We present here a 49-year-old female with 2 months history of progressive weakness in lower limbs, with no history suggestive of any traumatic, infective, inflammatory, or neoplastic pathology. Both clinical and radiological investigations were inconclusive. There was a mass lesion in the epidural space (predominantly in the posterior and right lateral space) at T1-T3 vertebral levels compressing the thoracic spinal cord. Considering the progressive nature of her neurological deficit, an emergency decompressive laminectomies of T1-T3 vertebrae were done with excision of the compressive mass lesion. Histopathological examination showed a rich lympho-plasmacytic cell infiltrates with storiform spindle cells and dense fibrosis, which was diagnostic of IPT. Post-operatively there was a rapid recovery in neurology and she became ambulatory at the end of 2 weeks. The purpose of this case report is to discuss the clinical, histopathological and radiological features, differential diagnosis, management, and prognosis of spinal IPT on the background of relevant literature review.

The aim of the study was to evaluate the functional outcome in patients treated with proximal humeral fracture who were treated with minimally internal fixations like K-wires, osteosutures etc.

A neuropathic arthropathy is a form of destructive arthropathy resulting secondary to loss of joint sensation due to various different etiological factors. It usually manifests without any pain but gross destruction of the joint .Usually seen in the weight bearing joints of the lower limb. It is highly rare for this entity to occur in the upper limbs with only very minimal cases reported. The diagnosis of the same is also difficult with many cases being misdiagnosed and treated for unrelated causes and land up with poor results. Here in we report a case of neuropathic arthropathy of the shoulder secondary to a cervico-dorsal syrinx misdiagnosed to be cuff arthropathy.

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Neck of femur fractures are one of the devastating injuries in the old age. Their incidence is on the rise causing immense stress on the society. One of the most commonly done procedure is bipolar hemiarthroplasty. In our study we have evaluated the acetabular erosion after hemiarthroplasty, in neck of femur fracture patients after a minimum period of 2 years and have tried to correlate it with activity level of the patient.</span>The aim of the study were <span lang="EN-IN">early detection of acetabular erosion; to assess the functional outcome after minimum of 2 years after hemiarthroplasty by modified UCLA score; to correlate the functional activity level and radiological acetabular erosion.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This is a retrospective radiological and clinical study. The post hemiarthroplasty plain radiographs, showing AP view of hip joint taken in the Department of Radiodiagnosis, PSGIMS&amp;R will be studied along with activity level assessment. By Convenient sampling method, all the patients undergone cemented bipolar hemiarthroplasty, for fracture neck of femur after minimum of 2 years were assessed both radiologically and clinically. Functional activity level was assessed by Modified UCLA scoring system</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">By this study we suggest an easy and effective way of evaluating acetabular erosion and clinical activity. There is significant increase in acetabular erosion as the duration after surgery increases. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">By this study we suggest an easy and effective way of evaluating acetabular erosion and clinical activity. There is significant increase in acetabular erosion as the duration after surgery increases. The clinical activity is by and large not significantly altered as the erosion progress at mid-term follow up.</span></p>

<p class="abstract"><strong>Background:</strong> Intertrochanteric fractures occur mostly in elderly patients, and the outcome may be extremely poor if there is prolonged bed-rest. The best treatment for trochanteric fracture remains controversial. Proximal femoral nail antirotation (PFNA) II has excellent fit as the design is adapted to the anatomical situation of small statured patients also. It has a medial lateral angle of 5 degrees. It has several distal locking options viz static/dynamic. Objective of this study was to observe the operating time, blood loss and fracture union in intertrochanteric fractures treated with PFNA II from the data collected from patient’s case sheets and post-operative X-rays.</p><p class="abstract"><strong>Methods:</strong> 25 patients who were operated with PFNA II for unstable intertrochanteric fracture were selected using random selection and following parameters were noted from the records.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean age of the participants is 70.72±8.55 years with range from 52 years to 89 years. The mean duration was 1.98 hours ±0.66. The median duration was 2 with interquartile range from 1.5 to 2.5 hours. Mean blood loss was estimated to be 390 ml±62.78. The median blood loss was 370 ml with interquartile range from 360 to 420 ml.</p><p class="abstract"><strong>Conclusions:</strong> The PFNA II is an ideal implant for unstable intertrochanteric fracture since stable intramedullary fixation can be achieved with almost 100% union in the studied population.</p>