Giant Cell Tumour of the Tendon Sheath — Arising from Iliotibial Band.

Chassaignac first described about a benign soft-tissue mass in 1852, characterised by a pleomorphic cell population, which includes lipid-laden foam cells, multinucleated giant cells and round or polygonal stromal cells, often with deposits of haemosiderin in a collagenous stroma. and he overstated their biologic potential in referring to them as fibrous xantoma or Giant-cell tumour of the tendon sheath. They are of two types, Localized (common) and Diffuse (rare) .The rare diffuse form is considered the soft tissue counterpart of diffuse pigmented villonodular synovitis (PVNS) and typically affects the lower extremities1 .Its anatomic distribution parallels that of PVNS, with lesions most commonly found around the knee, followed by the ankle and foot; however, it occasionally affects the hand.

A Comparative Study of Management of Fracture Shaft of Femur by Open Versus Closed Intramedullary Interlocking Nailing.

Background: Orthopaedic surgeons often encounter diaphyseal femur fractures, which most often result from high-energy trauma, one must have high index of suspicion for complications. Currently surgery is indicated for most femur fractures because of high rate of union, low rate of complications and advantage of early rehabilitation which decreases the morbidity and mortality rate in patients. While the main stay of the treatment has been reamed interlocking intramedullary nailing. Objectives: To compare the time taken for bone union and the functional outcome in patients with fracture shaft of femur treated with interlocking intramedullary nail. Open versus closed method. Methods: Patients who were admitted with fracture shaft of femur to the department of Orthopaedics in R.L .Jalappa Hospital & Research Centre, attached to Sri Devraj Urs Medical College, Tamaka, Kolar. Duration of study 2 years. The time taken for bone union, range of movements and the complications encountered during the procedure and later were compared between open versus closed method of intramedullary nailing for fracture shaft of femur. Results: In our series age was between 16-70 years, the mean age was 43 years and the incidence was high in the age group of 21-30 years. 57 fractures were in men and 3 fractures were in females. 52 fractures were as a result of road traffic accident, 4 cases were due to direct trauma to the femur and 4 cases were due to fall from height . 40 patients had fracture on the right side and 20 patients had fracture on the left side. Based on Razaq MNU et al16 modification of