Primary tuberculosis osteomyelitis of metacarpal bone is rare. The majority of cases occur in children and young adults and there is difficulty in diagnosis mainly in young children. We report a new case in children aged of 3 years, presenting a swelling on the dorsal side of her right hand since 8 months. X-ray showed an expansile, cystic and lytic lesion involving the little finger metacarpal...

The metacarpophalangeal (MP) joint is resistant to injury due to its strong capsuloligamentous structures, which include the volar plate and deep transverse metacarpal and collateral ligaments. Complex MP joint dislocations are, by definition, irreducible by closed means and require open reduction, as the volar plate becomes entrapped between the metacarpal head and proximal phalanx. The dorsal...

portant that the physiotherapist should supervise the movements and make sure that the metacarpal is again moved through a full active range at the new joint. This treatment is continued until the patient can return to light work, which is usually a matter of four to six weeks. Some patients complain of pain for longer than this, but others are surprisingly pain free; one started milking cows w...

carpal injuries are uncommon and are mainly seen in the younger age group. the incidence is unclear as many of the cases go undiagnosed. a 22-year-old male patient coming to the hospital after road traffic accident with head, face and left wrist injury. after immediate primary management the patient was taken up for a definitive procedure 4 days after the injury. scaphoid fracture was fixed wit...

Introduction Awareness of potential variations in muscular organization and routing of tendinous insertions is essential for those in medical education, practice, and research. In the upper limb the extensor carpi ulnaris muscle originates from the lateral epicondyle of the humerus by the common extensor tendon and from the posterior aspect of the proximal half of the ulna to insert on the base...