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

Thomas splint as a cause of missed fractured neck of femur

To determine the possible cause of missed fracture neck of femur in patients with ipsilateral shaft fracture. Division of Orthopaedics and Traumatology, Asir Central Hospital, Abha, Kingdom of Saudi Arabia. Patients sustaining ipsilateral fractures of neck and shaft of femur, over a 2-year period between 1410 and 1413H were reviewed. Patients in whom the fracture neck of femur had been initially missed were further scrutinized. In two patients fractures of the neck of the femur were missed due to superimposition of the ring of the Thomas splint. All patients with fractures of the shaft of the femur due to high velocity trauma should have their hips x-rayed with the Thomas splint displaced to visualize the neck of the femur adequately. This should be done irrespective of direction of displacement of the proximal fragment

Fractures of the distal femur in adults

Nineteen adults sustaining 20 distal femoral fractures were followed for 18 months. Majority [70%] of the patients were males between the ages of 17 to 70 years and 68% sustained other injuries too. Fractures were classified by AO classification; most of them were intrarticular C1 type. Open reduction and internal fixation was carried out in 60% cases. Assessment of results taking into consideration the parameters of pain, deformity and range of movement were compared with the conservatively treated group