Introduction Epidermal cysts are a rare cause of ischiorectal fossa lesions and only a few cases are reported in the literature. They can grow asymptomatically into significant sizes before becoming externally apparent. History of trauma and previous surgery in the perineum including episiotomy could be recognized as aetiological factors. We report a case of a
INTRODUCTION Free-tissue transfer and replantation or revascularization are accepted part of the armamentarium of reconstructive surgeons with quoted success rates around 95% [1]. The success of these surgeries is dependent on the continuous arterial inflow and venous outflow through patent microvascular anastomoses until neovascularization is established by peripheral ingrowth of capillaries. Traditionally, monitoring of free
Introduction Brachial plexus injuries, though infrequent, exert a profound impact, afflicting only 1% of polytrauma patients [1]. These injuries culminate in compromised motor function and sensation within the affected upper extremity. Predominantly affecting young males, they constitute up to 90% of reported cases [2]. The repercussions of traumatic brachial plexus injuries are far-reaching, inflicting substantial
Introduction Ulnar nerve entrapment at the Guyon’s canal is a rare compression neuropathy of which the exact incidence and epidemiology are not clearly documented. Guyon’s canal is the fibro osseous tunnel at the wrist formed by pisiform bone medially, hook of hamate laterally, while transverse carpal ligament forms the floor, and the roof is formed
Introdcution Angiosarcoma is an aggressive malignancy with a poor prognosis. The 10-year survival rates for scalp angiosarcoma range from 13.8% in cases with metastatic disease to a more favourable 53.6% when the tumour is localized[1]. Primarily affecting the face and scalp, angiosarcoma most commonly occurs in elderly individuals[2]. Its presentation is often deceptive, initially appearing
Introduction Supraclavicular pedicle flap (SCPF) is a fascio-cutaneous island flap based on the supraclavicular artery and vein. It has been used successfully to reconstruct pharyngeal, oesophageal, tracheotomy defects and skin defects following oncological resections of anterior neck[1], [2]. Here we present the case of a patient who underwent SCPF reconstruction of a pharyngeal defect following
Introduction Ischial region anatomy Ischial tuberosity has evolved with humans to play a significant role in posture, stability and bipedal mobility. It is a central structure that act as a fulcrum for muscles and ligaments. While the medial segment provides direct support to the axial load of the body, rest of the surface provides attachment
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV Introduction Carpal tunnel syndrome is the commonest type of entrapment neuropathy in the upper limb. Increased pressure within the carpal tunnel, >32 mmHg, leads to vascular ischaemia of the median nerve resulting in a range of symptoms that include nocturnal pain and paraesthesia involving the radial 31/2 digits, particularly
