Open lunate enucleation

A 32 year old man, right-handed soldier, was admitted to Emergency Department two hours after undergoing right wrist injury following a 2 meter fall onto the hand, in hyperextension. Clinical examination revealed a deformity of the wrist with an obvious open lunate enucleation (A). The neurovascular status was intact. Standard radiograph of the wrist demonstrated a completely enucleated lunate, associated with scaphoid and radial styloid fracture (B). Computed tomography (CT) scan confirmed diagnosis of trans-radial styloid, trans-scaphoid, perilunate dislocation (C and D). The lunate enucleation was treated by open reduction through a volar approach and internal fixation of associated injuries. Wrist reduction was maintained using K-wires placed through the scapholunate and scaphocapitate. The material was removed after 3 months. The control during one year postoperatively, there was no evidence of complications. The patient had a comfortable range of motion in his right wrist.Pan African Medical Journal 2015; 2

Simultaneous Ipsilateral Floating Hip and Knee: A Complex Combination and Difficult Surgical Challenge

Simultaneous ipsilateral floating hip and floating knee are extremely rare. To the best of our knowledge, only four cases have been described in the literature. This uncommon injury is mostly caused by high-velocity impact and associated with life-threatening lesions. We report a unique case of concomitant ipsilateral floating hip and floating knee following road traffic accident. The patient presented ipsilateral hip dislocation and acetabular, femoral, and tibial fractures associated with chest trauma. The aim of this report is to highlight the severity and rarity of this combination and to describe the therapeutic recommendations

Instabilité post-traumatique du nerf ulnaire au coude: à propos de cinq cas et revue de la littérature

Le nerf ulnaire au coude a une situation anatomique très particulière, qui explique son importante vulnérabilité. Les auteurs rapportent cinq cas, d'instabilité post-traumatique du nerf ulnaire avec luxation complète du nerf en avant de l'épitrochlée. A la lumière de notre expérience et d'une revue de la littérature, les aspects pathogéniques, diagnostiques et thérapeutiques de cette pathologie sont passés en revue.The Pan African Medical Journal. 2016;2