Traumatic floating clavicle: a case report.

Most published reports of a floating clavicle consist of a dislocation of both ends of the clavicle and are associated with a high-energy injury. We report a 71 year old patient with a fracture of the medial end of the clavicle with anterior sternoclavicular dislocation and a nondisplaced fracture of the lateral end of the same clavicle distal to the insertion of coracoclavicular ligaments due to a low velocity fall.

Avascular necrosis of the metacarpal head: Dieterich's disease.

A 68-year-old woman presented with an osteolytic image on the metacarpal head of the ring finger, first attributed to inflammatory or septic arthritis. She had experienced increasing pain three months before presentation, requiring orthopaedic treatment. At the time of clinical assessment, there was some limitation in the range of movement, accompanied by local pain and chronic swelling.