Introduction: Osteoarthritis knee is one of the most prevalent conditions of knee in elder age group of population. Its causes pain, disability in geriatric population of society. Longer life expectancy is responsible for increase in osteoarthritis knee. K-L scale is well known scale of radiographic OA knee. This study was done to find prevalence of OA knee in Indian population of older than 40 years using K-L scale. Method: The study was a community based cross sectional study. The target population was from 5 metropolis, 5 cities near the metropolis, 5 towns and 20 villages from blocks of these towns. i.e. 5 sample groups were covered. Sample size n ¼ 4680 which was further divided into 5 sites equally (936 from each site). This was rounded to a sample of 1000 from each site. This evaluation study was conducted using the household as the primary sampling unit for the quantitative survey. The respondents for the study were above 40 years. Quantitative data was collected using structured questionnaire and X-Ray Investigation. OA was graded using the Kellgren and Lawrence scale. Data analysis was performed using SPSS statistical software. Frequencies and percentages were calculated to find the prevalence of OA. Chi-Square test was used to find the association of OA with various factors. Results: The present study shows a prevalence of 28.7% of OA in the overall sample. This varies slightly in the individual states e Agra (35.5%), Bangalore (26.6%), Kolkata (33.7%), Dehradun (27.2%), and Pune (21.7%).OA prevalence was found to be more in participants who used western toilet (42.1%), in sedentary people (82.9%), in females and in obese. Conclusion:This study has evidenced that there is a large percentage of sub-threshold population. i.e. K-L grade 1 which is considered as border-line or doubt-full as far as OA diagnosis. Awareness of OA should be initiated at community level, which is needed for prevention of OA at early age.

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Introduction: Anterior or posterior dislocation of hip are usually associated with fracture head of femur but dislocations associated with femoral neck, trochanter and shaft are very rare and among this anterior dislocation of hip with ipsilateral fracture of shaft femur is an extremely rare injury. We reported a case of anterior dislocation of hip associated with ipsilateral fracture shaft femur upper third in adult male. Case presentation: A 25 yrs male, low socioeconomic status was brought to our emergency department was conscious but unable to mobilize his right lower limb and external rotation deformity was present with some shortening. No neurovascular compromise and was found fracture shaft femur along with anterior dislocation of right hip on x-ray and treated by close reduction of femoral head and internal fixation of fracture shaft femur by intramedullary nail. Conclusion: Early diagnosis of hip dislocation is essential to prevent avascular necrosis of femur head in future. We concluded that there is no need of open reduction for anterior hip dislocation in every such case. Close reduction of anterior dislocation of hip followed by femur interlocking for femoral shaft fracture is good option for management for such type of injuries. Keywords: Hip dislocation, Close reduction, Avascular necrosis, Fracture dislocation

The knee is an important weight-bearing joint, capable of performing complex and extensive movements. The study endeavors to determine the role of MRI in diagnosing Anterior cruciate ligament injuries of the knee in comparison to diagnostic arthroscopy in Indian population. Material and Methods: This prospective study was carried out in the Department of Radio diagnosis in collaboration with the Department of ORTHOPAEDICS (sports injury center) TERTIARY Hospital. 22 patients presenting with instability and pain of the knee joint and clinical suspicion of ACL injury included in the study. Two patients lost to follow-up hence, were excluded from the survey. These patients underwent MR imaging. Informed and written consent was taken from the patient before they included in the study. All 20 patients were subsequently followed up by arthroscopy/clinically examinations and correlated with findings on MR imaging. Results: Sensitivity of MRI in the diagnosis of ACL injuries is high (90%) however specificity is low. FSE sagittal T2 and coronal PD and STIR sequences were found to be more sensitive to the spectrum of cruciate ligament tears. STIR sequences were useful to evaluate associated bone contusions. Conclusions: MRI has confirmed as the ideal approach for primary diagnosis of ACL lesions. It is noninvasive, fast, can be done on the outpatient basis and is free of complications as compared to diagnostic arthroscopy. But Arthroscopy still remains gold standard for ACL tear diagnosis.

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