Ipsilateral dislocation of the shoulder and elbow

Ipsilateral dislocation of shoulder and elbow joints is a rare injury. Only 2 such cases have been reported in the English literature. We report a case of a 35-year-old man involved in a road traffic accident under the influence of alcohol. He sustained posterior left elbow and anterior left shoulder dislocation with minimally displaced greater tuberosity fracture. He also had partial median nerve palsy. Under intramuscular pethidine and intravenous diazepam, close reduction of elbow followed by shoulder was carried out. At 2 months, median nerve function returned to normal. At 3 months, almost full elbow and shoulder joint movement returned. Although rare and complex, this ipsilateral injury can be treated conservatively

Musculoskeletal injuries in a major road accident

The objective of our study was to examine cases of musculoskeletal trauma sustained by survivors of a major road traffic accident [RTA], and evaluate their immediate management. Eighty-four RTA survivors were admitted on a single day at the Asir Central Hospital, Abha, Saudi Arabia. The Division of Orthopedics and Traumatology made an assessment of the various musculoskeletal injuries sustained by the survivors, using the Injury Severity Score [ISS] in the evaluation of their condition. Although RTA[s] are common in Saudi Arabia, there has been no report about one involving the mass transportation service. Of the 84 patients admitted, 41 [48.8%] had an ISS of over 16, indicating major trauma. Twenty-two of these stayed in the hospital for more than three weeks with a mean ISS of 26.36. Musculoskeletal trauma topped the list, and with neurological injuries were found to be a major contributing factor for long hospital stay. Our paper describes the primary management of the musculoskeletal injuries and suggests measures to prevent morbidity relating to these injuries

pre-bent rush nail in treatment of forearm fractures late functional results

This study aimed to evaluate late functional results after treatment of forearm bone fracture in 26 patients treated at Assir Central Hospital, Abha, KSA. In 14 of the patients, the nailing procedure was by closed technique, while open nailing was in 12 patients. After the mean period of 190 weeks of follow up, the late functional results according to the criteria of Anderson et al. revealed that nineteen of the patients were of excellent results, six had satisfactory results and one had failure results. A pre-bent rush nail is a less invasive surgical fixation in forearm fracture restoring the radial bow and providing rotational stability with high rate of excellent function results. Also, there is no need for second extensive surgery in removal of the metals