Shoulder dislocation is the most common feature in emergencies, while the anterior dislocation of the glenohumeral joint is the most frequent and requires reduction. Accompanied nerve injury is common with an incidence of 21%, while radial nerve palsy is very rare. We describe the case of a 56-year-old man who presented with an anterior dislocation of the left shoulder due to a fall on an outstretched hand with wrist drop 8 hours after injury. Neurological examination revealed loss of sensation along the radial border of the forearm. Closed reduction with Kocher procedure was performed. Magnetic resonance image demonstrated a rotator cuff tear, and 3 weeks after the injury electromyography showed complete radial nerve palsy. A physiotherapy program was applied to the wrist and fingers with the goal of maintaining a full passive range of motion in all joints affected while shoulder rehabilitation started 6 weeks after his fall. Isolated radial nerve palsy associated with an anterior dislocation of the shoulder is very rare but not impossible to occur. Correct diagnosis of the nerve injury associated with the anterior dislocation is very important because it has serious implications on the management and activity morbidity.

Perilunate dislocation and fracture dislocations are rare injuries corresponding to 10% of all carpal injuries. They usually come with high-energy trauma, with associated injuries representing 61%. Volar lunate dislocation or fracture-dislocation accounts for 3% of perilunate injuries. We present a case of a 42-year-old polytrauma male, transmitted to our department 48 hours after a car accident with a trans-scaphoid volar lunate dislocation. During operation, the lunate was displaced volarly to the ulnar side of the wrist, forward to the styloid process of the distal ulna, while the scaphoid fracture appeared at the waist with comminution, and the proximal pole of the scaphoid protruded under the dorsal capsule. Carpal injuries are often missed out in polytrauma patients, and these injuries are underestimated because of the severity of the other visceral or extremity lesions. Untreated or improperly treated, those injuries lead to serious morbidity and loss of function. Therefore, good functional prognosis with decreased percentage of complications can be achieved following early recognition and early open surgical ligamentous complex repair.

Anterior glenohumeral dislocation is the most common lesion of dislocations that appears in emergency department. Bilateral anterior shoulder dislocation is a rare injury and in majority of cases originates from trauma. We review two cases (a male, 70 years old and a female, 68 years old) with a simultaneous bilateral anterior dislocation of the shoulder after an epileptic seizure during daily activities. Dislocations were diagnosed after detailed clinical and imaging examination. Under general anesthesia closed reduction with Kocher technique was applied in both patients. A percentage more than 10% of the bilateral anterior dislocation may missed out in the first diagnosis which leads to serious morbidity and loss of function in patients. The aim of this study is to describe two rare cases with simultaneous bilateral anterior glenohumeral dislocation.

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Bladder cancer is a common malignancy of genitourinary tract with a considerable morbidity and mortality. Muscle invasive urothelial carcinoma is the most common type of cancer especially in ages over 65 years old. Though various metastases have been observed, bone localization is the second site metastases and is appeared in pelvis and spine. We present a case with tibial diaphyseal bone metastases from urothelial carcinoma as a rare manifestation and we review the literature among diagnoses and therapeutic management.