Traumatic diaphragmatic injury is a life threatening and an occult clinical entity which can be easily missed in diagnosis. Diaphragmatic ruptures are usually associated with abdominal trauma however, it can occur in isolation.Here we report a case of young adult male with poly trauma, whose initial diagnosis revealed multiple rib fractures on right side and right haemothorax and normal left pneumothorax. After intercostal drainage was placed on right side, left diaphragmatic tear with bowel contents in left lung cavity was revealed. He was successfully managed surgically.

Femoral shaft fractures are one of the most common injuries. These fractures are often associated with polytrauma and commonly result from high energy mechanisms such as motor vehicle collisions with sequelae of limb shortening and deformities, if not treated appropriately. Intramedullary nailing is an effective method of treating femoral shaft fracture and has become one of the preferred procedures in orthopaedics. The present study attempts to clinically evaluate the outcomes of antegraded intramedullary nailing in shaft femur fractures. Materials and Methods: 30 patients with shaft femur fracture were studied with the minimum 12 months of follow up. Functional outcome was assessed by Thoresen's criteria. Results: Out of 30 patients excellent functional status was seen in 76.6%, good in 13.33%, fair in 10% whereas there were 0% patients falling under the category of poor functional status. Conclusion: Intramedullary nailing is effective treatment for the stabilisation of the fracture shaft of femur. Femur interlocking nail is a good implant for the treatment of femoral shaft fractures because of its load sharing, closed insertion, rotational stability, restoration of anatomic length alignment and early mobilization.