Floating dislocated elbow is an extremely rare injury, only a few cases were reported. We present here a case of the constellation of skeletal trauma which associates a proximal humerus fracture, distal radius fracture and elbow dislocation. Through the literature review we will include clinical, radiological, therapeutic and functional results of this injury.

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The fracture of the Pipkin femoral head type IV is a rare pathological entity whose treatment is surgical already represented a poor prognosis. That said there are several surgical approaches to treat this delicate pathology. In the literature, the opinions of the authors diverge concerning the choice of the approach initially, but the conservation of the cephalic fragment is the rule. Regardless of the quality of care, poor and fair results are very important, estimated at 50% after 10 years, and long-term arthritis development seems to be inevitable.