Fibrous dysplasia of the fourth metacarpal: en-bloc resection and free metatarsal transfer.
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Biomedical subjects
Publications and source records attributed to Ashok Paul.
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We report the case of a 61-year-old man who presented with ankle pain of unknown etiology. The actual cause for his pain was missed during his two initial visits when only ankle radiographs were taken. During his third visit, a full-length tibia film revealed a proximal tibiofibular synostosis. He successfully underwent a fibular osteotomy with complete symptomatic relief. A literature review of this topic is presented.
The authors describe a simple technique to cap sticking K-wires using plastic syringes readily available in the hospitals, that has not been described before.
Biopsies by various means do have a risk of seeding tumour cells into the biopsy track. Even with fine needle and trocar techniques this has been proven to occur. By excising the biopsy track at the time of surgery this risk can be reduced. With needle and trocar techniques there might be little evidence of the puncture when the time of surgery takes place. We advocate using Indian ink to mark the biopsy site.