Background: Fracture-dislocation of the humerus refers to the fracture of the proximal part of humerus associated with dislocation of the head from the humero-glenoid joint. It is occurs most commonly in elderly due direct low velocity trauma, while in younger age group, high-velocity trauma is needed. 1 Management of fracture dislocation of proximal humerus needs early reduction and fixation. In or prospective study we have observed the functional outcome and complications of management of displaced proximal humerus fragments with various methods.; Methods: A two-year prospective study was conducted after getting ethical approval at tertiary care centre on cases admitted with proximal humerus fracture dislocation as per the inclusion criteria based on Neer's classification evaluation was done after investigations like xray CT scan and surgery was performed. Postoperative follow-up was done at 1st, 6 th month and 1 year and outcome were evaluated for each case based on Neer's shoulder score of constant score. Results: 30 cases were studied which were operated according to neers classification by various methods. Mean age was 42.6 years. Constant Shoulder score was good in maximum patients (46.67%) followed by excellent in 33.67%, three patients (10%) had fair score while it was poor in 2 patients (6.66%). Conclusions: Proximal humerus fracture dislocation can be managed with various methods of treatment. Each method has its own advantage and disadvantages.

Introduction: Proximal humerus fracture represents the second most common fracture in upper extremity in elderly. Percutaneous fixation has reported to have good functional outcome and has lesser complications rate. In our study we have tried to observe the functional outcome and complication rates of percutaneous fixation for proximal humerus fracture in elderly with Neer type I, II & III. Aim: This study aimed to observe the functional outcome and complication rates of percutaneous fixation for proximal humerus fracture in elderly with Neer type I, II & III. Materials and Methods:This study included 28 patients aged between 55 to 80 years having proximal humerus fracture Neer Type I, II and III presenting to our institute between June 2021 and September 2022. Patients were evaluated clinically and radiological evaluation was done in the form of Xray and CT scan. All patients fulfilling the inclusion criteria were managed with percutaneous K-wire fixation. Postoperative check Xray was done and physiotherapy was advised. Patient were followed up for minimum 10 months and evaluated for radiological union and function outcome using the DASH score. Results: All patients had radiological union in mean 8.2 months. DASH core was used to evaluate shoulder function. DASH score was excellent in 20 patients and was good in 6 patients while it was fair in 2 patients. Out of 28 patients 22 patients did not have any major complications 7 had k wire backout, 2 patients had entry point infection and 1 patient had K-wire migration. Conclusion: K wire fixation of proximal humerus fracture in elderly with Neer type I, II and III, gives a good radiological and functional outcome comparable with other modalities of treatment with low complication rate.

Introduction: Giant cell tumour is a locally aggressive benign tumour of bone which is an unusual neoplasm that accounts 4% of all primary tumours of bone and about 10% of malignant primary bone tumours. GCTs are usually found in skeletally mature individuals. Peak of this is generally in 3 rd decade. Tumors of the fibula comprised only 2.5% of primary bone lesions. Patients with aggressive benign tumors in the proximal fibula may require en bloc resection. Peroneal nerve function, knee stability, and recurrence are substantial concerns with these resections. We are reporting a case of Giant Cell Tumour of the proximal Fibula managed with curettage and excision with 5% phenol. Case presentation: A 25-year-old female presented with complaints of pain and swelling and deformity below right knee since 1 year. Pain wast in right lower limb over fibular region which was insidious in onset Dull aching and progressive in nature with no radiation no diurnal variation 1 month after that she noticed swelling over proximal leg which was initially of pea size and gradually progressed to size of approx. 10x10 cm. There was no history of trauma. Surrounding skin appeared reddish brown. On palpation no local raise of temperature but local tenderness present. X rays and all blood investigations were done Histopathological report suggestive of giant cell tumour of bone benign type with plenty of giant cell, plenty of eosinophils and round oval stromal cells. Magnetic resonance imaging-large expansile lytic lesion noted in fibular head with lobulated margins and few internal cystic areas noted mass is displacing neurovascular bundles but no invasion favours possibility of ABC? GCT. After detail examinations and investigations and written informed consent patient was posted for surgery for excision of tumour. Spinal anaesthesia was given in supine position for surgery in all aseptic precautions and with haemostasis achieved, excision was done by the specimen was sent to histopathology for further examination. A thorough wash was given, and the defect was treated with 5% phenol. The tumour was sent for histopathological examination which confirmed the diagnosis of GCT. Histopathology of the tissue showed benign type of giant cell tumour. Conclusion: Management of Giant cell tumor of fibula with Excision with curettage with, use of 5% phenol for GCT of bone achieved good functional outcome and a low recurrence rate.