Sir, The importance of flexor carpi radialis (FCR) as a donor muscle in tendon transfers,[1,2] as a tendon graft[3,4] and as an anatomical landmark has been well established. The anatomical variations of FCR are very rare but can have great significance in such cases.[5,6] We report a rare case of congenital absence of FCR muscle found during an elective surgery of bone grafting for scaphoid no...

Removal of hardware in orthopaedic surgery is usually encountered in revision fracture surgery for non union, mal union, infection and peri-implant failure. If the hardware has broken this can make revision surgery even more demanding. Numerous techniques have been described to facilitate implant removal. A broken femoral nail is not an uncommon presentation of a delayed union or a non union. W...

Background: Fractures of the scaphoid are second most common fractures upper limb after distal radius fractures. Rapid and accurate diagnosis is needed, because delayed initiation therapy increases risk complications such as non-union avascular necrosis. Objectives: To compare between diagnostic accuracies Computed Tomography Magnetic Resonance Imaging in detecting its complications. Methods: T...

We report the use of a free vascularised iliac bone graft in the treatment of 21 patients (19 men and 2 women) with an avascular nonunion of the scaphoid in which conventional bone grafting had previously failed. The mean age of the patients was 32 years (23 to 46) and the dominant wrist was affected in 14. The mean interval from fracture to the vascularised bone grafting was 39 months (9 to 62...