Synovial osteochondromatosis (SOC) is one of the benign conditions which gives rise to intra or extra articular osteochondral loose bodies. Though the exact aetiology is not known, SOC may be an outcome of trauma, avascular necrosis, osteoarthritis, rheumatoid arthritis, osteochondritis dessicans. Usually the disease is monoarticular affecting the knee joint. Treatment of choice of SOC is surgical excision with open or arthroscopic approach. Overall prognosis is good but recurrence is inevitable if removal is incomplete.

Plantar fasciitis is the one of the most common causes of painful heel in adults. It is assumed to be caused by inflammation and is typically precipitated by biomechanical stress. Conservative management is the mainstream treatment option for plantar fasciitis like non steroidal anti-inflammatory drugs (NSAIDs), steroid injections, PRP injection, stretching exercises. There is no consensus on the efficacy of any particular conservative treatment regimen. This study was taken with objective to compare the efficacy of NSAID and local steroid injection in treating plantar fasciitis. Method: Sixty patients were randomized into 2 groups, group I patients were treat with oral NSAIDs and group II patients were treated with local steroid injection. Patients of both groups are given common supportive measures such as soft heel and advised same stretching exercises. The patients were evaluated using VAS score for pain assessment at pre-treatment stage, 1 week, 2 weeks, 4 weeks, 2 months and 3 months. Results: 60 patients were randomized into 2 groups, both groups had similar demographics. The VAS scores at pre treatment level in group I was 6.60±1.14 and in group II was 6.46±1.05. The VAS score reduced to 3.10±1.18 in group II after injection and in group I reduced to 4.9±1.33 after a starting oral NSAIDs. The VAS scores consistently reduced in both the groups till 4 weeks of follow up but group II VAS scores were always lower than group I (p-value < 0.001). After 4 weeks, a trend towards increase in VAS scores was noted in both groups, patients had complaints of relapse of pain or increase in intensity of it. Conclusion : With this study we concluded that as compared to NSAIDs the use of local injection of steroid gives better and more sustained pain relief with fewer complications and lesser recurrences of heel pain in cases of plantar fasciitis.

De Quervain's tenosynovitis is a painful condition of the wrist which leads to difficulties in performing activities of daily living. Aim of the study is to examine the effectiveness of steroid injection therapy as compared to splinting and analgesics for treatment of de Quervain's tenosynovitis in adults. In (Group 1) the conservative group, patients were advised a splint and NSAIDS. In (Group 2) steroid group, patients were given injection of triamcinolone mixed with 2% xylocaine into the sheath of the affected tendons, under aseptic conditions. We found that steroid injection group showed 83.33% excellent results compared to only 36.67% in conservative group. We conclude that steroid injection is an effective form of conservative management for de Quervain's disease.

Peritrochanteric fractures are devastating injuries that most commonly affect the elderly population and also the young. Peritrochanteric fracture is a leading cause of hospital admissions in elderly people. The number of such admissions is on a raise because of increasing life span and sedentary habits. Conservative methods of treatment results in malunion with shortening and limitation of hip movement as well as complications of prolonged immobilization. This study was done to analyze the surgical management of Peritrochanteric fractures using Proximal Femoral Nail. This is a retrospective study of 20 cases of trochanteric and subtrochanteric fractures admitted to R.L. Jalappa Hospital and Research Centre, S.D.U, M.C, Kolar, between July 2009 to October 2011. Patients with Peritrochanteric fracture above the age of 18yrs were included while pathological fractures and patients with associated co-morbidities posing a risk for surgery were excluded from the study. In our series of 20 cases, excellent results were seen in 50% cases, good in 33.3% cases, fair in 16.7% in trochanteric fractures. In subtrochanteric fractures, excellent results were seen in 64.3%, good in 21.4% cases and fair in 14.3%. From this sample study, we consider that PFN is an excellent implant for the treatment of Peritrochanteric fractures. The terms of successful outcome include a good understanding of fracture biomechanics, proper patient selection, good preoperative planning, accurate instrumentation, good image intensifier.