BACKGROUND: Treatment of the distal tibial fractures are challenging due to the limited soft tissue, subcutaneous location and poor vascularity. In this control-matched study, it was aimed to compare the traditional open reduction and internal fixation with minimal invasive plating (MIPO). We hypothesized that superior results may be achieved with MIPO technique.

Objective: To evaluate the Magnetic Resonance Imaging (MRI) findings and their validity in patients with ischiofemoral impingement syndrome (IFI) .Methods:We retrospectively analyzed 55 hips. MRI findings of 30 hips were consistent with IFI syndrome. Twenty five hips had no MRI findings consistent with IFI syndrome. We compared the ischiofemoral space (IFS), quadratus femoris space (QFS), ischial angle (IA) and femoral neck angle (FNA) between the age and gender matched groups. We also analyzed edema, fatty replacement and partial or total rupture of quadratus femoris muscle. Mann Whitney U test was used to compare the data.Results: We observed atrophy in eight, fatty replacement also in eight and edema in all of the quadratus femoris muscle. QFS (p<0.001) and IFS (p<0.001) were significantly lower in patients as compared to the control group. IA (p=0.012) and FNA (p=0.010) values were significantly higher in patients compared with the control group.Conclusion: MRI findings of IFI include narrowing of QFS and IFS and increase in IA and FNA. This condition should be kept in mind for patients with hip pain. Level of Evidence III, Retrospective Study.

The AM technique has no clinical superiority compared to the TT technique in ACL reconstruction in nonprofessional athletes.

Bilateral posterior or anterior dislocations of the shoulder joint are rare. [1,2] Most posterior shoulder dislocations have been attributed to high energy trauma, seizures or electroconvulsive therapy. [3] Misdiagnosis of this injury may occur in 50% to 79% of patients, most commonly due to lack of clear clinical signs and accurate imaging study findings. [4,5] Computed tomography can quantify the involvement of the articular surface of the humeral head and identify fractures of the tuberosity, surgical neck, or glenoid. In addition, magnetic resonance imaging has been widely used to reveal posterior cuff tears and posterior avulsion lesions.[6] Treatment of neglected posterior dislocation of the shoulder is challenging.This report describes successful treatment of a simultaneous locked bilateral posterior dislocation of the shoulder with an associated large impression fracture of both articular surfaces of the humeral head due to an epileptic seizure. Defect of the humeral head on right side which was more than 40% of the articular surface was treated with osteochondral allograft femoral head, while a lesser articular defect was treated with the modified McLaughlin technique using absorbable suture anchors in the left side in a one-stage operation. ÖZİki taraflı eş zamanlı kilitli arkaya omuz çıkığı oldukça nadirdir. Bu yazıda grand mal tipi epilepsi nöbetinden sonra her iki humerus başının anteromedial yüzeyinde büyük impresyon kırığı ile birlikte redükte edilemeyen iki taraflı arkaya kilitli omuz çıkığı gelişen 59 yaşında erkek bir olgu sunuldu. Direkt grafiler ve bilgisayarlı tomografide sağ tarafta artiküler yüzeyin %40'ından fazla, sol tarafta %30 oranında defekt saptandı. Hastaya tek seansta sağ tarafına femur başı osteokondral allogrefti ile ve kendisine tutunan subskapularis tendon ile birlikte osteotomize edilen tüberkulum minus'un defekt içerisine transferi (modifiye McLaughlin tekniği) uygulandı. On dört aylık izlemde hasta ağrısız, omuz eklemi stabil ve fonksiyonları tatminkar idi.Anahtar sözcükler: İki taraflı omuz çıkığı; kilitli çıkık; tedavi. ABSTRACTSimultaneous bilateral locked posterior dislocation of the shoulder is a rare injury. Herein, we present a 59-year-old male case with a three-month history of an irreducible locked bilateral posterior dislocation of the shoulders with an associated large impression fracture on the anteromedial aspect of both humeral heads after a grand mal type epileptic seizure. Plain X-ray and computed tomograph revealed a defect on the right side more than 40% of the articular surface, and on the left side, 30%. He was treated with a one-stage operation with a reconstruction of femoral head osteochondral allograft on the right side and transfer of the osteotomized tuberculum minus with its attached subscapularis tendon into the defect (modified McLaughlin technique) on the left side. At 14 months during follow-up, the patient was pain-free with stable shoulder joints and satisfactory functionality.

HighlightsWe examine changes in the treatment of scaphoid fractures.In this case, the patient presented with what was considered to be a rare case of a stress fracture of both scaphoid bones secondary to repetitive dorsiflexed movements.It was aimed to present an unusual cause of chronic wrist pain due to the bilateral stress fractures of the scaphoid bone.