HighlightsRare case of traumatic bipolar clavicular over an ipsilateral reverse shoulder prosthesis.Open reduction and internal fixation showed satisfactory bony alignement with intact reverse shoulder prosthesis.Post operative rehabilitation is of great importance, taking into consideration the deltoid musculature wish should be addressed for shoulder strengthening over prosthesis.

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Fractures of the distal femur in young populations are usually due to a high-energy trauma mechanism. They often present with various associated osseous and soft tissue injuries. A case of bilateral open distal femur fractures with associated bilateral quadriceps tendon rupture is presented. This injury has not been previously reported in the literature. A 45-year-old male patient who sustained an axial injury to both his lower limbs after jumping from his house balcony while escaping a fire is presented. He was found to have bilateral open fractures of the distal femurs, associated with bilateral rupture of the quadriceps tendons. Both fractures were repaired via open reduction internal fixation using plate osteosynthesis. The quadriceps tendons were also repaired. Two years later, a persistent right femur nonunion was managed surgically with a re-do plate osteosynthesis and mesenchymal cell injection. The patient is in a good clinical condition after a follow-up of 5 years postoperatively. Rupture of the quadriceps tendon in association with distal femur fractures is a rare finding. However, understanding the mechanics and deforming forces of the fracture is crucial to explain the tendon injury. Open reduction internal fixation with primary repair of the quadriceps has led to successful outcomes in both lower limbs, with restoration of the patient’s baseline of motion and daily living.

Sciatica is a common syndrome mostly affecting adults. It has a wide range of etiologies, classified into intra- and extra-spinal, with intra-spinal being the most common, usually due to lumbar disc herniation causing nerve root compression. Sacroiliac (SI) joint pathologies are a known cause of extra-spinal sciatica syndrome, following multiple possible mechanisms. We report a case of a 33-year-old female patient who presented for non-resolving sciatica symptoms, found to have an inferior SI joint osteophyte compressing the sciatic nerve, who underwent surgical excision due to failure of conservative measures. All causes of sciatica related pain should be subjected to further investigations if not attributed clinically and radiologically to intra-spinal etiologies. SI joint imaging play an important role in the diagnosis of SI joint related sciatica, with the gold standard being an intra-articular anesthetic injection, to monitor for symptom relief in order to confirm the diagnosis, and choose the optimal treatment modality.