No abstract

Isolated distal radioulnar joint (DRUJ) dislocation is a rare injury. Reports of isolated DRUJ luxations, volar or dorsal, are often case reports and rarely a series of cases. We present a case of an isolated acute dorsal dislocation of the distal radioulnar joint in a 25-year-old man. The patient underwent closed reduction and a transcutaneous radioulnar pinning was done followed by cast immobilization in neutral rotation during 6 weeks. After six months follow -up, the functional result was satisfactory, patient experienced no pain and had no restrictions in work or sports-related activities.

Bifocal musculoskeletal tuberculosis is a rare presentation of the disease. The following report documents the case of a 28-year-old Moroccan man presenting simultaneously with a swelling of the palm of the hand and the sternoclavicular joint. The HIV serology and hepatitis (B, C) serology were negative, as well as the tuberculin skin test. The radiographs of both locations were normal. The histopathology confirmed the diagnosis. The antibacillary chemotherapy produces excellent results. It is therefore indispensable to bear in mind the possibility of such atypical presentations of tuberculosis when making a rapid and pertinent diagnosis and prescribing the appropriate treatment.

Background. Comminuted tibial pilon fractures are induced by high-energy mechanisms and are often associated with soft tissue injuries. Their surgical approach is problematic due to postoperative complications. Minimally invasive management of these fractures has a considerable advantage in preserving the soft tissue and the fracture hematoma. Materials and Methods. We conducted a retrospective study of a series of 28 cases treated at the Orthopedic and Traumatological Surgery Department of the CHU Ibn Sina in Rabat over a period of 3 years and 9 months, from January 2018 to September 2022. Results. After a mean follow-up of 16 months, 26 cases had good clinical results according to the Biga SOFCOT criteria and 24 cases had good radiological results according to the Ovadia and Beals criteria. No cases of osteoarthritis were observed. No skin complications were reported. Conclusion. This study highlights a new approach that deserves to be considered for this type of fracture as long as no consensus has been given.

Les luxations du coude sont très fréquentes. Cette étude rétrospective a porté sur 40 cas de luxations du coude, colligés entre 2013 et 2015. Tous les patients ont bénéficié d'une réduction en urgence, sous sédation ou sous anesthésie générale. Le traitement a été complété par une immobilisation antalgique pendant une dizaine de jours suivie d'une mobilisation active. Après un recul moyen de 24 mois, un secteur de mobilité en flexion-extension supérieur à 100ο a été obtenu chez plus de 80% des patients et seuls deux cas ont gardé une raideur sévère. Les résultats globaux, évalués selon le Mayo Elbow Performance Score, ont été bons à très bons chez 35 patients, moyens chez trois patients et mauvais dans deux cas seulement.