Jaccoud's_arthopathy.
is a chronic non-erosive reversible joint disorder that may occur after repeated bouts of arthritis. It is caused by inflammation of the joint capsule and subsequent fibrotic retraction, causing ulnar deviation of the fingers, through metacarpophalangeal joint (MCP) subluxation,] primarily of the ring and little-finger. Joints in the feet, knees and shoulders may also get affected. It is commonly associated with systemic lupus erythematosus (SLE), and occurs in roughly 5% of all cases.
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LITHOPEDION

A 20 years old lady married for 2 years. Arrived with complaints of inability to conceive. Her menstrual cycles were regular except for a single missed cycle which occurred about 18 months back. She did not visit any doctor for confirmation of pregnancy. She resumed her menstruation thereafter and continued to have it till date. She, however, had occasional pain in the abdomen which was relieved by analgesics she purchased over the counter. Physical examination revealed a lump in the right lumbar region, hard in consistency with restricted mobility and tender on movement. Laboratory workup revealed no abnormal values. X-ray of abdomen and pelvis in erect posture revealed Radio-Opaque shadow resembling Foetal skeleton in the right Lumber region. Ultrasound examination confirmed Intraperitoneal dead, calcified fetus of approximately 17 weeks gestational age along with an echogenic mass in the left adnexa. With these findings, a provisional diagnosis of lithopaedion was made and laparotomy was planned.
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Post-trauma amputation of the II finger at the level of proximal interphalangeal joints. Amputation of the III finger at the mid phalangeal segment. To complete the restoration of the II right hand finger a stump were taken from the third finger of the left hand, which was used to lengthen the right palm stump.
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