Traumatic inferior dislocation of the shoulder (also termed "luxatio erecta") is a very rare injury. The correct diagnosis may be overlooked and results after reduction can often result in significant morbidity of the affected joint. It is described in a clinical case in which a male adult reported a luxatio erecta that was correctly diagnosed and reduced with uneventful recovery. Since it is a quite rare event in the emergency room, a careful review of the literature warned us about potential pitfalls in diagnosis and treatment of this peculiar injury. Our brief case report is intended to furnish educational images and stress the importance of a correct clinical and radiographic evaluation.

Distal tibia fractures are one of the most demanding injuries in orthopaedic traumatology, due mainly to frequent coexistence of covering tissue problems and poor blood supply. Smoking exerts a detrimental effect on fracture healing, increasing the time to union. We report the case of a 60-year-old heavy-smoker (about 20 cigarettes a day) with a distal tibia fracture that necessitated synthesis with an external fixator to maximize the healing process, which nevertheless required more than one and half year to heal. We consider this case as a "take-home message" against tobacco use during the treatment of any orthopaedic issue.

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