e present four patients who had sustained a traumatic dislocation of the atlanto-occipital joint. The diagnosis was initially missed in two patients. One patient, who was neurologically intact, was treated nonoperatively. The remaining three recovered neurologically after an occipitocervical fusion. Early recognition of the injury, especially in multiply-injured patients with head injuries, and timely management may improve survival and neurological recovery.J Bone Joint Surg [Br] 2003;85-B:875-8.

No abstract

We present a case of a 2-year-old child who fell and injured his elbow. Plain films were taken and had the appearance of an elbow dislocation (Fig. 1). Subsequent MRI confirmed a Salter Harris I fracture of the distal humeral epiphysis (Figs 2a & b).