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Giant Cell Tumor (GCT) is a locally aggressive bone tumor typically affecting the ends of long bones with fewer than 5% of cases involving the tubular bones of the hands and feet. At these rare sites, other differential diagnosis have to be considered and ruled out based upon the clinical, radiological and histopathological findings. We came across a case of giant cell tumor of the base of proximal phalanx of index finger in a 34-year-old male in whom the clinical presentation, radiological finding and most importantly the key features on histopathological examination helped us clinch this rare diagnosis. Through this case we understood the importance of differentiating features of GCT from other giant cell lesions of bone that form the basis of the final diagnosis, that is crucial in order to decide the line of management.

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Introduction: Extremities arteriovenous malformations are uncommon vascular lesions that usually go unnoticed until a fracture occurs or imaged for other medical problems. The lesion is invariably quiescent, infiltrative in nature, and leads to the destruction of soft tissue and bone. Worldwide 20-30 % incidence of arteriovenous malformations has been noted in bones. This arteriovenous malformation greatly affects bone growth as compared to the normal side and leads to pathological fracture. However, few reports on the management of such pathologic fractures associated with AVM have been published in the literature. The main problem is to decide the types of implants and whether open or closed reduction. Here, we present a case series of pathologic femoral shaft fracture associated with multiple hemangiomas in the thigh that was treated successfully by minimally invasive distal femoral locking plate fixation and teriparatide. Case presentation: We are describing our one index case. A 39-year-old woman, otherwise healthy, sustained a fall and developed a left femoral shaft fracture. At the time of admission, she had swelling and venous varicosities and non-itchy, blanchable violet patches over the left thigh. Plain radiography of the left thigh revealed Hypoplastic femoral shaft with a markedly obliterated medullary canal with distal 1/3 rd fracture with calcification of soft tissue. We planned open reduction and distal locking femoral plating because medullary canal was very small to accommodate intramedullary nail following embolization of the feeding artery. While performing open reduction, a considerable amount of bleeding (1300 ml) after incision of subcutaneous tissue occurred. After successful fracture fixation, union was achieved with administration of teriparatide 12 months postoperatively. At present patient is able to walk using elbow support.

Background: Ultrasonography (USG) remains the primary modality for fetal imaging. Magnetic resonance imaging (MRI) is a suitable adjunct to USG. MRI is currently not used as a primary screening tool for antenatal period; however, it provides a reproducible fetal anatomy and can be more informative when the diagnosis on antenatal USG is inconclusive. Aim of the study was to study the contribution of antenatal USG and MRI in diagnosing fetal anomalies at a zonal hospital.Methods: This was a prospective cross-sectional study enrolling the pregnant women between 13 to 35 weeks of gestation. The 30 consecutive fetuses suspected to have fetal anomaly on USG, were subjected to MRI after obtaining informed consent. Final diagnosis was made either radiologically (including follow up) or by clinical examination or autopsy.Results: In 30 cases, 31 anomalies were detected on USG. There were 14 anomalies pertaining to central nervous system (CNS), 05 anomalies of genitourinary tract (GUT), 04 anomalies of thorax, 03 anomalies of gastrointestinal tract (GIT) and, 05 anomalies involving other body parts of fetus. MRI could detect 28 anomalies. USG was able to characterize a case of dorsal meningo-myelocoele better than MRI. MRI was able to show the extent of other anomalies better than USG and provided additional information of horseshoe shape in 01 case of multi cystic dysplastic kidneys. MRI could not detect 03 cases of single umbilical artery.Conclusions: USG is the primary modality for fetal imaging. MRI can be a used as an adjunct to USG for confirmation and better delineation of anomalies.