The Monteggia fracture is characterized by a combination of cubital fracture and radial head dislocation. In this retrospective study, we analyzed 17 cases of Monteggia fracture-dislocation, which were collected between 2006 and 2011 in the Traumatology-Orthopedics department of Ibn Sina Hospital. Patients ranged in age from 16 to 56 years, and radial head dislocation was anterior in 11 cases, posterior in 3 cases, and lateral in 3 cases. According to the Bado classification, the anatomopathological aspect was type I in 10 cases, type II in 3 cases, type III in 3 cases, and type IV in one case. All patients were surgically treated by osteosynthesis, with different types of cubital fracture fixation. Functional results were evaluated using DASH and Broberg-Morrey scores, which showed 36% very good results, 45% good results, 9.5% average results, and 9.5% poor results. In conclusion, it is important to diagnose and treat Monteggia fractures early, which require a quality radiograph to detect radial head dislocation. Functional results are satisfactory if appropriate treatment is applied.

Our retrospective study focused on 18 cases of Galeazzi fracture-dislocations collected in the Traumatology and Orthopedics department at the Avicenne University Hospital in Rabat between 2005 and 2010. The objective was to demonstrate the severity of this injury, which is still rare and often misdiagnosed as an isolated radius fracture. The mean age was 32 years with a range from 24 to 60 years, and males were predominant with a sex ratio of 5:1. The main causes were traffic accidents (56%), followed by assaults and work accidents (18%). The right side was more frequently affected (55%). Surgical treatment was performed in all cases. The outcomes, evaluated according to the MICKIC criteria, were excellent in 14 cases (82.35%). The prognosis of Galeazzi fracture depends mainly on the initial treatment of the distal radioulnar joint lesions, which require careful clinical examination and good radiological analysis for their diagnosis.

Our work is a retrospective study over 6 years period on the results obtained from the surgical arthrolysis of post-traumatic stiffness in 21 patients, operated in Department of Traumatology in the Ibn Sina University Hospital in Rabat. The aim of the study consisted to study the functional results of surgical elbow arthrolysis and highlight the prognostic factors which influence the overall results of this therapy. The average age of our patients is 35 years. The predominantly affected side was the right. All the patients had a traumatic history where 57.1% were joint fractures due to falls in 57.1% of cases. On these injuries, 23.8% were neglected and received orthopedic treatment. The type of stiffness was mixed in 76.2% of cases and severe to very severe in 80.9% of cases. Capsulectomy was the most performed surgical procedure. Our immediate results were very good in 42.9% and 52.4% of cases according to the relative gain of MERLE d ́AUBIGNE. The functional sector was obtained in 52.4% of the patients. With an average follow-up of 34 months, our results were successful in 81% of cases according to the relative gain of MERLE d ́AUBIGNE and 47.6% of patients kept a functional area according to the sectorization of ALLIEU and ANJOU. In total, there is an improvement in the performance of the member according to the MAYO score with an excellent result in 33% and a good result in 33% of cases. Thus, elbow arthrolysis is a useful technique for treating stiff elbow and demonstrates the importance of rehabilitation to maintain the operative results.

Acute oxalate nephropathy, caused by either primary or secondary hyperoxaluria, is characterized by the presence of tubulointerstitial deposits of oxalate, accompanied by an interstitial inflammatory reaction. We report the case of a type 2 diabetic patient who developed terminal chronic renal failure on acute oxalate nephropathy. The patient was seen in the Emergencies Department with a loss of cutaneous substance at the level of the wrist with a whitish suppurative deposit. The radiological assessment showed various joint opacities at the level of the wrist, the metacarpophalangeal and interphalangeal joints. A non-regressive ARF (particularly in a diabetic patient) should lead to a search for exocrine pancreatic insufficiency with secondary hyperoxaluria. A kidney biopsy should be performed quickly to support this diagnostic suspicion.