Traumatic shoulder dislocation with proximal humerus fracture is a rare entity among children and treatment is always challenging. We present the case of a child with anterior dislocation of the shoulder associated with complete displaced proximal humerus metaphysis fracture. The fracture was treated by closed reduction using an innovative joystick technique and then fixation by two intramedullary K-wires. The dislocation was easily reduced after the fixation of the fracture. This method of treatment enables us to achieve excellent radiological and clinical results in a short time.

Management of a completely displaced radial neck fracture is always challenging. A closed method is preferred as higher morbidity is reported in the literature pertaining to open reduction. Métaizeau’s method with retrograde intramedullary pinning of the radius is a popular closed method and the current treatment of choice. In cases, where closed reduction is not achievable, the combination of percutaneous manipulation of the displaced radial head increases closed reduction probabilities. We are presenting two cases of a completely displaced fracture of the radial neck treated by a combination of the Métaizeau method and percutaneous push method using a blunt end of the K-wire, which provided anatomical reduction. Our results confirmed that the supplementation of the percutaneous maneuver is a good option when the Métaizeau method alone cannot achieve satisfactory reduction.