Pseudo-winging of Scapula due to Ventral Scapular Osteochondroma: A Case Report and Literature Review.

INTRODUCTION: Osteochondroma is the most common benign tumor of bone. Scapula is a very rare site for its occurrence. CASE REPORT: A 6-year-old male presented with swelling over the left scapular region for 3 months, which was insidious in onset and gradually progressing. There was a single swelling of approximately 3 × 3 × 2 cm3 over medial border of the left scapula. It was hard in consistency with well-defined margin and irregular surface, non-tender, immobile, arising for the underlying bone, and non-adherent to skin. There was pseudo-winging of scapula. The patient was referred with an anteroposterior view radiograph and a computed tomography scan. A working diagnosis of ventral scapular osteochondroma was made. Excision of lesion was done in prone position. There was no pseudo-winging post-excision. Osteochondroma is rare for scapula. Further, pseudo-winging of scapula is seldom. CONCLUSION: Prone position with internal rotation of shoulder can make the surgery easy. Excision of the tumor helps get rid of pseudo-winging.

Clinical profile of patients with complications following otitis media.

The paper deals with clinical profile of 56 patients with complications following otitis media. The clinically proved cases with complications were subjected to detailed radiology and bacteriology examination. The course of the disease was corelated with its clinical behaviour, microbial flora and treatment required.

Two unusual cases of foreign body larynx.

Two adult patients of foreign body larynx who presented to us with a short history of foreign body inhalation with severe respiratory distress are being reported. They underwent elective tracheostomy preoperatively for maintenance of airway and the foreign body was removed successfully. We conclude that preoperative tracheostomy can be attempted to secure a patient's airway before resorting to removal of foreign body lodged in the larynx.

Can general practitioners carry out drug delivery and periodic examination of leprosy patients in Raipur city?

An intervention study to improve the MDT coverage of leprosy patients by involving general practitioners (GPs) was carried out in Raipur city. Most of the GPs (84%) were willing to undertake drug delivery and periodic examination of the leprosy patients. After involving GPs, the proportion of the patients registered for treatment increased from 33% to 89.2%. The cohort regularity was 57% only which was lower than that found in the Upgraded Urban Leprosy Centre. Drug compliance as found out by the pill count was 91%. Most of the patients (87%) were happy with the services provided by the GPs.

Induction of malate dehydrogenase isoenzymes in livers of young and old rats.

The activity of cytoplasmic malate dehydrogenase (EC 1.1.1.27) of livers of young (9-10 weeks) and old (60-70 weeks) rats decreases after adrenalectomy and increases after administration of cortisone to adrenalectomized rats. These changes are significantly lower in old rats. The induction by cortisone is inhibited by actinomycin D. Adrenalectomy decreases and cortisone increases the activity of mitochondrial malate dehydrogenase of young rats, but not of old rats. Cortisone, however, induces both mitochondrial and cytoplasmic malate dehydrogenase of the regenerating liver at both the ages. Thus, impairment of the inducibility of mitochondrial malate dehydrogenase that occurs in old age is repaired in dividing cells. Immunological studies on purified malate dehydrogenase from young and old rats show that the molecular species of the enzyme is apparently the same at both ages. The changes in activities of the enzymes seen in old age may be due to changes in template activity of the corresponding genes, which apparently do not change with age.