FARES method for reduction without medication of first episode of traumatic anterior shoulder dislocation.

Purpose: The aim of this study is to demonstrate the efficiency of (FARES) method for reduction of first-episode anterior shoulder dislocation, as well as its safety, reliability, and quick easy reproducibility by inexperienced physicians without any use of medications.

Methods: This was a prospective study of 28 patients with first episode of anterior shoulder dislocation that underwent closed reduction using FARES method by junior orthopaedic residents without use of any analgesic, muscle relaxant, or anesthesia. Only two attempts of reduction were allowed for each patient.

KAPANDJI TECHNIQUE AS AMINIMALLY INVASIVE PROCEDURE FOR SELECTED PATIENTS WITH TWO- AND THREE-PART FRACTURES OF THE PROXIMAL HUMERUS.

Current algorithms for decision making in proximal humerus fractures consider the fracture pattern along with the patient characteristics and surgeon’s experience. Minimally invasive techniques for reduction and internal fixation of many types of these fractures have recently been widely promoted, especially with the use of the newly developed locking plate systems. Intramedullary flexible nailing is one of the oldest techniques using minimally invasive reduction and fixation of proximal humerus fractures.

Transfracture medial transposition of the radial nerve associated with plate fixation of the humerus.

Purpose: The aim of this study was to illustrate safety, feasibility and advantages of transfracture medial transposition of the radial nerve during the lateral approach and lateral plating of humeral fractures located in the mid and distal shaft.

Methods: This was a retrospective review and analysis of medical records and radiographs of 19 patients who underwent a transfracture medial transposition of the radial nerve. Fifteen patients were treated for fresh fracture and four for nonunion.

Trans-fracture transposition of the radial nerve during the open approach of humeral shaft fractures.

The radial nerve constitutes a major problem in humeral shaft fractures; it may be injured immediately or during closed reduction or open reduction and internal fixation with plate and screws. After fixation, the nerve always runs directly over the plate without any interposed structure. If a revision surgery is indicated, the nerve is at high risk as it is usually difficult to dissect from surrounding fibrotic scar tissue or callus formation.

Spontaneous simultaneous bilateral femoral neck fractures secondary to osteomalacia: a case report and review of the literature.

We present a case of spontaneous simultaneous bilateral hip fracture in an elderly female patient suffering undiagnosed osteomalacia. She underwent staged bilateral cemented bipolar hemiarthroplasty and received long-term medical treatment for osteomalacia. Our aim is to stress on the clinical value of unexplained chronic bilateral groin pain predicting the occurrence of these fractures and on the importance of evaluating serum levels of vitamin D, calcium and parathyroid hormone especially in elderly sedentary patients with lack of exposure to sunlight.