including calcium and phosphorus were normal. Growth hormone, PTH, and his lipid profile were within normal range. Thyroid hormone profile showed FT3-2.44 pg/ml, TSH (Third generation) was 14uIU/ml. Anti-TPO antibodies were >1000 IU/ml, ANA and rheumatoid factor were negative. Old healed tubercular lesions were evident in the chest X-ray, high resolution and contrast enhanced CT scan of the tho...

The authors conducted a systematic review to determine if there is scientifically valid (level I or II) evidence for the effect of early motion (<21 days) of joints surrounding an extraarticular hand fracture on fracture healing or functional outcomes. Two reviewers independently evaluated for study inclusion, trial quality and internal validity. Six poor-quality, quasirandomized studies (level...

BACKGROUND Metacarpal fractures are common in football players and lead to time away from competition, but current operative treatment data is limited. The purpose of this study was to examine demographics and outcomes of football players who underwent operative fixation for metacarpal fractures. METHODS Retrospective review from 2009 to 2012 of any football player surgically treated at one i...

The objective of this study was to evaluate relative echogenicity of superficial and deep digital flexor tendons, the accessory ligament of the deep digital flexor tendon and interosseous muscle of the metacarpal region in foals ages 1 week to 4 months; and assess the association between echogenicity and sex or side/laterality. Seven Standardbred trotter foals were examined. Right and left meta...

CASE DESCRIPTION An 8-year-old boy in southwest Michigan was found to have a tick and target lesion after routine cast care for a first metacarpal fracture. Serological markers were negative for Lyme disease; however, oral doxycycline was prescribed for 3 weeks. Final follow-up did not reveal musculoskeletal or infectious morbidity.

Figure 2 Technique of splinting metacarpal fractures directly or using the proximal phalanx as a piston. The main issue with the closed technique is maintaining the reduced position in a plaster cast once moulding is complete, thereby commonly necessitating surgical stabilisation. We describe a novel and useful technique that maintains the reduction in the intrinsic plus (Edinburgh) position wi...

Epiphyseal fracture, also known as epiphysiolysis, is the loosening or separation, either partial or complete, of an epiphysis from the shaft of a long bone. Distal epiphyseal fractures in foals pose a substantial challenge due to their guarded prognosis. This report describes the clinical signs, diagnosis, successful conservative treatment of an 1-month-old, male Skyros pony with an epiphyseal...

Hemophilic pseudotumor is a term used to describe a progressive, encapsulated, slowly expanding, cystic mass occurring as a result of recurrent hemorrhage, usually in soft tissues but occasionally in bone or subperiosteal location. It is an uncommon but serious complication of bleeding diathesis occurring in only 1 2% cases and has mostly been reported in severe factor VIII and IX deficiency. W...