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Introduction: Supraspinatus tear is an important shoulder condition evading proper diagnosis, thus requiring thorough clinical and diagnostic evaluation. Relatively under diagnosed in geriatric population. Debate exists over how to best provide pain relief, restore shoulder function, and to assess the effectiveness of a non-operative physical therapy program in treating rotator cuff tears in elderly patients. Methods: A total of 150 patients of supraspinatus injury were analyzed prospectively over a period of 18 months from June 2018 to November 2019 to assess the non-operative management in geriatric population. With an oral NSAID from the start of the study, a four phased physiotherapy regimen was followed. Results: At the end of the study patients were assessed with VAS score, range of movements and a simple questionnaire of modified UCLA score. 105 of 150 came for follow up at phase II out of which 68.57 % had good or excellent scores. And 95 of 150 completed all 4 phases with 84.21 % having good or excellent results with significant improvements in abduction of the shoulder joint. Conclusion:For chronic supraspinatus injuries this simple modality of rehabilitation exercises can reduce pain and improve function of the shoulder. Thus, surgical treatment for chronic injury is not necessary if conservative treatment is strictly followed in geriatric group.

Background and Objective: Proximal humerus fractures are one of the commonly encountered fractures in an orthopaedic setup comprising nearly 4% of all fractures. Achieving a stable fixation in three and four part fractures have always been a challenge. There is also a debate about the ideal method to treat such fractures. We undertook the present study to assess the functional outcome following proximal humerus fixation with proximal humerus locking plates. Methods: This is a prospective study of 30 cases of proximal humerus fractures operated by ORIF with Proximal humerus locking plate from January 2018 to May 2019 at Sanjay Gandhi Institute of Trauma and Orthopaedics, Bengaluru. The cases were evaluated radiologically and functionally assessed using the Constant Murley score at the end of study. Results: In our case series of patients, majority were males, with RTA being the commonest mode of injury in young population and domestic fall being the most common mode of injury in elderly. All the fractures united with a good to excellent outcome in 76% of the patients. Malunions were the only complications and there were no incidences of screw perforation, AVN, plate impingement and infection. Conclusion:In conclusion locking compression plate is an advantageous implant in proximal humeral fractures due to angular stability, particularly in comminuted osteoporotic bones in elderly patients, thus allowing early mobilization.