Patients and Methods PatientsIt was a prospective and continuous study from January 2008 to July 2015. All patients with non-union of the humerus were included.Criteria for non-inclusion concerned septic non-union, patients lost to follow-up and incomplete records. The data were collected on the history of the patients (which included the patient's civil status, history and habit, initial treatment), clinical examination, radiography status, treatment and progression after treatment.Thus 22 cases of non-union of the humeral diaphysis were collected in 22 patients. They were 14 men and 8 women with an average age of 52.7 years (23-85 years).The reason for the consultation was the deformation of the arm during the execution of the gestures and the absolute functional impotence of the limb. All patients were right-handed and the dominant side was reached 7 times. Pain was present in 7 of them.Patients were in various occupations (6 housewives, 2 drivers, 5 without profession, 2 retired patients, 1 plumber, 1 pompist, 2 merchants, 1 fisherman, 1 receptionist and 1 transporter).According to the radiological aspect we have found several anatopathological forms. The classification of Weber and Cech [6] allowed us to find 15 eutrophic, 5 atrophic and 2 hypertrophic forms.

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Introduction: Isolated fractures of the sacrum are rare and in principle related to a direct posterior shock. The occurrence of a pseudarthrosis of a sacrum associated with neurological disorders is an exceptional eventuality.Case: Female subject 38, victim of a traffic accident occurring 3 months previously, consulted for a neglected trauma of the left hemi pelvis with relative functional impotence of the lower left limb. Clinical examination resulted in a painful lameness with a makeshift cane, pain in inguinal palpation and mobilization of the left hip. The gluteus medius muscle was rated at 0. There were no sphincteric disorders.Observations: The standard X-ray showed a fracture of the left ischiopubic branch. At CT, there was also a vertical fracture of the left hemi-sacrum passing through the sacral holes and a fracture of the anterior column of the homolateral acetabulum.The electromyogram showed a left L5 and S1 radiculopathy, a truncular involvement of the SPI (myelinic type) and of the left SPE (axonal type).At 6 months of follow-up and after a medico-physical treatment (analgesic of pallium-II, vitamino-therapy B and functional rehabilitation); the patient fully recovered with pain only squatting and a gluteus medius to 5. Results and Conclusion:In traumatology of the pelvis, the standard images are often ill-readable, hence the interest of CT. In the absence of displacement and / or root compression, functional treatment is mandatory. The occurrence of a pseudarthrosis associated or not with irreducibility or a persistence of the neurological syndrome indicates a surgical approach.

Introduction: Glenohumeral dislocation in its antero-internal variety is a very common lesion encountered in the context of emergencies (95% of cases). It can occur simultaneously on both shoulders. This clinical form is extremely rare in the literature since the forms described in epileptics are generally posterior pure. Thus, the aim of our study was to report the three cases of bilateral antero-internal dislocations and to review the literature. Materials and methods: This is a continuous prospective study from January 2014 to December 2015 and consisted of three patients all male. We used the Kocher technique for the reduction of dislocations with restraint by Mayo clinic after glucohumeral insertion. Clinical assessment was based on physical examination and constant score. Rehabilitation had been carried out. Results:The surgery was simple with a resumption of their activities one month after surgery. The rehabilitation was undertaken as soon as the restraint was removed, ie on the 21st day. The constant score was considered excellent in these two patients. Discussion: In two of our patients, dislocation occurred in an epileptic setting. In effect only the violent, synchronous and sufficiently strong muscular contractions can explain this symptomatology. The peculiarity of this study is that it occurs on both shoulders in the antero-internal variety in two epileptics and a healthy subject. This clinical form is extremely rare in the literature since the forms described especially in epileptics were posterior pure. Hence a real contradiction. After orthopedic reduction by the Kocher technique, one of our patients (observation2) had an embedding of the two trochiters, and then in the other a screwing of the trochiter (observation1). A mayo clinic was set up after surgery. The third patient had bilateral dislocation of both shoulders in the antero-internal variety, following a traffic accident. Indeed it would have been struck then would have made a fall with reception on both hands and the buttock. This lesion has never been described in the literature, but other unusual traumatic mechanisms have been reported. Singh and Kumar [18] reported a case where both shoulders were dislocated by different mechanisms. The reduction was simple and we used the technique of Kocher and a contention by mayo clinic was carried out. It was revised to the 21st day concomitant with the removal of the mayo clinic and the beginning of rehabilitation. This during the constant score was judged to be bad and well below the average. Conclusion: We advocate, before a bilateral dislocation of the shoulder, in our context of exercise: -Reduction in emergency and under general anesthesia -rehabilitation should be undertaken as soon as the restraint is lifted This procedure will, of course, be discussed with our other orthopedic colleagues.

We report a case with an inlet at L4-L5 and a final migration at S1. We will discuss the different types of migration mechanism as well as the therapeutic choice. ObservationTrader of 28 years, received January 21 st , 2016 for low back pain and desire to remove a projectile at the level of the spine. The current symptomatology dates back to three months and would have started in Libya. Indeed, it would be during his sleep in his room that he would have received a bullet lost by firearm. Initial management would have been done in Libya by local care until healing but without any gesture of ablation of the projectile (Figure 1).The suites of care were simple with a healing of the front door on the 21 st day. This was accompanied by a persistence of sphincter disorders, which resulted in loss of urine staining the underwear (more than five times a day), loss of stool (about ten times a day) and morning erectile dysfunction. The rectal examination found a tonic sphincter with traces of stool to the fingers.On the motor plane, there was a walking with a limp right to the right.The loco-regional examination found a scar of the orifice in projection of the fourth and fifth lumbar vertebra. During this period there was no lumbar arch (Figure 2).