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HighlightsA retained and broken drain during removal is a rare surgical complication.We present a rare case of a forgotten retained drain inside a knee 10 years after an arthroscopic procedure.The drain was removed surgically without any complications.There are several preventive measures to prevent retained surgical drains.This report increases awareness about the complications of using a drain and how to avoid such events.

HighlightsACL reconstruction is a common and safe procedure; however, complications of VTE can occur.An adult man with no risk factors developed PE after arthroscopic ACL reconstruction.Clinical pulmonary embolism was confirmed one-week post-surgery radiologically.No guidelines are available on prophylactic anticoagulation for arthroscopic ACL reconstruction.This report will increase the awareness of serious complications after ACL reconstruction.

IntroductionShoulder dislocation is the most common type of all joints dislocations. It occurs when there is separation in the glenohumeral joint. Posterior dislocation accounts for less than 4% of all shoulder dislocations. In fact, it is misdiagnosed in 60–79% of the patients in the initial presentation. In children a posterior shoulder dislocation is usually caused by a congenital anomaly or in those who have ligamentous laxity. Traumatic posterior shoulder dislocation without fracture of the proximal humeral epiphysis in children is very rare, and only few cases have been reported.Case presentationThis report presents a rare case of a 10-year-old child with a traumatic posterior shoulder dislocation without fracture.Discussionthis patient present with a rare posterior dislocation, which is direct and without fracture. It does not present with a marked deformity and it is hard to detect without a complete physical examination and radiographic series.ConclusionPosterior shoulder dislocations are rare, and even more rare in children without fractures. It is easily missed and needs careful history taking, physical exam and correct x-ray view to reach the diagnosis.

Background: Metastasis is one of the most frequent causes of cancer-related deaths globally. Several studies have investigated the surgical outcome of a metastatic spine; however, the results are discordant. This research aims to study the mortality and morbidity rates of surgical intervention for metastatic spine disease and the predictors of postoperative complications in a tertiary care center. Materials and Methods: A retrospective chart review was conducted. The population consisted of patients who underwent surgical intervention for metastatic spine disease in a tertiary-care hospital from 2016 to 2020. The primary outcomes were intraoperative and postoperative complications, 30- day mortality, 90-day mortality, and the 1-year survival rates. Results: A total of 47 patients underwent a surgical intervention during the period. Breast cancer was the most frequent primary lesion for the metastasis, followed by multiple myeloma and lung cancer. Postoperative surgical complications occurred in 34% of the sample, and 41% reported marked neurological improvement following surgery. The 30-day and 90-day mortality rates were 2% and 12%, respectively. The overall one-year survival rate was 64%. Conclusion: The current study indicated that despite the risk and complexity of the surgical intervention to the metastatic spine, the surgery resulted in an acceptable rate of morbidity and mortality.