team to serve KOA and with immense pride and responsibility as we present this new issue for the members. We congratulate the authors for their innovative scientific work presented in this issue. Scientific research and publication entirely stands on the honesty and integrity of the authors and the editorial teams of journals worldwide invariably are dependent on the sense of trust in their presumed ethical study. It is a matter of great concern to see an increasing frequency of misconduct in scientific publishing which include various forms of plagiarism, Salami slicing, manipulation of authorship and bias based on presence of potential conflict of interest. Duplicate publication is one such example where the authors submit their papers to multiple journal at the same time. The authors withdraw their manuscript as soon it is accepted in another journal. This appalling act amounts to disrespect for rules, guidelines and above all the ethics of publication. It results in loss of precious time and resources for the journal editors, reviewers associated with issues related to copyright. The authors should be aware that the journals frequently communicate with each on ethical issues and a failed response from the authors or their institution could jeopardise their paper. Our journal follows the COPE guidelines diligently which clearly mentions the problems and solutions related to duplicate submissions. Many of the journals state in their information for authors including that of ours, that dual submission is unethical and subject to automatic rejection. In recent time

Primary Synovial Chondromatosis of Elbow: A Bowl Full of Tumors

Synovial osteochondromatosis is a disease of the synovium characterized by the formation of multiple cartilaginous bodies. The disease is characteristically monarticular, most commonly involving the knee. Despite frequent mention of elbow involvement in various texts and articles, we wish to review the clinical, radiologic, and histologic features of synovial osteochondromatosis of the elbow by presenting a case in an elderly male. By correct preoperative diagnosis and complete excision, full range of motion can be achieved in an relatively unforgivable elbow joint even with a delayed presentation. Keywords: Loose bodies, Elbow, Synovial

The ‘Unsolved’ Fracture Neck of Femur– A Comprehensive Review

Introduction: Fractures involving the neck of the femur constitute a small proportion of total fractures in the body. Though these fractures mainly occur in the elderly population, their occurrence in youngsters due to high-velocity trauma is not uncommon. These fractures are commonly termed the ‘unsolved fractures’ as the outcome of these fractures are highly variable. The peculiar anatomy and precarious blood supply to the proximal femur and intracapsular location create an unfavourable biological environment for fracture union. The lack of prospective clinical trials which have evaluated the ideal surgical timing, technique and construct of the implant further adds to the confusion. Discussion: The aim of this review was to go through the recent relevant literature on the management of femoral neck fractures to find out the answers to the debated questions and to summarize the current diagnostic and management approaches to a patient with a suspected fracture neck of the femur. Conclusion: Knowing the patient and fracture related factors which influence the outcome are extremely important to achieve the goal of early uncomplicated fracture healing. This would help the surgeon in the thoughtful selection of the operative intervention for each patient on an individual basis and facilitate a thorough discussion between the surgeon and the patient which is vital in decision making. Keywords: Closed reduction, Hemiarthroplasty, Hip fractures, Intracapsular, Neck of Femur, Pauwel

Intra Focal K-Wiring for Distal End Radius (Kapandji Technique): Surgical Technique

Many years distal end radius fractures (DRF) are the most encountered type of fracture. In standard form, extra-articular distal end radius fractures were fixed after manual reduction and then pinned extra-articular by drilling distal cortex and passing fracture site to fix proximal fragment (Figure 1). But after 2 to 3 weeks depending upon osteoporosis fracture collapse(cancellous bone heal by collapse) and flexibility of the K wire distal fragment moves back until the K wire abut the inferior edge of the proximal fragment and does not avoid secondary displacement (Figure 2) [1].