A significant increase in physical activity or a recent change in the routine activity level may result with stress fractures, which are seen more frequently in soldiers and athletes due to repetitive activities such as running and marching. Clinical assessment and x-rays are not always enough to diagnose stress fracture, thus further radiological assessment is often needed Here we aimed to present a case of an atypical stress fractures in a soldier seen after a prolonged repetitive activity.

Madelung deformity can be defined as developmental and progressive deformity of the distal radio-ulnar and radiocarpal joints. Although that the exact etiology of the disease is still unknown, the main reasons are considered to be due to delayed growth rate of the medial side of the growth plate of the distal radius causing relatively shortening of the medial side of the radius. In this paper, we present a 22 years old female patient with left side Madelung’s deformity presented with a gradually increasing pain over the years on the dorsal and ulnar side of her left wrist especially during sports activities accompanied by abnormal appearance of the wrist. The deformity was corrected by corrective dome osteotomy. After surgery; pain relieved and range of motion of wrist increased. Distal radius deformities associated with Madelung deformity, can be treated successfully with surgery especially in the presence of pain and cosmetic discomfort.

The compression of the nerve is a known pathology since the late fifties, described for the first time par Thompson & Kopell. Many etiologies have been described, including traumatic aetiology further to a fracture of the scapula by bullet wound, which is never reported in the literature and falls within the framework of a syndrome of trapping. The identification of the NSS lesion requires not only careful clinical examination of the shoulder, but also a detailed neurophysiological evaluation, possibly using imagery.

Diagnosis and treatment of this compression should be as early as possible, before the installation of irreversible amyotrophy. The surgery of different causes of compression has improved the functional prognosis of the injured shoulder.

Aim: To identify the main factors favoring the occurrence of aseptic pseudarthrosis of the humeral shaft Evaluate the reliability of our care.

Patients and Method: This was a continuous retrospective study over a period of 4 years and 6 months, with two Components: etiological factors (out of 22 cases) and evaluation of treatment (out of 22 cases). The mean age was 52.7 years with a male predominance (14 men and 08 women). The etiologies of the initial trauma dominated by traffic accidents. The trait was simple medio-diaphyseal in most cases with surgical treatment in 61.1% of cases. There were 15 cases of eutrophic pseudarthrosis, 2 cases of hypertrophic and 5 cases of atrophic. The management of these pseudarthrosis was surgical by decortication type Judet, re-permeabilization and osteosynthesis with inter-fragmentary compression by wide screwed plate in the 18 cases. There were 17 cases of corticospongy graft and 5 cases of shortening.

Results: Based on the criteria of STEWART and HUNDLEY, we had 16 very good results, 3 good results, 2 average results and 1 bad result. Six radial nerve lesions were observed, 4 of which were regressive

Discussion and Conclusion: Pseudarthrosis of the humerus is a non-negligible complication of the fractures of the diaphysis whose main cause is an initial defective management. Our technique is a very effective method with the possibility of nervous complications usually transient.

Purpose: To determine the clinical and radiological variables that are associated with the undertaking of the Latarjet procedure, rather than a Bankart procedure, for anteroinferior shoulder instability.

Methods: Clinical and radiological (CT scan) data was evaluated retrospectively, on a cohort of 66 patients who had undergone surgery for recurrent anteroinferior, glenohumeral instability.

Odds ratios (95%confidence intervals) were calculated for each variable to determine its association with performance of the Latarjet procedure as opposed to an arthroscopic soft-tissue reconstruction.

Results: Linear glenoid bone loss and ipsilateral, previous stabilization surgery were the two variables demonstrated to be associated with a significantly higher likelihood of the patient undergoing a Latarjet procedure.

Age at surgery, treating surgeon, and sports involvement were not associated with an increased likelihood of the patient undergoing a Latarjet procedure.

Conclusion: None of the clinical parameters analyzed demonstrated an association with an increased likelihood of undergoing a Latarjet procedure for anteroinferior shoulder instability.

Consistent with the published literature, we identified 19% linear glenoid bone loss as our cut-off for undertaking a Latarjet procedure for anteroinferior shoulder instability.

Level of evidence: IV