Jefferson fracture is a C1 fracture, which happens when an axial load is from the occiput downward to the C1 ring. Usually, it causes outward displacement of the C1 arch, which can injure the vertebral artery. We present a Jefferson fracture with vertebral artery injury, resulting in an asymptomatic ischemic stroke of the left cerebellum. Usually, vertebral artery injuries are asymptomatic since the contralateral vertebral artery and the collateral arteries will adequately supply the cerebellum. Vertebral artery injury (VAI) is typically treated with conservative management with anticoagulants and antiplatelet therapy.

Septic arthritis is one of the most common orthopedic emergencies. In most cases, the joints affected are large (e.g., knees, hips, and ankles). The presentation of septic arthritis in the sternoclavicular joint (SCJ) has a relatively low prevalence rate, most commonly found in intravenous drug users. Staphylococcus aureus is the most common pathogen identified. We report a case of a 57-year-old male with a known case of diabetes mellitus, hypertension, and ischemic heart disease who complained of chest pain and was later found to have right-side SCJ septic arthritis. The procedure involves aspiration of pus using ultrasound guidance as well as irrigation of the right SCJ. The result of a pus culture from the right SCJ (a rare joint to be affected) was Salmonella, which is an atypical infection, specifically in non-sickle cell disease patients. The patient was treated with a specific antibiotic covering this pathogen.

Background: Terrible triad injuries are devastating clinical entities with different approaches described in the literature for fixation.Stability and an ideal range of motion are paramount for a favorable clinical outcome. The purpose of the study was to review the current protocols and surgical management of this complex injury and to assess the stability and range of motion of eight cases reported.Methods: Case series of patients involved in a non-salvageable radial head fracture. After surgery, the follow-up period was 27 months. The primary outcome measures were a range of motion and elbow stability intra-operatively and postoperatively. Secondary outcome measures were Mayo elbow performance scores.Results: Seven patients were included in the study, with a total of eight elbows presented with a terrible triad in our institute between February 2020 and May 2022. All cases reached the desired stability following coronoid repair, radial head replacement, and lateral ulnar collateral ligament repair (LUCL). Range of motion got 10 to 125 degrees on the twelfth week postoperatively. Mayo elbow performance and Disabilities of the Arm, Shoulder, and Hand Questionnaire scores were favorable at the final follow-up, with no chronic instability in all cases. Conclusion:Single incision using the Kocher approach, coronoid-first fixation using anchor suture is feasible following the removal of a comminuted radial head, followed by radial head replacement and LUCL repair resulting in desirable clinical outcomes. There is no superior current protocol for treating these injuries.

Multiple brown tumors are more common in females and older age groups and an unlikely site is the long bones. We report a case of a 21-year-old male presenting with a pathological fracture at the left neck of the femur. Laboratory investigations showed elevated parathyroid hormone (PTH) and serum calcium levels (PTH-dependent hypercalcemia). A CT scan revealed multiple osteolytic lesions in the pelvis and femurs, and a Tc-99m sestamibi scan showed a solitary parathyroid adenoma. We demonstrate this rare case and illustrate the importance of the consideration of multiple brown tumors in young males presenting with multiple osteolytic lesions at the long bones in the differential diagnosis. Every physician needs to have a high clinical suspicion of primary hyperparathyroidism innovation, in those who present with osteolytic lesions, with respect to the patient’s age and gender.

We report a case of a 65-year-old female presenting with an Anterolisthesis grade I, L5-S1. With a history of lower back pain that started two years ago with weak big toe extension. CT scan revealed that There is anterolisthesis grade I, L5-S1. No pars defect was seen, and degenerative changes in the bilateral facet joint L5-S1, with narrow joint space & sclerosis. The patient underwent conservative management to strengthen and stretch her back muscles for three months and had spontaneous fusion develop at an unstable level with relief of symptoms after nonoperative treatment.