La rupture spontanée du tendon quadricipital est rare, ainsi qu'une atteinte bilatérale et simultanée. Nous rapportons un patient de 53 ans suivi pour adénome parathyroïdien compliqué d'insuffisance rénale, admis pour rupture bilatérale et spontanée des deux tendons quadricipitaux. Il a bénéficié d'une réparation chirurgicale qui lui a permis une autonomie.

Background: Management of knee stiffness remains a subject of debate among orthopedic surgeons. There is no gain saying that restoration of knee function greatly improves quality of life. Posterior approach offers an excellent view of underlying causes of knee stiffness. Overall improvement in surgical approach as well as a better understanding of knee anatomy has paved way to minimally invasive surgery. Some authors suggest a posterior release as a complement to knee arthroscopy. The following study reports a significant improvement in knee function after posterior minimally invasive knee arthrolysis. The authors intend by means of the present study and relevant literature to highlight the indications, advantages and limitations of this approach. Methods: Our prospective study involving eight patients presenting knee stiffness in flexion. They are treated by modified minimally invasive Trickey approach. Data was analyzed using IBM software SPSS version 2015. Results: The latest range of motion at follow-up mean was 0.2 to 105 degrees and postoperative Lysholm-Tegner score mean was 88. Conclusion: Our study suggests a safe and effective procedure for posterior knee release and the management of knee stiffness.

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La patella cubiti est une anomalie très rare qui se caractérise par la non union de l'olécrane au cubitus proximal. Nous rapportons un patient de 27 ans admis pour traumatisme du coude dont le diagnostic révélait une patella cubiti faisant confondre avec une fracture de l'olécrane. Le patient a bénéficié d'une résection du fragment osseux. A 3 mois de l'intervention, le patient s'est senti satisfait car le corps étranger qu'il ressentait au niveau du coude a disparu.

Introduction: Homolateral combined fractures of Monteggia and Galeazzi are very rare. Their treatment is exclusively surgical and should be proposed early in order to restore the anatomy of the antebrachial skeleton, pronosupination, and the flexion-extension of the elbow and wrist. Observation: We reported the case of a 45-year-old woman who presented a homolateral fracture of Monteggia and Galeazzi following a road accident. This combination of fractures posed a problem of diagnosis and management. Surgical follow-up presented functional issues. Conclusion: The association of Monteggia and Galeazzi fracture is very rare and poorly reported in the literature. This observation reminds us of the importance of performing a complete clinical and paraclinical assessment before any therapeutic decision.