Bilateral Supracondylar Humerus Fracture in Pediatric after a Fall on an Outstretched Hand.

Background. Supracondylar humerus fracture (SCH) is common in the pediatric age group 5-7 years, mostly due to a fall on an outstretched hand. However, a bilateral SCH is rarely observed in this age group. Management of SCH is either surgical or conservative based on the following factors: patient age, fracture pattern and neurovascular involvement. Complications of a displaced SCH can be dramatically reduced by early surgical fixation. Acute complications include: neurovascular injury and compartment syndrome, and long term complications include: stiffness, infections and angular deformities. In this article, we present a rare case of bilateral supracondylar humerus fractures with a six-months follow-up.

Avulsion Fracture of the Tibial Tuberosity Combined with Lateral Tibial Plateau in an Adolescent.

Avulsion fractures of the tibial tuberosity are commonly sustained in adolescent males during sport activities which involve jumping and tackling. Tibial tuberosity avulsions combined with lateral tibial plateau in an adolescent are rare injuries. We received an unusual case of left Ogden type IIIB avulsion fracture of the tibial tuberosity with an articular involvement of the lateral tibial plateau (Salter Harris type IV) in a 14-year-old boy. The injury was sustained after jumping from three stairs where the boy predominantly landed on his left lower limb. Unlike other cases reported, since they were athletes and injuries were sustained during sport activities, our case is an obese individual who jumped off few stairs. The results following surgical treatment are excellent since the fracture united, and the articular surface was restored without the need of arthrotomy with gaining full range of motion. Therefore, displaying this case in the literature will be helpful since it is rare and was successfully treated differently from the previously reported cases.

Open Fracture of the Acromion: An Isolated Injury with Oblique-Type Fracture.

Open acromial fractures are a rare set of fractures. We report a case of Gustilo IIIA open acromial fracture (14A2 as per OTA scapular fracture classification) that was isolated from any other injury. Our patient had a good recovery and showed excellent clinical outcome after irrigation and screw fixation of the acromial fracture. We also reviewed the literature for other cases of open acromial fracture.

Asymmetric bilateral traumatic hip dislocation: A case report.

INTRODUCTION: Traumatic hip dislocation is a severe injury with the potential for significant morbidity and mortality. Bilateral hip dislocation is rare representing 1.25% of all hip dislocations. PRESENTATION OF THE CASE: A 19-year-old male had a high-speed motor vehicle accident. After stabilizing the patient, it was noticed that the position of the right lower limb was in adduction and internal rotation while the left was in external rotation and abduction. Pelvis x-ray showed right superior posterior and left anterior inferior hip dislocations. Closed reduction was performed within 3 hours from the trauma for both sides. The post reduction CT scan showed adequate reduction of both hips with no associated fractures. During his three-year follow-up, he never had any complaints and the clinical examination and radiographs did not reveal any abnormalities. DISCUSSION: Early reduction of hip dislocations minimizes the risk of osteonecrosis of the femoral head. The current recommendations state that a hip dislocation must be reduced within 6 hours. CONCLUSION: This is a rare case of bilateral asymmetric hip dislocations with no concomitant fractures. It is important to reduce hip dislocation within 6 hours from the time of injury to prevent osteonecrosis of the femoral head.